Creative Motion Alliance, Inc.
Application for Level II Advanced Certification
in Creative Motion Teaching
(Appendix E)

To apply you may complete the online form below, or download and complete the application form and mail to chair of the Certification Committee.


Date :

NAME
Salutation: Mr. - - Mrs. - - Ms. - - Dr.
First : Last:
Address and Contact Info
Mailing Address - Street Address:
City / Town : State / Province : Zip
Phone:
Other Phone:
E-mail 1:
E-mail 2:


WORKSHOP ATTENDANCE: Please list the dates of workshop attendance below. (It must equal 10 days):
Windswept Music Workshops: (dates)

Has the Certification Committee approved your application for an internship program? yes no

Have you submitted the required written lesson plans to the certification committee chair? yes no

Are you prepared to take the Level II examination? yes no

Has the Certification Committee received your faculty sponsor's written letter of recommendation verifying that all requirements of your internship have been completed? yes no

Has the Certification Committee received the printed or recorded results of your internship program? yes no

Are your CMA dues current? yes no

Will you be paying your certification application fees online? yes no


If you wish to retain a copy of this form for your own records, please print this prior to pressing the Submit button.

This application will be reviewed by the Creative Motion Alliance's Certification Committee.
You will be informed of the committee's decision in a timely manner.