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Outreach Contact Report
Outreach Contact Report
If you see this don't fill out this input box.
Faculty Name First
*
Faculty Name Last
*
Email
*
Date of Outreach
*
Visit Location
Off Campus (SOM faculty visited the school)
On Campus (A school or group visited RESSOM)
School Name
*
Ensemble/class
*
Teacher Name
*
Type of Outreach (check all that apply)
Sectionals (individual instrument)
Ensemble Rehearsal
Masterclass (individual instrument)
Post-Secondary Audition Preparation
Sectionals (heterogeneous group)
All West/All State Preparation
Masterclass (heterogeneous group
Other (describe below)
Describe Other Type of Outreach
Scheidt Partnership Program
Satisfies the Scheidt Partnership Promise
Number of Students
Grade Range of Students
Hours of Student Contact During Visit
Have you notified SOM Admissions/Recruitment for support and/or follow-up
Yes
No
Notes and Comments
SUBMIT
Clear