MRMTA Student Membership Application Form

Manitoba Registered Music Teachers' Association Student Membership Application Form
CLICK Here for the printable PDF of the Student Membership Application Form

Membership Fee : $45

Personal Information
Name

First NameLast Name
E-mail
Website
example@example.com
Phone Number (Home)

Area CodePhone Number
Phone Number (Cell)

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am currently studying with

First NameLast Name
THE FOLLOWING QUALIFICATIONS ARE REQUIRED:
1. Student Members must be studying with a Full Member at a level consistent with Level/Grade 8 or higher and studying pedagogy in their discipline. Please provide documention of one of the following mandatory supporting materials in PDF format:
  - A letter of recommendation from current teacher
  - Level 8 (or higher) certificate
2. If student is currently teaching, please also provide a current Criminal Record Check or Child Abuse Registry Check
Upload a letter of recommendation from current teacher OR PDF of Level 8 (or higher) certificate.

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Cancelof
***Liability insurance coverage is not available to student members.***

_________________________________________________________________

I CERTIFY THAT ALL INFORMATION ENCLOSED IS CORRECT
Signature

Clear
Date

MonthDayYear
Date
CHOOSE A PAYMENT METHOD*

Pay by cheque to Manitoba Registered Music Teachers' Assoc. and mail to the Treasurer at A-161 Lenore St., Winnipeg, Manitoba, R3G 2C4Pay by e-Transfer to treasurer@mrmta.org
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Manitoba Registered Music Teachers' Association Student Membership Application Form