ASTA DC/MD Chapter

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American String Teachers Association, MD/DC Chapter Certificate Advancement Program Application for Performance Exam
Teachers, please fill out one form for each student. (Note: Items with an * are required.)
* Exam Date:
* Student's First Name:
* Student's Last Name:
* Grade In School:
* Age:
* Instrument:
* Level:
* Application Fees:
* Comments Only?:
* Honors?:
WORKS TO BE PERFORMED: Please read the repertoire lists accurately! When listing pieces, be sure to write the COMPOSER and TITLE (including edition, collection title, and movement number, if applicable.) Be sure you enter the correct number of solo pieces, depending on the level.
* 1.
2.
3.
* Etude, including composer and etude number
* Scales and Arpeggios
* Name of Accompanist (if no accompanist, write NONE):
(If you are entering more than one student, you only need to enter all of your personal information on this form for your first student. For your remaining students, simply enter your first name into the Name, Street, City, Phone, and Email fields.)
* Name of Teacher (teacher must be an ASTA member):
* Teacher's Street:
* Teacher's City:
* Teacher's Zip:
* Teacher's State:
* Teacher's Phone Number:
* Teacher's Email:
* TEACHER'S REQUESTED TIME for helping as monitor. (THIS IS A REQUIREMENT, NOT AN OPTION.):
(Teachers: Collect fees from all your students, then send one check, payable to MD/DC Chapter, to the ASTACAP Chair.)
Comments:
* Please type the code that appears below:

Read the reports on previous ASTACAP exams
on our NEWS page.

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The winter ASTACAP exams will be held on Sunday, February 20, 2011 at
The Lutheran Church of St. Andrew
Silver Spring, MD