73 Plaza Street, Mabatang, Abucay,

Bataan 2114
Mobile Nos.: 09094879977 / 09261276108
Email: themiddlec@outlook.com

Transfer Student Interview and Assessment - GUIDE

PROFILE (interview; to be filled up by teacher)
Date: _______________
Name: _______________________________ Birthdate: __________ Age: ___
Students Contact No.: ____________________
School: _________________________________ Grade/Year Level: __________
Favorite Subjects: __________________________________________________
Favorite Things to Do: _______________________________________________
Internet Access? (Y/N) ___ Social Media Account(s):
______________________
For how long have you taken piano lessons before?
_______________________
Who was your previous teacher? ______________________________________
Why are you switching teachers? ______________________________________
What books have you used? __________________________________________
_________________________________________________________________
Why would you like to continue taking piano lessons?
______________________
_________________________________________________________________
Are you involved in other music activities?
_______________________________
_________________________________________________________________
Familys musical background: _________________________________________
_________________________________________________________________
Are you willing to practice piano daily for your lessons? (Y/N) ___
How much time are you willing to devote for your practice?
_________________

Any questions, concerns, or anything else you would like the teacher to
know?
_________________________________________________________________
Date of First Lesson: _____________
Recommended Books/Materials (or Curriculum):
__________________________

ASSESSMENT
Random questions to ask the student:
1.

Can you play any melody on the piano? Y/N

________________________
2.

Can you read words? Y/N _______________________________________

Read or spell the following words aloud.

ACE
EGG
EDGE
FEED

DECAF
BADGE
DECADE
BAGGAGE

3.

Can you understand test instructions? Y/N

_________________________
Understanding Test Instructions:
(Use the Answer Sheet)
1. Choose the letter of the correct answer.
A person who plays the piano is called a ______.
A. drummer
C. pianist
B. guitarist
D. violinist
2. Write T if the sentence is True and F if the sentence if False.
Sentence 1:
Apples and bananas have the same shape.
Sentence 2:
There are seven days in a week.
3. Add the following numbers inside the box.

8
1

9
2
5

36
What will be your answer?

4. Draw a line to connect each capital letter to its small letter.

A
e
F
d
E
a
D
f

4.

Can you write? Y/N ____________________________________________

Writing:
Your nickname:

5.

Can you draw? Y/N ____________________________________________

Drawing:
Circle:
Vertical line:
Shaded circle:
Horizontal line:

6.

Can you read numbers? Y/N _____________________________________

Reading numbers:
23
16

7.

Can you count? Y/N ___________________________________________

Counting:
1 to 7
6 to 14
22 to 28

8.

Can you add numbers? Y/N _____________________________________

3 + 2 + 1
4 + 1
1 + 2 + 4
2+1+2+1
Note:

Most of the time, youll be adding these numbers 1, 2, 3, and 4 (basic note values).
The teacher wants to see if youre using hands in counting.

9.

Can you recite the letters of the English Alphabet? Y/N

_______________
ABCDEFGHIJKLMNOPQRSTUVWXYZ
10.

Are you familiar with the Musical Alphabet? Y/N

_____________________
ABCDEFG
There are only 7 letters in music (note-reading).

11.

Can you recite the Musical Alphabet (i.e. A-G) backwards? Y/N

_________
GFEDCBA
12.

Choose as fast as you can: (timer/answer sheet)

mag-aral o maglaro
kumain o matulog

red or pink
black or white
aso o pusa
Jollibee chicken joy or KFC fried chicken
Its Showtime o Eat Bulaga
2 - 50 or 1 - 100
English or Filipino
Laptop o Ipad
Lapis o Ballpen
Cake or Ice Cream
Birthday o Christmas
ALDUB o KATHNIEL

Making decisions/choices:<slow> 1 2 3 4 5 6 7 8 9 10
<fast>
Less Proficient
SCALE:

Very Proficient
3

Aural Skills
___

With eyes closed, have the student identify 4 different notes as

high or

low.

