CLIENT INFORMATION
please fill out and upload the following information for your ExpertClinician™
Name
*
First
Last
E-mail
*
Location
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Ensemble or performer name
*
Ensemble or Solo type
*
Please Select
Choir/Vocal Ensemble
Instrumental Ensemble
Solo Voice
Solo Instrument
Conductor Review
Teaching Review
Conference Application
Name of conference
*
Age level of performers
*
Elementary
Middle School
High School
College/University
Adult Ensemble
Age of performer
Please confirm the clinician or clinicians that you requested.
*
Confirm the ExpertClinician™ response format you selected.
*
Written Response
Audio Response
Video Response
Would you like your clinician to use your state's contest/festival evaluation rubric?
No
Texas
Michigan
(additional coming soon)
Titles of selections on recording
*
Share Recordings with Clinician
You can share a maximum of 3 selections totaling a maximum 15 minutes. You can choose to upload the files directly or share an external, accessible link (Youtube, etc.)
You can upload a single audio or video file with all selections, or up to 3 separate files. How many separate files will you be adding?
1 file (contains all selections)
2 separate files
3 separate files
Recording #1 - upload, or share link
Recording #1
Recording #1 link - please ensure the URL is correct and accessible
Recording #2 - upload, or share link
Recording #2 -
Recording #2 please ensure the URL is correct and accessible
Recording #3 - upload, or share link
Recording #3
Recording #3 please ensure the URL is correct and accessible
Share scores with your ExpertClinician™
Each complete score should be a single PDF document.
Would you like to upload scores?
Yes
No
Score #1 Upload
Would you like to add 2nd score file?
Yes
No
Score #2 Upload
Would you like to add a 3rd score file?
Yes
No
Score #3 Upload
Is there anything that you would like to share with the clinician about the performer or ensemble?
Are there a specific aspects on which you would like the clinician to focus?
**Please don't leave page until you see the confirmation**
File(s) size(s) and internet speed determine upload time.
Submit to Clinician
EVALUATION SECTION
this section to be completed by the selected ExpertClinician
Written Response
This client has purchased a 'Written Response' clinic.
If you're using a score sheet/rubric, you can upload that here. You can also use this to upload typed/written comments if you prefer not to use the text box below.
Add File(s)
Cancel
of
Clinician Comments
Audio Response
This client has purchased an 'Audio Response' clinic.
How would you like to share your recording with the client?
Upload here
External link(s)
How many individual links will you be sharing with the client?
1
2
3
How many individual files will you be sharing with the client?
1
2
3
File #1 upload
Browse Files
Cancel
of
File #2 upload
Browse Files
Cancel
of
File #3 upload
Browse Files
Cancel
of
File #1 link
File #2 link
File #3 link
Video Response
This client has purchased a 'Video Response' clinic.
Total size of files and internet speed determine time of upload, please wait for the confirmation page.
approximate 3-5 minutes per 100mb
Submit for Client
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