ASTA/ OREGON Certificate Program for Strings
Performance Exams Application Form
Click here to download a printer friendly application form
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Exam Dates |
Location |
Application Deadline Postmark |
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May 12, 2007 |
Mt. Hood Community College, Gresham, OR. 97030 |
May 1st, 2007 |
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Name of Student___________________________________________
Certificate Level________ 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/OR with NSOA 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/OR with NSOA, and send to:
Marshall Tuttle
Mt. Hood Community College,
26000 Stark St. Gresham, OR 97030
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__________________________________________________________