1. High or low?

___

With eyes closed, have the student identify 3 sets of 4 notes as

going up or down.
2. Going up or down?

___

With eyes closed, have the student identify 3 different sounds as

loud or

soft.

3. Loud or soft?

___

Have the student clap back various rhythm patterns.

4. Clap back these rhythm patterns:

___

Have the student play a key to the ticks of the metronome (w/

intervals).
5. Play a key to the ticks of the metronome:
a. with no interval
b. with 1 interval
c. with 2 intervals
___

Play a piece and ask the student how he/she felt about the

music.
6. Play a piece. Ask the student how he/she felt about the music.
a. Distant Memories by Dennis Alexander
b. Sponge Bob Square Pants from www.ahdoe.com
a. Thinking Out Loud Ed Sheeran, transcribed by Joyce Leong

Visual Skills
___

Have the student identify whether the notes on the staff are

mostly on a
line or on a space.
1. Identify whether the notes on the staff are mostly on a line or on a space.

LINE

SPACE

SPACE

LINE
___

Have the student identify whether a set of notes on the staff is

moving
up or down.
2. Identify whether the set of notes on the staff is moving up or down.

DOWN

UP

DOWN

UP

___

Have the student clap several rhythm patterns that are placed in

front of
them.
___

Have the student sight-read.

Kinesthetic Skills
___

Have the student play several technical exercises.

Social Skills
The student has: a good attitude a bad attitude; cant tell yet
The student is: outgoing shy
The student is: willing to answer questions hesitant to answer
questions

The student is: eager to participate not so eager to participate

The student: can follow directions well can get easily distracted

Playing Skills
Have the student play some pieces from different method books.
Piece from Method Book Used
Name of Book: _____________________________________________________
Title of Piece: ______________________________________________________

Continuity

Note Accuracy

Rhythm Accuracy

Dynamics, Articulations

Phrasing, Voicing, Balance

Piece from A Different or New Method Book

Name of Book: _____________________________________________________
Title of Piece: ______________________________________________________

Continuity

Note Accuracy

Rhythm Accuracy

Dynamics, Articulations

Phrasing, Voicing, Balance

Theory and Vocabulary Skills

Place any music sheet in front of the student.
Can the student identify:

clefs?

the time signature?

Yes

No

the key signature?

Yes

No

note names?

Yes

No

Yes

No

rhythmic values?

Yes

No

intervals?

Yes

No

dynamic symbols?

Yes

No

other music symbols and terms?

Yes

No

Additional Observations:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
____________________________________________

Music Progressions Level Placement:

5
TMC Grade Level Placement:Semibreve Minim Crotchet
Quaver

Parent Questionnaire
Parents Names: 1. _______________________________________________
2. _______________________________________________
Contact No.: ____________________ Email: ____________@______________
Social Media Account(s): _____________________________________________
Home Address: _____________________________________________________
Do you have a piano at home? Yes No Brand:
_____________________
Type of piano: Grand Piano Upright Electronic/Digital

Why do you want your child to learn piano?

______________________________
_________________________________________________________________
What other musical instrument(s) would you like your child to learn?
_________
_________________________________________________________________
Extent of your musical background/understanding:
________________________
_________________________________________________________________
Is your child a member of a musical group (e.g. school or church
choir)? Y/N
If Yes, name of group or club: ________________________________________
Less Important
SCALE:

Very Important
3

Using this scale, please rate how important are the following (encircle
number) to you: Your childs

music education (i.e. piano studies) 1

school activities

church activities (if any)

5
Provide a brief description of your child, including temperament,
learning style, what motivates him/her, etc.:
_________________________________________
_________________________________________________________________
Are you willing to schedule your childs practice and ensure that it is
done on a regular basis? Y/N

Please sign here if you have read,

and agree to abide by, the TMCPS Policy? (Signature)

________________________ Date: __________