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Senior Participation Award
Use the tab key or mouse to move between answer fields. Using the Enter key will submit your form.
Student Information
Last Name
First Name
Phone Number
Student/Parent Email
Digital Photo No more than 2.7 MB
Teacher Information
Address
City
State
Zip Code
Submit by May 1
*EmailValid email is required
Association
*Teacher EmailValid email is required
Participation Points
Enter the total number of years for each area. List specific grade levels of participation below each category.

Please enter grades with numbers only. Use 1, 2, 3 and not 1st, 2nd, 3rd. Your data may not submit correctly if you enter grades as ordinal numbers and you may be asked to resubmit. If this happens, refresh the page and start over.
Enter the total number of years for each area. List specific grade levels of participation below each category.

Please enter grades with numbers only. Use 1, 2, 3 and not 1st, 2nd, 3rd. Your data may not submit correctly if you enter grades as ordinal numbers and you may be asked to resubmit. If this happens, refresh the page and start over.
EnsembleNumber of years
Specific Grades
Performance ContestsNumber of years
No more than one point per year is awarded for performance, regardless of level. See Handbook.
Specific Grades
Original CompositionNumber of years
Specific Grades
Publication EssayNumber of years
Specific Grades
Publication VideoNumber of years
Specific Grades
TheoryNumber of years
Minimum score 70. See Handbook.
Specific Grades
World of MusicNumber of years
Minimum score 70. See Handbook.
Specific Grades
June Leondar Piano Duet ContestNumber of years
Specific Grades
June Leondar Jazz Ensemble ContestNumber of years
Specific Grades
All Star FestivalNumber of years
Specific Grades
 
June Leondar Chamber Music ContestNumber of years
Specific Grades
Verification
Submitted information has been verified.
Submitted information has not been verified.
Additional Instructions
Chamber Music Clinic/Guitar ClinicNumber of years
Submit one form per student. If you are entering multiple students, use the back arrow on your browser to go back to the form.
Specific Grades
Convention ProjectsNumber of years
Specific Grades
Convention PageNumber of years
4 hour minimum.
Specific Grades
Digital Keyboard OrchestraNumber of years
Specific Grades
MTNA Composition CompetitionNumber of years
Specific Grades
MTNA Performance CompetitionNumber of years
Specific Grades
Total Number of Participation Points
Authorization
The teacher submitting this form affirms that all information herein is true and correct and that the student has complied with all applicable rules.
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