ASTA Maryland Certificate Program for Strings

Performance Exams Application Form

Click here to download a printer friendly application form

 

Circle preferred date
Exam Dates	Location	Application Deadline Postmark
February 10, 2008	McDonogh School	January 21st, 2008
June 8th, 2008	Catholic University	May 1 st, 2008

Name of Student_____________________________________ Grade_____ Age ______

Address____________________________________________________________________

 Phone_______________E-mail __________

Accompanist's Name________________________________ (write "no accompanist" if none)

Teacher's Name __________________________ Phone ____________E-mail ________

Address___________________________________________________________ ___

Teachers: Enter preferred dates and time for helping as MONITOR, as needed ________

Teacher membership in ASTA MD/DC is required.

The signature below indicates that I understand and agree to abide by the rules governing this event. Teacher's signature: ___________________________________________

Teachers, please duplicate applications as needed. Collect all fees and application forms. 

Make out one check to ASTA MD/DC, and send to:

Lya Stern

ASTA Certificate Program

7012 Hopewood St., Bethesda, MD 20817

E-mail: lya@asta.net

 

Instrument ______________________________________ Level_______

Check box if appropriate: Level B  Comments Only  Honors 

Works to be performed:

1. Title_______________________________ mvt ____ Composer _________________

2. Title_______________________________ mvt ____ Composer ________________

3. Title ______________________________ mvt ____  Composer _________________

4. Etude ______________________________________ Composer ________________

5. Scales and Arpeggios ___________________________________________________