Membership Application

1
Application Date
Date
Month
Day
Year
2
Who is submitting this application?
Individual
Affiliated Chapter
3
Applicant Name* This field is required.
First Name
Last Name
4
Cell Phone Number* This field is required.
Please enter a valid phone number.
5
Home Phone NumberIf you don't have a home phone, enter your cell phone number again.
Please enter a valid phone number.
6
Email* This field is required.
example@example.com
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Date of Birth* This field is required.
Date
Month
Day
Year
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Home Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
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American Samoa
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Finland
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French Polynesia
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The Gambia
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Greece
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Mali
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Mayotte
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Mongolia
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Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
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Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Number of years you have studied dance?* This field is required.
Please Select
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
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46
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50
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Number of years you have taught dance?* This field is required.
Please Select
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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49
50
11
Do you own your own dance studio?* This field is required.
YESNO
12
Studio Name* This field is required.
13
Studio Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
14
Studio Phone Number* This field is required.
Please enter a valid phone number.
15
Studio Website
16
Studio Email* This field is required.
example@example.com
17
Please list the name of the studio and phone number you are currently employed to teach at, as well as the name of the owner.* This field is required.
Studio Name
Studio Phone
Studio Owner
18
Select the dance subject(s) you actively teach at this time:* This field is required.
Ballet
Pointe
Jazz
Tap
Modern
Lyrical
Hip Hop
Acrobatics
Contemporary
19
Have you ever applied for membership in Dance Masters of America?* This field is required.
YESNO
20
Please list the Chapter you applied with and the year:* This field is required.
Please Select
Please Select
Chapter # 1 - Dance Masters Pacific Coast
Chapter # 2 - Dance Masters of Florida Chapter 2 Inc.
Chapter # 3 - South Texas Association of Dance Teachers, Inc.
Chapter # 4 - Dance Masters of Michigan, Inc
Chapter # 5 - Dance Masters of New England Chapter 5, Inc.
Chapter # 6 - Louisiana Association of Dance Masters, Inc.
Chapter # 8 - Western New York Affiliated Chapter # 8 of the Dance Masters of America, Inc
Chapter #10 - Dance Masters of Pennsylvania, Inc.
Chapter #13 - Dance Masters of California Chapter 13, Inc.
Chapter #15 - Carolina Dance Masters, Inc.
Chapter #16 - Ohio Dance Masters
Chapter #17 - Mid-Atlantic Dance Masters, Chapter 17
Chapter #18 - Dance Teachers’ Club of Connecticut, Inc., Chapter 18
Chapter #25 - Pennsylvania Association of Dance Teachers, Inc., Chapter 25
Chapter #26 - New York City Dance Masters Chapter 26
Chapter #27 - Central Tri-State Dance Masters Chapter 27, Inc.
Chapter #28 - Heart of America Chapter #28 Affiliated Chapter of Dance Masters of America, Inc.
Chapter #33 - Dance Masters South Eastern Chapter #33
Chapter #34 –Dance Masters of Mid-America Inc.
Chapter #35 - Lone Star Chapter #35
Chapter #36 - Dance Masters of Arizona, Inc
Chapter #37 - Dixie Dance Masters Chapter #37
Chapter #38 - Dance Masters of Canada, Inc a Chapter of Dance Masters of America, Inc.
Chapter #40 - Dance Masters of the Blue Grass Chapter #40, Inc.
Chapter #44 - Southern Council of Dance Masters, Inc. Chapter 44
Chapter #46 - Great Lakes Regional Dance Masters, Inc
Chapter #47 - Mid-West Dance Masters, Inc.
Chapter #48 - Texas Dance Masters
Select Chapter
Please Select
Please Select
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2002
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1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
Before 1975
Year Applied
21
Are you reapplying for membership?* This field is required.
YESNO
22
How Did You Hear About DMA?* This field is required.
23
Please select the examinations you will be taking:* This field is required.
Ballet
Jazz
Tap
Acro
Modern
24
Type of Member
Active
Degree
Partner
25
How many exams were taken?
1
2
3
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Exam 1 - Subject Taken* This field is required.
27
Exam 1 - Part 1 Score* This field is required.
28
Exam 1 - Part 2 Score* This field is required.
29
Exam 1 - Total Score
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Exam 2 - Subject Taken* This field is required.
31
Exam 2 - Part 1 Score
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Exam 2 - Part 2 Score
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Exam 2 - Total Score
34
Exam 3 - Subject Taken* This field is required.
35
Exam 3 - Part 1 Score
36
Exam 3 - Part 2 Score
37
Exam 3 - Total Score
38
Upload exams, certifications, degree, or transcripts here.
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39
With the signing of this application, I do hereby acknowledge that the information contained in this form is complete and honest.* This field is required.
40
Membership FeesThe testing fee is required for all applicants. The $90 National Dues is required for NEW Members. In the event you do not pass your exams, your National Dues payment of $90 will be refunded. Applicants that are already Members who are testing in additional subjects may remove the $90 National Dues from their "shopping cart".
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(If testing through a chapter, do not pay this fee - see chapter for their testing fees.)
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