West Lenoir School of Music
Minister of Music
Jim Burns
1-828-302-5356

$150.00 per year


Last Name:   First Name:  M.I.:

Street:   City:  St.:  Zip:

Date Of Birth:   Email Address::

Tel (H):  Tel (W)::  Cell:

Church Name::    Pastor's Name::

Church Tel: 

Street:   City:  St.:  Zip:

Minister of Music: yes    no     If yes, how many years?:

How well do you read music?:
Are you "1 = not at all", "2-4", or "5 = professionally trained"

Have you ever directed a choir?:   yes    no

Do you now direct a choir?:   yes    no

Do you play an instrument?:   yes    no

List Instrument::