American String Teachers Association with NSOA

Certificate Program for Strings

Hawaii Application Form

Application deadline December 19, 2003 postmark

University of Hawaii: Feb 21, 2004 _______

Please print clearly

Name of Student_________________________________Grade_____ Age ________

Address______________________________________________________ _ __________ Phone___________________Email______________________

Using Accompanist: Circle YES or NO

Teacher's Name________________________Phone____________E-mail_____________

Teacher's Address_________________________________________________________ _ ___

Teacher's preferred dates and times for helping as MONITOR, as needed_________________

The signature(s) below indicate(s) that I understand the rules governing this event and agree to abide by them:

Teacher's signature:_______________________________________________

Please duplicate applications as needed.

Teacher membership in ASTA/HI with NSOA is required.

Teachers please collect all fees and application forms. Make out one check to ASTA/HI with NSOA, and send to:

K. Hafner, Certificate Program, Hawaii Suzuki Institute, 1931 Puowaina Dr, Honolulu, HI 96813

E-mail: kathy@asta.net

Instrument_______________________________Level_______ (Please add "B" if appropriate)

Works to be performed:

1. Title_______________________mvt____Composer___________________ Collection________________________________________________

2. Title_______________________mvt____Composer___________________ Collection________________________________________________

3. Title_______________________mvt____Composer___________________ Collection________________________________________________

4. Etude__________________________________Composer_________________ _ Collection________________________________________________

5. Scales__________________________________________________________ _ ________________________________________