Financial Aid Overview

 

Student Profile Form

 

Class Registration Request Form

 

Named Scholarships

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Student Profile Form

 

Please contact Hingham Placement Coordinator Jessica Wilcox at 781-749-7565, ext. 37 or
Duxbury Campus Manager Nancy Meredith at at 781-934-2731 x11 for assistance.

You may also Download a PDF of our Student Profile Form to email or mail to us.

 

Student's First Name* A value is required.Minimum number of characters not met.
Student's Last Name* A value is required.Minimum number of characters not met.
Student's Date Of Birth or "adult"* A value is required.Minimum number of characters not met.
Parent/Guardian's First Name
(type "adult" if you are an adult)*
A value is required.Minimum number of characters not met.
Parent/Guardian's Last Name
(type "adult" if you are an adult)*
A value is required.Minimum number of characters not met.
Street Address/P.O. Box* A value is required.Minimum number of characters not met.
City/Town/State* A value is required.Minimum number of characters not met.
Zip Code* A value is required.Minimum number of characters not met.
Primary Phone* A value is required.Minimum number of characters not met.
Secondary Phone* A value is required.Minimum number of characters not met.
School (if applicable)* A value is required.Minimum number of characters not met.
Grade (if applicable)* A value is required.Minimum number of characters not met.
Email Address* A value is required.Minimum number of characters not met.
Emergency Contact's Name* A value is required.Minimum number of characters not met.
Emergency Contact's Phone* A value is required.Minimum number of characters not met.
*Required field

 

 
 
Instrument/s, Voice or Drama
Campus: (check one or both) Hingham Duxbury
Previous experience on instrument:

 

Other musical experience: (choir/band/orchestra etc)
Other interests
What kind of teaching style do you think will work for you/your child?
What are the goals/ambitions of the student?
Is there anything else you think we should know in order to effectively place this student? (learning style/special needs, gender preference, etc)

 

Please check off available days
Monday Tuesday Wednesday Thursday Friday Saturday (limited)

What would be the earliest time you could start a lesson on your available days?

What would be the latest time you could start a lesson on your available days?

May we have permission to use photographs of your child for publicity purposes?


How did you hear about South Shore Conservatory? (required field)

Please make a selection.
If "Other", please describe