New Membership Application-University Student

New Membership Application Form-University Student

This membership form is provided for teachers who have successfully passed the Teacher Grade I Examination. The sponsor of the applicant must be a Licentiate member of the Cecchetti Council of America.

The CCA will provide a membership discount, for a period up to 5 years, to university full-time undergraduate students working on teacher graves II-IV. Proof of university registration will be provided with payment of yearly membership dues.

Membership Dues are $50.00 annually. There is a processing fee of $20.00 for all new members.

WEBSITE REGISTRATION
Note: If your membership application is accepted, you'll use this username and password to login view Members Only content. **Current CCA Members must login on the "Products and Materials" page of the CCA website.
Username*
Password
Enter Password Confirm Password
APPLICANT INFORMATION
Name*
First Last
Home Phone
Cell Phone
Location*
State*
Address
Street Address Address Line 2 City ZIP Code
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Date of Birth
MM/DD/YYYY
TEACHING EXPERIENCE
Certification Level*
Current Studio Name(s)
Studio Website
Years of Teaching
Studio Phone
Studio Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
TRAINING
Dance Training (include college/professional training and experience)
Indicate CCA Student exams passed
Indicate CCA Teacher exams passed*
Date of CCA teacher exam
MM/DD/YYYY
Sponsoring CCA Member*
Sponsoring CCA Teacher Name and level of CCA Certification
Additional Information
SPONSORS
Sponsoring Member*
First Last
Upload proof of university registration*
Drop files here or

Accepted file types: jpeg, jpg, png, pdf, Max. file size: 50 MB.
Applicant agrees to uphold the goals and standards of the Cecchetti Council of America.*
- Agree
Please display my contact info on the CCA website's Membership Directory*
APPLICATION FEES
Initiation fees and dues must accompany the application.
Product Name
Membership Fees*
Yearly Dues: $50.00
Processing Fee: $20 (New Members Only)
- Yearly Dues and Processing Fee
Donate to the CCA (Optional) Specify amount of donation below.
Total
$0.00
Note: Please click the "Submit" button once, to prevent duplicate Credit Card Charges.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

New Membership Application Form-University Student

WEBSITE REGISTRATION

APPLICANT INFORMATION

TEACHING EXPERIENCE

TRAINING

SPONSORS

APPLICATION FEES

Product categories

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