Email address
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Basic Information
*Please check all input (especially if your device auto-populates fields)*
Student's Name
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First Name
Last Name
Student Middle Name
Student Nick Name
Birthdate
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Month
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Day
Year
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Student Gender
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Please Select
Male
Female
Student Ethnicity (Optional)
Asian
American Indian or Alaska Native
Black or African American
Hispanic, Latino or of Spanish Origin
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Other
Parent/Guardian 1 Name
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Parent/Guardian 1 Relationship to Applicant
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Parent/Guardian 1 Phone Number
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Parent/Guardian 1 E-Mail
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Parent/Guardian 1 Occupation
Parent/Guardian 2 Name
Parent/Guardian 2 Relationship to Applicant
Parent/Guardian 2 Phone Number
Parent/Guardian 2 E-Mail
Parent/Guardian 2 Occupation
Student Street Address
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City
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State
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Zip Code
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Current School Name
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Current Grade Level
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Classroom Teacher
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Classroom Teacher E-Mail
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Parent Questionnaire
How did you hear about Special Music School?
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Word of Mouth
Internet Research
Lucy Moses School
Merkin Concert Hall
Through a faculty or staff member of SMS
Through a parent or student of SMS
Through a board member of Kaufman Music Center
Through the New York City Department of Education website
Through a newspaper or publication about NYC public schools
Kindergarten Fair
Through a recommendation from a music teacher
Through a recommendation from your current school or daycare
Through a recommendation from another music school or organization
Other
Please feel free to elaborate on your above selections.
What makes you think your child might be musical?
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0/200
What kinds of musical activities does your child participate in at home?
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0/150
What musical events has your child attended?
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0/150
Has your child had formal music lessons or classes? If so, what kind? Do they play a musical instrument? If so, how long have they studied?
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0/150
What was your child's response to music lessons?
0/100
Are there any musical instrument in your home or at your child's school? If yes, has your child shown any interest in it/them? In what instrument(s) is your child particularly interested?
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0/100
Have any members of your family had music training, either instrumental or vocal?
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0/100
Is there anything else that you would like to tell us about your child?
0/100
One of the cornerstones of Special Music School and a determiner of success is parental involvement. We find it most beneficial if at least one parent is able to attend a minimum of one lesson a week. Lessons are a half hour long and take place on Mondays and Thursdays at 12:45 or 1:30pm. Do you think this is achievable?
Yes
No
I understand my child cannot be accepted to Special Music School without applying through the New York City Department of Education's kindergarten application process, known as Kindergarten Connect. This application for assessment is separate, but not in lieu of, the DOE Kindergarten Connect Application.
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Yes
No
Assessment Choice
Please note that no child can be assessed before their 4th birthday. Also, in instances when twins/triplets are applying, it is our experience that twins/etc. do not perform well when in the same assessment group. Please schedule siblings in different time slots (they may be the same day).
Assessment Scheduler- September/October
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Assessment Scheduler- November/ December
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Assessment Scheduler- January
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Cancellation Policy
First Name
Last Name
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