Private Lesson Schedule Sheet

Voice/Instrument: ______Semester/Year: ______

Student Name: ______Class: ______ID# 919: ______

Local Address: ______Local Phone: ______Cel Phone: ______

Home Address: ______Home Phone: ______

Email address: ______FA Locker#: ______

Degree Sought: ______Major: ______Minor: ______

Major Advisor Name: ______Applied Course #: ______

If you are seeking a BSEd degree, have you passed the piano proficiency exam? ______

How many semesters of applied keyboard lessons (including class piano) have you completed at Northwest? _____

Please fill in your schedule below with CLASS TITLES (Don’t “X” out the time slots). Please indicate any other obligations (i.e. work, meetings, etc.) that you have during weekday hours that could conflict with potential lesson times.

Time / Monday / Tuesday / Wednesday / Thursday / Friday
8:00
9:00
10:00
11:00
12:00
1:00
2:00
3:00
4:00
5:00