| Please
fill out and print: |
|
| Today's
date: |
|
| Applicant's
first name: |
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| Applicant's
last name: |
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| Applicant's
e mail addr: |
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| Applicant's
address: |
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| City: |
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| State: |
|
| Zip: |
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| Applicant's
phone#: |
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| Instrument/Voice: |
|
| Are
you over 21? |
yes
no
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| TRAINING: |
|
| 1.
Degrees, certificates, state diplomas, etc. earned: Please, state
specific branch of music, degree and institution. |
|
|
| 2.
If not a graduate, at what schools or with whom have you had instrumental
or vocal study, theoretical training? |
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|
| 3.
Other training (e.g. Teacher training; extension courses, etc.).
Give a brief outline: |
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| EXPERIENCE: |
| 4.
a. State length of time and where you have taught music |
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|
| 4.
b. Branch of music taught: |
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| 5.
In what, if any, contests, auditions, or festivals do you enter
your pupils? |
|
|
| 6.
Are you a concert performer? yes
no
|
7.
Name any other professional organizations to which you belong |
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|
| Signature
of Applicant: |
Please
print and send to:
Carol Dovan
AMTL Membership Chair
6 Hillview Ave.
Port Washington, NY 11050
Yearly
dues $40 Payable Annually
Please submit with application form |
