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ACM Certification

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NGPT ACM Certification and Renewal

Name of Teacher:____________________________
Address:____________________________________
Street::____________________________________
City/State/Zip:_____________________________
Email Address:____________________________

Initial certification for ACM (fee $21.50): Please complete this form and enclose it with copies of your 25 report cards or stubs. (Both front and back must be copied.)

Renewal certification for ACM (fee $16.50): Please complete this form and enclose it with copies of your five stubs. (SMT may not count toward certification.)

Please mail completed application form, report cards or stubs, and fee to:
Certification Committee
Gloria Castro, Chairperson
American College of Musicians
P.O. Box 2215
Austin, TX. 78768-2215

Your eligibility depends on your having fulfilled the following requirements:
1. Initial Certification: During the past five years, submit copies of 25 student report cards or stubs that have passed National or International programs, each program receiving a minimum of 14 more C's than A's.
2. Annual Certification Renewal: Once initially certified, then submit yearly copies of 5 student report cards or stubs that have passed National or International programs, each program receiving a minimum of 14 more C's than A's.

Year / No. C's / No. A's / No. of Pieces / Name of Student
1. ________________________________________________
2. ________________________________________________
3. ________________________________________________
4. ________________________________________________
5. ________________________________________________
6. ________________________________________________
7. ________________________________________________
8. ________________________________________________
9. ________________________________________________
10. _______________________________________________

Total number of C's over A's:________________________