Applying for Affiliation Affiliated Teachers Scheme Application FormFor respected music teachers who wish to affiliate with CMA Please complete the form below. (* Indicates required). Your DetailsFirst Name * Family Name * Gender MaleFemale Date of Birth (DD/MM/YYYY) Music/Teaching Qualifications * Experience Please briefly describe your teaching experience DBS clearance *Do you have current DBS clearance? (Don't worry if you don't: CMA may be able to arrange this.)YesNo Instruments taught1st Instrument *Please give an instrument or group of instruments taught and select a grade level To grade... *Grade 5Grade 8Diploma Add another instrument Add 2nd Instrument2nd Instrument * To grade... *Grade 5Grade 8Diploma Add another instrument Add 3rd Instrument3rd Instrument * To grade... *Grade 5Grade 8Diploma Add another instrument Add 4th Instrument4th Instrument * To grade... *Grade 5Grade 8Diploma TheoryDo you teach theory? *NoYes, to grade 5Yes, to grade 8 Teaching preferencesStudents What age/ standard do you prefer to teach? (You may select more than one option.)Young beginnersYoung improversAdvanced studentsAdults Location Where do you prefer to teach?At your homeAt your student's homeYou are flexible Hourly-rate What is your hourly rate for private lessons? Other preferences Is there anything else you wish to tell us that may help in student allocation? Contact detailsAddress * Post Code *Please use a single space Home Telephone *please include an STD code beginning with 0 Mobile Telephone *beginning with a 0 Email * Other informationStandards *I understand that CMA will need to ensure that my teaching is of a suitable standard to merit their endorsement.I understand the above requirement. References *Please give details of two students/parents who will endorse your teaching. The CMA Community *CMA hopes to create a mutually supportive network of respected teachers to extend our community. We will work hard to ensure a positive experience for music teachers and students. We hope that affiliated teachers and their students will take advantage of the activities and opportunities offered by CMA.I support CMAs community vision. Data Protection We are collecting this information from you to help CMA manage your affiliation with the organisation. This may include sharing your contact details with potential students. We will not use it for anything else unless you say we can. You can find out more about how we store and use your data and what your rights are in our privacy notice. Thank you for your application. VerificationPlease enter any two digits *e.g. 12This box is for spam protection - please leave it blank
