GITC Program Inquiry Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Position Question Title * 4. School and/or District Name Question Title * 5. Work Phone Number Question Title * 6. Work City and State Question Title * 7. Work Email Question Title * 8. Home Phone Number Question Title * 9. Home Email Question Title * 10. What would you like to discuss with us? Question Title * 11. What goals would you ideally hope to achieve by bringing GITC to education in your area? Question Title * 12. What opportunities exist in your district for students to learn music? (check all that apply) TK-3 Music Education Grades 4-5 Music Education Middle School Music Education High School Music Education After School Music Clubs None Other (please specify) Question Title * 13. What role, if any, can you envision yourself playing in bringing GITC to your school/district? Question Title * 14. Does your district have a department for any of the following?(check all that apply) Visual and Performing Arts Fine Arts Music Professional Development Special Education Question Title * 15. Are there any local (mom & pop) music stores in your city/county? Question Title * 16. Where is your nearest Guitar Center and/or Sam Ash Music Center? Done
