Skip to content
Striking A Notable Difference In Healthcare Since 2002
Facebook-f
Twitter
Instagram
Youtube
My Account
Pay Invoice
®
Home
Programs
Harp Therapy
Harp Therapy Certification
Therapeutic Musician Intensive
Teacher Training Certification
Instructional Programs
Mindfulness
Certified Master Harp Therapist/ Certified Master Therapeutic Musician Program
Bedside Harp@Home Program
Shop
Resources
News
Videos
Practicum Projects
Special Moments
Honor
Harp String References
Certified Graduates
FAQ
About
Contact
Menu
Home
Programs
Harp Therapy
Harp Therapy Certification
Therapeutic Musician Intensive
Teacher Training Certification
Instructional Programs
Mindfulness
Certified Master Harp Therapist/ Certified Master Therapeutic Musician Program
Bedside Harp@Home Program
Shop
Resources
News
Videos
Practicum Projects
Special Moments
Honor
Harp String References
Certified Graduates
FAQ
About
Contact
$
0.00
0
Cart
Bedside Harp@Home Program Application
1
Program Information
2
Personal Information
3
Musical Background
4
Experience & Training
Program Info
Please indicate when you would like to start this program
If you know at this time which teacher you would like, please indicate
Edie Elkan
Morine Stewart
Lauri Craig
Not Sure
Personal Info
Legal Name
*
First
Middle
Last
Name You Would Like To Be Called
Address (No PO Box Allowed)
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Email
*
Best way to contact you if there is a cancellation:
*
Phone Call
Text Message
Email
Musical Background
If you have no musical background, please skip to question #4 at the bottom.
1. Do you read music? Which clef(s)?
2. What musical instruments do/did you play and what is/was your level of proficiency on each?
Do you presently own a harp(s)? If so, what kind?
3. What is the nature of your musical training and experience?
Please select all that apply:
Do you improvise?
Do you play by ear?
Do you write your own arrangements?
Do you write your own music?
Do you currently take harp lessons?
Do you teach music?
Do you perform?
With whom have you studied / are you currently studying?
At this time do you envision yourself playing for health care once you become proficient on the harp? If you wish to comment further please do so below.
4. Do you sing? What are your favorite songs to sing?
5. What is your favorite kind of music to listen to?
Education/Work Experience
Education: Please include high school, vocational school, college, graduate school.
Work: Please summarize your professional/work experience:
Where did you first hear of our program?
Please mark all that apply:
Mailing
Internet
Facebook
LinkedIn
Instagram
Harp Therapy Journal
Somerset Harp Festival
Referral
Other
If other, please specify:
Additional Comments
Additional Comments
Email
This field is for validation purposes and should be left unchanged.
35486
Δ
