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2011 – 2012 YEARBOOK

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MICHIGAN SCHOOL BAND and ORCHESTRA ASSOCIATION<br />

APPLICATION FOR PROVISIONAL CLASSIFICATION STATUS<br />

REVISED 2002<br />

APPLICATION DUE DATES:<br />

Oct. 3 Send to State Office/copy to District President MSBOA State Office<br />

Nov. 1 District and State action taken 3965 Okemos Rd. Suite A3<br />

Dec. 1 Director notified Okemos, MI 48864-4206<br />

Name of School __________________________________ MSBOA # ______________ JR/MS <strong>–</strong> SR (Circle One)<br />

School Address __________________________________ City ____________________ Zip ___________<br />

Name of Organization __________________________________ School Phone (<br />

) _______________<br />

This is the 1 st 2 nd 3 rd group or String Orchestra. (Circle One) (Make a separate request for each group.)<br />

Are you requesting Provisional Classification for other groups Yes _____<br />

No _____<br />

Director _________________________________ Home Phone (<br />

) _____________<br />

Date of Application ________________________ MSBOA District _________________<br />

Enrollment Classification Information:<br />

A. Total number of grades in organization __________<br />

B. Students in those grades in entire school __________ (Use table in current<br />

C. B divided by A. __________ MSBOA Yearbook)<br />

D. Circle highest grade in this group 7 8 9 10 11 12<br />

Present Classification __________<br />

WHAT CLASSIFICATION DO YOU WISH TO ENTER __________<br />

Have you ever applied for Provisional Classification for the same group for which you are now applying Yes No<br />

If yes, give the following information for the past three (3) years:<br />

YEAR ________ Classification by enrollment ______ Classification applied for ________<br />

Were you approved YES _____ NO _____ If yes, what classification was granted _____<br />

YEAR ________ Classification by enrollment ______ Classification applied for ________<br />

Were you approved YES _____ NO _____ If yes, what classification was granted _____<br />

YEAR ________ Classification by enrollment ______ Classification applied for ________<br />

Were you approved YES _____ NO _____ If yes, what classification was granted _____<br />

I. EDUCATIONAL CONSIDERATIONS<br />

A. Attach a copy of the instrumental music schedule in your school system.<br />

B. How many instrumental music teachers work in:<br />

High School _____ Junior High/Middle School _____ Elementary _____<br />

C. Elementary Instrumental Program<br />

Beginning grade level ___________<br />

Number of minutes of instruction each student receives per week. _________________<br />

Teacher-pupil ratio ______________<br />

D. How would Provisional Classification benefit your students<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

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