MEMBERSHIP APPLICATION

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APPLICATION TYPE*
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NEW MEMBERSHIP EXAMINATION APPOINTMENT EXAMINATION MATERIALS
INSTRUCTIONS:
Submit this Application for all U.S. orders payable by Credit Card. Keep a copy of application for your records. Requests for an Examination Appointment MUST be verified by calling DEA. All orders will be processed when payment accompanies this application.
Foreign customers must use this form to place an order by mail or fax.
APPLICANT INFORMATION*
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EMPLOYMENT INFORMATION*
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EDUCATION
Instructor First Name: Last Name:
School Studied:
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Instructor First Name: Last Name:
School Studied:
Subject Studied: How Long?:

Instructor First Name: Last Name:
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EXAMINATION REQUEST
Select TWO subjects: Jazz Tap Ballet   Modern   Acrobatics /Tumbling   Anatomy /Music

REFERENCE MATERIALS
Select ALL that apply    

TO TEACH IS TO LEARN TWICE
by Gertrude Hallenbeck
$55.00

JAZZ DANCE CLASS
by Gus Giordano
$19.95

DEA DANCE DICTIONARY
Suggested reference for Dictionary of Acrobatics & Tumbling
 $30.00
AMERICAN TAP DANCE DICTIONARY
by Charles Kelley
$55.00 		MODERN DANCE TERMINOLOGY
By Paul Love
$16.95
DICTIONARY OF ACROBATICS & TUMBLING
by Charles Kelley
UNAVAILABLE

MUSIC THEORY & BASIC ANATOMY
by DEA Teacher Training Program
$15.00
EXAMINATION FEE
Required at the time of application for
all testing requests
$55.00
TECHNICAL MANUAL AND DICTIONARY OF CLASSICAL BALLET
By Gail Grant
$4.95
SHIPPING & HANDLING: $7.00 for 1 book, $8.00 for 2 books. Each Additional Book Is $1.50. Applicable To Orders Shipped Within The Continental U.S.
 
PAYMENT INFORMATION
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OATH OF MEMBERSHIP
*As a Member of the Dance Educators of America, Inc., I pledge my word of honor to adhere to the precepts of the rules of the association; and to support its Officers and other members in maintaining the highest level of standards attained by the Dance Educators of America". In making this application for membership, I solemnly declare that: I have read and fully understand the Code of Ethics and I will take and subscribe to the Oath of Membership.