Lewisham Music form to request programmes for 2023-24 Please complete a separate form for each programme you wish to request Requesting Lewisham Music programmes OK Please complete the survey form below to request any new Lewisham Music programmes for your school for 2023-24. Please complete the form by Friday 26 May. Please note that whilst we will do our best to meet all your requirements, all programmes are subject to staff and instrument availability. Please note there is a separate form for confirming, making changes or cancelling existing programmes for September 2023. OK Question Title * 1. School OK Question Title * 2. Contact name OK Question Title * 3. Responsibility in school OK Question Title * 4. Email address OK Question Title * 5. Phone number OK Question Title * 6. Please indicate below your Lewisham Music programme request for Autumn 2023 (please note this is for a new programme for your school - changes to current programmes should be completed on a different form) Whole class instrumental Individual instrumental tuition Individual vocal tuition Small group (2-4 students per group) instrumental tuition Small group (2-4 students per group) vocal tuition Curriculum teaching Rap and lyricism Songwriting Music Technology Choir Instrumental ensemble or larger group tuition Other (please give details below) Please give any further details OK Question Title * 7. Please give as much additional information about the programme that you would like, including the instrument/voice or whether it is for curriculum teaching/rap and lyricism/music technology etc. and the age of students you would like it for. OK Question Title * 8. Do you have a preferred day for the tuition? Please note that by giving as many options as possible will make it easier to match a tutor to your request. OK Question Title * 9. Please indicate roughly how many hours tuition you are looking for for this programme 1 hour 2 hours 2.5 hours 3 hours 3.5 hours 4 hours more than 4 hours OK Question Title * 10. Please add any additional information here OK We will be in touch shortly to confirm your request(s) OK SUBMIT