"Living Your Dreams In Performing & Visual Arts"


Please complete the online application to become a Muzika Mentor.


Mentee Application





City, State, Zip:  

Home Phone:      

Cell Phone:         


Date of Birth:      

Social Security:   


Convicted of any type of Felony, Child Abuse, Drug Abuse, Sexual Predator?:     

If yes, please explain:  

Selection of Mentorship

Please check the box next to each of your interests.

Voice Choir Quartet
Pottery Theater Art
Modeling Dance Tap
Ballet Interpret/Spiritual Dance Modern Dance
Commercials Stage Hands Road Crew
Writing Piano Tuning Promotions
Management Music Teacher Piano
Keyboard Organ Pipe
Hammond B3 Baritone Sax Alto Sax
Soprano Sax Tenor Sax Clarinet
French Horn Flute Oboe
Flugel Horn Bassoon Harmonica
Trombone Tuba Trumpet
Vibes Acoustic Guitar Folk
Bass Lead/Rhythm Upright Bass
Banjo Violin Cello
Fiddle Fretless Harp
Hawaiian Acoustic Drums Electronic Drums
Band Bass Drum Band Snare Band Quad Drums
Steel Drum Congo    
Keyboard Computer Audio
Video Lighting Sound Tech
Sound Engineer Photography Graphic Art
Radio Broadcasting        
Tutoring In School Work        
Do you own an instrument?          

Muzika will provide instruments for those who do not own one.


Come and invest in the lives of others by sharing your gifts, talents and skills!

Please complete the above form and click submit to email to Muzika.  A Muzika representative will be in contact with you as soon as possible.





Par Tolliver

Email - par@muzikainc.org

Telephone - (937)624-4294

Postal Mail - P. O. Box 1382

                      Springfield, OH 45501


Alyce Comer

Email - alyce@muzikainc.org

Telephone - (937)605-4071

Postal Mail - P. O. Box 1382

                      Springfield, OH 45501





Copyright 2007 Muzika, Inc. All rights reserved.