Student Information Form

Name:
Email address:
Local phone:
My class status is:	Select ONE Freshnman Sophomore Junior Senior Graduate Student
My Major is:
My church affiliation is (Southern Baptist, Methodist, etc.):
Theologically, I am:	Select ONE Very conservative Conservative Moderate Liberal Very liberal I don't know what you mean by this question
Professionally, I plan a career as a:
At my home church we mainly:	Select ONE sing hymns sing praise and worships choruses sing a combination of hymns and choruses
At my home church we mainly:	Select ONE use a hymnbook project words on a screen use both a hymnbook and a projector sing from memory
What hymnal does your home church use:
Currently, I am working in a church as a:	Select ONE adult choir director church pianist/organist children's choir director praise and worship leader praise team member I'm not currently working in a church
If your current church is different	from your home church:
At my current church we mainly:	Select ONE sing hymns sing praise and worships choruses sing a combination of hymns and choruses This doesn't apply to me
At my current church we mainly:	Select ONE Use a hymnbook Project words on a screen Use both a hymnbook and a projector Sing from memory This doesn't apply to me
What hymnal does your current church use:

The following responses are necessary to setup your STUDENT GRADE FILE:

Last Name:
Last 4 digits of your TELEPHONE #:
Last 4 digits of your Student ID #: