Membership Subscription Form

	Patron: Sir George Martin
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MEMBERSHIP SUBSCRIPTION FORM

This form is for Educational Members

To register for forum membership please supply the following details:

Your name:	Title:	Forename:	Surname:
Your home location:	Address:		Town:
	County:	Postcode:	Country:
Telephone numbers:	Home:	Work:	Mobile:
Where you work (1): We have provided space for you to enter details of up to three workplace institutions.	Institution 1:
	Address:		Town:
	County:	Postcode:	Country:
Where you work (2):	Institution 2:
	Address:		Town:
	County:	Postcode:	Country:
Where you work (3):	Institution 3:
	Address:		Town:
	County:	Postcode:	Country:
Your electronic contact details:	Email address:
	Web site:
	Social networking site:
Your teaching practice (1): Specialism - Please list your main areas of specialism teaching music Technology or sound-related subject areas
Your teaching practice (2): Experience at different levels - How many years have you been teaching at the following levels?	Secondary School at A level / BTEC, AA, NC, ND or similar		years
	FE College - higher education at HNC / HND or Foundation degree levels		years
	FE College - higher education degree courses at BA (Hons) level		years
	University or College of HE at BA (Hons) level		years
	University or College of HE at Masters or Doctorate level or above		years
Your Teaching Practice (3): Industry Experience - Please give brief details of any relevant experience you have working as an employee or freelance in the music industry.
Your teaching practice (4): Support - Are there any area of support that you feel the JEF forum or the JAMES Group could offer you or should develop on your behalf?
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