Application E TEACHER APPLICATION for MMTA STATE HONORS AUDITIONS (Collegiate) (You can copy and paste this text into a word processor, TYPE IN THE NECESSARY INFORMATION USING YOUR WORD PROCESSOR, and print. Please fit all information on ONE PAGE if possible.) PLEASE TYPE (using your word processor) Teacher name, telephone, address, city, state, zip: Teacher county, district number, email address: [ ] Yes, my MMTA dues are paid OR non-member entry fee of $100 enclosed. (Teacher’s dues OR non-member entry fee MUST be paid by October 1, 2005, for students to be eligible.) [ ] My $30 conference pre-registration fee has been sent to Carol Borgstadt, 29327 Hwy PP, Concordia MO 64020. [ ] My check for $_________ is enclosed covering audition entrance fees for ________ entries at $20.00 each. I understand entry fees become the property of the Missouri Music Teachers Association and are not refundable. List names of all students you are entering in the MMTA State Honors Auditions. Name Medium Audition Level Please send one check, payable to MMTA, with a copy of this application to Wei-Han Su, SMSU Dept. of Music, 901 South National, Springfield, MO 65804 APPLICATIONS POSTMARKED AFTER OCTOBER 1, 2005, WILL NOT BE ACCEPTED.