Certification Faculty Accreditation Training Application

First Name *

Last Name *

Email *

Phone *

Member Number *

In addition to submitting this application, identify three references who have observed your teaching in the last 2 years, and ask them to complete this form within two weeks of submission. While you will not automatically receive a copy of the reference, you are responsible for confirming that three references have been submitted.

For which faculty accreditation option are you applying? *

Music Theory 1
Handbell Techniques 1
Conducting 1

Please provide the information requested below only for the course you applying to teach. For example, if you are applying for Music Theory Accreditation, you only need to answer the questions related to Music Theory.

What levels of Music Theory have you successfully completed?

Level 1
Level 1 & 2
All Levels
None

On what date(s) (mm/dd/yy) did you complete each level of Music Theory?

At what event(s) did you complete each level of Music Theory? Include the name of the event and the city and state where it took place.

What levels of Handbell Techniques have you successfully completed?

Level 1
Level 1 & 2
All Levels
None

On what date(s) (mm/dd/yy) did you complete each level of Handbell Techniques?

At what event(s) did you complete each level of Handbell Techniques? Include the name of the event and the city and state where it took place.

What levels of Conducting have you completed?

Level 1
Level 1 & 2
All Levels
None

On what date(s) (mm/dd/yy) did you complete each level of Conducting?

At what event(s) did you complete each level of Conducting? Include the name of the event and the city and state where it took place.

Please provide a video of yourself answering the following questions. You can be seated or standing for the video, but please have your body from the waist up to the top of your head filling the screen. You can answer extemporaneously or prepare answers and present them. The purpose of this video is to allow us to assess your presentation style and commitment to the Certification program. Please limit your video to no more than 5 minutes.

1. Introduce yourself as you would to a certification class.

2. Why do you want to become a member of the certification faculty?

3. What personal benefits do you foresee from being a member of the certification faculty?

4. If selected as faculty, what additional contributions can you offer the certification program? (Those contributions could be to the entire program or to the subject area you wish to teach.)

5. Describe a difficult classroom situation you've encountered with a student and how you handled it.

6. What else should we know about you?

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Certification Faculty Accreditation Training Application