Conductor Visit Request Form - 102nd Season

Thank you for your interest in having one of our esteemed PYP conductors visit your classroom! We are looking forward to an enriching session with your students. Please fill out this form in its entirety so that we know how to best serve your class(es).

For any questions, please reach out to Malu: maluhia@portlandyouthphil.org

1School Information > 2Visit Information
Name Name First Last
Email
Your school's name and the district it is part of:
What grade(s) does your music program currently serve?

What grade(s) does your music program currently serve? 5 6 7 8 9 10 11 12 Community Music Group Continuation High School Home School Other Other
Is your school Title I?

Is your school Title I? Yes No Not applicable
Has your class had a conductor visit from PYP before?

Has your class had a conductor visit from PYP before? Yes No
If you answered "yes" to the previous question, please list the year(s) and conductor(s).
Are there any students in your program that are already participants of PYP? Give them a shoutout here!
Are there any students in your program that you believe would benefit from being in PYP? Please list their names, instruments, and parent/guardian email address: