Membership Application

1
Application Date
Date
Month
Day
Year
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Application Status
New
E-mail sent with Manuals, Reviews, and Exam Sign Up information
Pending Chapter Approval
Chapter Approved Accepting Member
Chapter Denied Membership
Exams Scheduled
Passed Exam
Failed Exam
Needs To Test in Another Subject
Administrative Assistant Processed
E-mail Address added to Constant Contact & Website
Current Member
3
Application Notes
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Who is submitting this application?
Individual
Affiliated Chapter
5
Chapter Applying ToPlease select the Chapter you would like to join. If unsure, select UNKNOWN.
Please Select
UNKNOWN
Chapter # 1 - Dance Masters Pacific Coast
Chapter # 2 - Dance Masters of Florida Chapter 2 Inc.
Chapter # 3 - South Texas Association of Dance Teachers, Inc.
Chapter # 4 - Dance Masters of Michigan, Inc
Chapter # 5 - Dance Masters of New England Chapter 5, Inc.
Chapter # 6 - Louisiana Association of Dance Masters, Inc.
Chapter # 8 - Western New York Affiliated Chapter # 8 of the Dance Masters of America, Inc
Chapter #10 - Dance Masters of Pennsylvania, Inc.
Chapter #13 - Dance Masters of California Chapter 13, Inc.
Chapter #15 - Carolina Dance Masters, Inc.
Chapter #16 - Ohio Dance Masters
Chapter #17 - Mid-Atlantic Dance Masters, Chapter 17
Chapter #18 - Dance Teachers’ Club of Connecticut, Inc., Chapter 18
Chapter #25 - Pennsylvania Association of Dance Teachers, Inc., Chapter 25
Chapter #26 - New York City Dance Masters Chapter 26
Chapter #27 - Central Tri-State Dance Masters Chapter 27, Inc.
Chapter #28 - Heart of America Chapter #28 Affiliated Chapter of Dance Masters of America, Inc.
Chapter #33 - Dance Masters South Eastern Chapter #33
Chapter #34 - Dance Masters of Mid-America Inc.
Chapter #35 - Lone Star Chapter #35
Chapter #36 - Dance Masters of Arizona, Inc
Chapter #37 - Dixie Dance Masters Chapter #37
Chapter #38 - Dance Masters of Canada, Inc a Chapter of Dance Masters of America, Inc.
Chapter #40 - Dance Masters of the Blue Grass Chapter #40, Inc.
Chapter #44 - Southern Council of Dance Masters, Inc. Chapter 44
Chapter #46 - Great Lakes Regional Dance Masters, Inc
Chapter #47 - Mid-West Dance Masters, Inc.
Chapter #48 - Texas Dance Masters
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Applicant Name* This field is required.
First Name
Last Name
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Cell Phone Number* This field is required.
Please enter a valid phone number.
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Home Phone NumberIf you don't have a home phone, enter your cell phone number again.
Please enter a valid phone number.
9
Email* This field is required.
example@example.com
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Date of Birth* This field is required.
Date
Month
Day
Year
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Home Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Number of years the Applicant has studied dance?* This field is required.
Please Select
Please Select
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Number of years the Applicant has taught dance?* This field is required.
Please Select
Please Select
1
2
3
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5
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Does the Applicant own their own dance studio?* This field is required.
YESNO
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Studio Name* This field is required.
16
Studio Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
17
Studio Phone Number* This field is required.
Please enter a valid phone number.
18
Studio Website
19
Studio Email* This field is required.
example@example.com
20
Please list the name of the studio and phone number the Applicant is currently employed to teach, as well as the name of the owner.* This field is required.
Studio Name
Studio Phone
Studio Owner
21
List the dance subject(s) the Applicant actively teaches at this time:* This field is required.
Ballet
Pointe
Jazz
Tap
Modern
Lyrical
Hip Hop
Acrobatics
Contemporary
22
Has the Applicant ever applied for membership in Dance Masters of America?* This field is required.
YESNO
23
Please list the Chapter the Applicant applied with and the year:* This field is required.
Please Select
Please Select
Chapter # 1 - Dance Masters Pacific Coast
Chapter # 2 - Dance Masters of Florida Chapter 2 Inc.
Chapter # 3 - South Texas Association of Dance Teachers, Inc.
Chapter # 4 - Dance Masters of Michigan, Inc
Chapter # 5 - Dance Masters of New England Chapter 5, Inc.
Chapter # 6 - Louisiana Association of Dance Masters, Inc.
Chapter # 8 - Western New York Affiliated Chapter # 8 of the Dance Masters of America, Inc
Chapter #10 - Dance Masters of Pennsylvania, Inc.
Chapter #13 - Dance Masters of California Chapter 13, Inc.
Chapter #15 - Carolina Dance Masters, Inc.
Chapter #16 - Ohio Dance Masters
Chapter #17 - Mid-Atlantic Dance Masters, Chapter 17
Chapter #18 - Dance Teachers’ Club of Connecticut, Inc., Chapter 18
Chapter #25 - Pennsylvania Association of Dance Teachers, Inc., Chapter 25
Chapter #26 - New York City Dance Masters Chapter 26
Chapter #27 - Central Tri-State Dance Masters Chapter 27, Inc.
Chapter #28 - Heart of America Chapter #28 Affiliated Chapter of Dance Masters of America, Inc.
Chapter #33 - Dance Masters South Eastern Chapter #33
Chapter #34 –Dance Masters of Mid-America Inc.
Chapter #35 - Lone Star Chapter #35
Chapter #36 - Dance Masters of Arizona, Inc
Chapter #37 - Dixie Dance Masters Chapter #37
Chapter #38 - Dance Masters of Canada, Inc a Chapter of Dance Masters of America, Inc.
Chapter #40 - Dance Masters of the Blue Grass Chapter #40, Inc.
Chapter #44 - Southern Council of Dance Masters, Inc. Chapter 44
Chapter #46 - Great Lakes Regional Dance Masters, Inc
Chapter #47 - Mid-West Dance Masters, Inc.
Chapter #48 - Texas Dance Masters
Select Chapter
Please Select
Please Select
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2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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1986
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1983
1982
1981
1980
1979
1978
1977
1976
1975
Before 1975
Year Applied
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Is the Applicant reapplying for membership?* This field is required.
YESNO
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How Did The Applicant Hear About DMA?* This field is required.
26
Type of Membership* This field is required.
Active
Degree
Partner
TTS Graduate
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Please select the examinations you will be taking:* This field is required.Note: If the applicant only teaches 1 subject, they are only required to test and pass in that subject. If an applicant teaches multiple subjects, they are required to test and pass in 2 subjects before they will be processed as a member.
Ballet
Jazz
Tap
Acro
Modern
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How many exams were taken?
1
2
3
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Exam 1 - Subject Taken* This field is required.
30
Exam 1 - Part 1 Score* This field is required.
31
Exam 1 - Part 2 Score* This field is required.
32
Exam 1 - Total Score
33
Exam 2 - Subject Taken* This field is required.
34
Exam 2 - Part 1 Score
35
Exam 2 - Part 2 Score
36
Exam 2 - Total Score
37
Exam 3 - Subject Taken* This field is required.
38
Exam 3 - Part 1 Score
39
Exam 3 - Part 2 Score
40
Exam 3 - Total Score
41
How many TTS Exams were taken?
None
1 subject
2 Subjects
3 Subjects
4 Subjects
42
TTS Exam 1 - Subject
43
TTS Exam 1 - Score
44
TTS Exam 2 - Subject
45
TTS Exam 2 - Score
46
TTS Exam 3 - Subject
47
TTS Exam 3 - Score
48
TTS Exam 4 - Subject
49
TTS Exam 4 - Score
50
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With the signing of this application, I do hereby acknowledge that the information contained in this form is complete and honest.* This field is required.
52
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