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Special Plaque Enrollment Card

(Early Bach, Advanced Bach, Sonatina, Sonata, Founder)

Please Print This Page Out and Mail it To Us

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Please list names, type of plaque, and grade received ("C" over "A") for pupils who wish to apply for the special plaques (Early Bach, Advanced Bach, Sonatina, Sonata, Founder). Return this card with the fee of $23.50 per plaque plus a $6.50 shipping/handling fee, and a copy of each pupil's audition report card, stub and pre-approval form (by July 1 if you wish publication in Piano Guild Notes). The application fee of $23.50 includes the cost of the plaque but is not payment for express mail handling.

(Please Send After Auditions)

 NAME OF PUPIL  TYPE OF PLAQUE    GRADE (C/A) FEE

1.______________________________________________
2.______________________________________________
3.______________________________________________
4.______________________________________________
5.______________________________________________
6.______________________________________________
7.______________________________________________
8.______________________________________________
9.______________________________________________
10._____________________________________________
11._____________________________________________
12._____________________________________________
13._____________________________________________
14._____________________________________________
15._____________________________________________
16._____________________________________________
17._____________________________________________
18._____________________________________________
19._____________________________________________
20._____________________________________________
+Shipping/handling fee    $6.50
                        Total Fees $_______________________________________

Name of Teacher: _____________________________________
Address: _______________________________________________
City/State/Zip: ________________/____/_______
Email Address: ________________________________________

American College of Musicians
Box 2215, Austin, Texas 78768-2215


Application for Pre-Approval of NGPT Special Plaque Programs

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Since repertoire requirements are very specific for four of the special plaque awards (Early Bach, Advanced Bach, Sonatina, Sonata), you must submit the program to be pre-approved.  Repertoire submitted for pre-approval cannot be submitted by phone, email or FAX.)  (The postmark deadline is December 13. Pre-approval forms postmarked after December 13 will not be accepted.)  Once approved, changes may not be made without contacting Guild Headquarters. (Students applying for the Guild Founder Medal are the only "Special Medal" students not required to submit the programs to be pre-approved.)  Complete one form for each student and send to:

National Guild of Piano Teachers
Program Approval
P.O. Box 2215
Austin, Texas 78768-2215

Once the audition is complete, a copy of the inner report card/stub, Pre-Approval Form, and "Special Plaque Enrollment Card" must be sent to headquarters (Early Bach, Advanced Bach, Sonatina, Sonata) to ensure all other requirements for the award have been met (pp. 7-9, 29 of the Guild Syllabus). Remember:  This application may not be used for Diploma programs! Requirements for Diploma programs are found on pp. 9-11 of the Syllabus.

Program Approval
Student Name:_______________________________
Application for:____________________ (medal)
Year program will be performed:_____________

Composer

1._____________________________________________
2._____________________________________________
4._____________________________________________
5._____________________________________________
6._____________________________________________
7._____________________________________________
8._____________________________________________
9._____________________________________________
1._____________________________________________
10.____________________________________________
11.____________________________________________
12.____________________________________________
13.____________________________________________
14.____________________________________________
15.____________________________________________
16.____________________________________________
17.____________________________________________
18.____________________________________________
19.____________________________________________
20.____________________________________________

Remember: Once a program is pre-approved, changes may not be made without contacting guild headquarters.


Teacher's Name: _____________________________
Address: ______________________________________
________________________________________________
Email address: _______________________________

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