The Mentoring Program is available only to members of NEPTA. Apply for the Mentoring Program as a Mentee online with the form below. It will be submitted to the Membership Committee. You will be contacted by a member of the Mentoring Program Committee. Otherwise, you may print out the application in .pdf format and can be printed using Acrobat Reader.

Mentee App

Contact Information

Background Information

Have you ever been convicted of a crime? *
I teach (or have taught) in: Please check any that apply and write how many years.

Mentoring Interests

Which areas of piano teaching do you want to observe? Please check any that apply.

Mentee Agreement

I understand that there is no charge for the time that I observe my Mentor’s teaching.

I agree to pay my Mentor’s fee as set forth in the Billing Agreement for any discussion time of pedagogical issues outside of the teaching observation time either in person, by phone or per email.

I understand and agree that neither New England Piano Teachers Association (“NEPTA”) nor any Mentor associated with the Mentorship Program of the NEPTA shall be responsible for any bodily injury, property damage, or loss sustained or incurred by me during the time I am on the Mentor’s premises. I hereby waive, forfeit, and forever release NEPTA and its Mentors, their successors and/or assigns from any liability, whether personal or professional.

I agree to share the information on this application with prospective Mentors and the Mentoring Committee.

I certify that the above information is accurate, to the best of my knowledge.


Please provide two references who are willing to be contacted by a NEPTA Mentoring Program Committee member.

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