Canadian Dance Teachers' Association

Application Form

Name:

Mailing Address:

Postal Code:

Phone:

E-Mail:

Date of Birth:

Qualifications:

Types of Dancing Taught:

Teaching Experience:

Give two reliable references, one preferably a C.D.T.A. member.

Reference #1

Name:

Mailing Address:

Occupation:

Phone:

Reference #2

Name:

Mailing Address:

Occupation:

Phone:

Please check the Division to which you are applying

Ballet:		National Multicultural Division:
Jazz::		Stage:
Standard:		Tap:
Latin:

Status applying for:
Affiliate		Associate
Member		Fellow
Patron

All applications are subject to approval by the required Division and the Branch Executive prior to acceptance.

Please print the application and mail it to Kathleen Collier along with the $25 registration fee.

CDTA Alberta

14 Dumas Cres

Red Deer Alberta T4R 2S5