Student Evaluation Program Registration Form

TEACHER __________________________________________________________________

PHONE _______________________Email_________________________________________

DATES — Indicate choice
___________ Saturday March 5, 2011 (limited time available; first come first served)

___________ Sunday March 6, 2011
Please use your own studio if at all possible for Sunday.
SMEA will reimburse teacher using own studio $12 for adjudicator’s lunch.

LOCATION – Circle one
1) Your studio - you and your colleagues MUST have enough students to occupy the adjudicator for a total of 6 hours.
2) Brookdale Community College

FEES

___ # Students x $25.00 (10 minutes*) = $______

___ # Students x $30.00 (15 minutes*) = $______

___ # Students x $32.00 (20 minutes*) = $______

___ # Students x $35.00 (25 minutes*) = $______

___ # Students x $39.00 (30 minutes*) = $______

___ # Students x $50.00 (45 minutes*) = $______

___ # Students x $60.00 (60 minutes*) = $_____

TOTAL    $___________

* Allow approx. 2/3 of allotted time for individual mini master class

Please make check payable to SMEA and submit one check per teacher
Parents’ checks will not be accepted

DEADLINE — Postmarked by Monday, January 15, 2011

AWARDS RECITAL — Sunday March 20, 2011  1:00 - 3:30 pm*
*Teachers please clear date in advance with students; there will be NO make-up performance

SEND TO:
Hsin I Chou
21 Inverness Drive
Marlboro NJ 07746

ALSO SEND:
SEP AWARDS RECITAL PRE-REGISTRATION