<p> SoundWerk™ Certification Course Registration</p><p>206C Wesley Drive, Waynesboro, PA 17268 Phone/text/facetime: 717-387-3280 Skype: lynda.kuckenbrod E-mail: [email protected] Web: www.SoundWerker.com</p><p>YOU MUST ADD THIS EMAIL TO YOUR CONTACT LIST TO INSURE THAT YOU RECEIVE A REPLY: [email protected] A REPLY IS SENT TO ALL EMAILS WITHIN 24 HOURS</p><p>Full Name:</p><p>Street and City:</p><p>State/Province and Mail Code:</p><p>Telephone~ Home: Cell (is this an iPhone?): </p><p>Date of Birth</p><p>Skype: Email: Facebook: </p><p>Please provide the date of the course for which you would like to participate:</p><p>______Date</p><p>What type of computer will you be using to take this course? ______</p><p>Does your computer have a camera? ______</p><p>Have you ever done a video chat on your computer (such as Skype or Facetime)? ______</p><p>How did you hear about the SoundWerk Certification Course?</p><p>Please complete the questions below:</p><p>1 What instrument do you play? How long have you played it? Are you taking lessons now? How would you describe your instrument/music skills?</p><p>What are your reasons for taking this course? How will you use this course upon Certification?</p><p>SoundWerkers by nature must be compassionate, intuitive, non-judgmental and have empathy. These traits cannot be taught. Do you feel that you have these qualities to be a SoundWerker? If so, please elaborate. </p><p>What are your expectations? How can we help you accomplish your goals?</p><p>You will receive an answer to you application within 24 hours. At that time we will arrange a meeting to answer any of your questions and to demonstrate your ability with your instrument. </p><p>AGAIN – Please add [email protected] to your contact list. I respond to emails within 24 hours. If you do not receive a response, please check your spam folder and send a follow-up email. Your inquiry is important to me.</p><p>I look forward to meeting you!</p><p>Lynda</p><p>2</p>