MUSIC DEPARTMENT
ACCEPTANCE<= /p>
FORM FOR
TRI-M STUDE= NT MEMBERSHIP
Instructions:
Return this completed form by November 27 to Mrs. Penchansky
Please print clearly
Name:________________________________________________Grade in School____
Address: (with town and zip code)___________________________________________
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Year of Gr= aduation: ______ Email:________________________________________
Member of:= (Check all boxes that apply)
◊ Band ◊ Orchestr= a ◊ Chorus ◊ Other_________= _____________________(specify)
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; _______________________________
Please che= ck one: ◊ New Member ◊ Continuing Member: Years in Tri-M_________
I understand that the minimum national criteria for acceptance in Tri-M include: participation in a music ensemble of this scho= ol year, a 90 or above music average, and 80 academic average, NYSSMA Level 5 = 90 or above and continued strength that includes demonstration of service, leadership and cooperation. T= eacher recommendation is a key part to membership. I agree to maintain these minimum national criteria, and any other criteria this chapter determines, and I understand that my membership can lapse if any of these criteria are not maintained.
____(Studen= t intials)
Along with application you must
attach:
◊ Copy of Current Report Card
◊ Copy of NYSSMA Solo Evaluation Form 2007=
◊ Dues:&n=
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$20 New Members, $10 Continuing Members
I understand my acceptance as a member of the Tri-M ch= apter at Sachem High School North is subject to retuning this form and completing= 9 service credits, 3 performance credits, 1 extra-curricular activity credit, 2 out of district concert attendance credits, and good attendance record at the scheduled Tri-M meetings.
Signature of Applicant:_______________________________= ____
Signature of Parent/Guardian:_________________________= ______