Cecchetti Society of Canada 2016 Examination Application (Form A003) Exam Fees Summary/Invoice – TEACHERS, QUALIFYING & DIPLOMA Complete application packages include: General information: (Application packages are due at least 6 weeks prior to exam date) Tour #: (Head Office) Examination Dates: CSC Member Name: Studio Name: City, Province: Examination Fees Level No. Fee Inter - B $140 Adv I - B $176 Adv II - B $194 Fast Track Inter / Adv 1 Related Subjects 1 or 2 $200 Associate $557 Associate Diploma Licentiate Assessment $500 Licentiate $600 Fellowship Assessment $200 Fellowship $600 $145 $200 Diploma $600 Fast Tracking Assessment $200 F.T. Assoc /Lic $600 Affiliate Assessment $200 Add surcharges and other fees SUBTOTAL Late Fee – add 10% ($50 minimum) Non-member sponsorship $25/session plus $5/candidate Day(s) less than 5.5 exam hours (see handbook 4.4) Qualifying Deposits $150.00 / candidate Qualifying Membership cheques TOTAL APPLICATION FEES Total 1. “Exam Fees Summary – TEACHERS, QUALIFYING & DIPLOMA” (form A003) & studio cheque for examination fees 2. Associate & F/T Associate/Licentiate Exams – include a separate cheque for membership fee. 3. Exam Schedule template (T201 - download from website) 4. Qualifying papers, class notes and enchaînements 5. Examination quick results from previous sessions 6. Maps or directions to studio 7. Approved pointe work exemption (if applicable) 8. Approved non-member sponsorship form (if applicable) 9. Doctors notes (if applicable) Please note that incomplete application packages (ie. missing information on forms) will be returned to sender. Deadlines and late packages: All deadlines are listed on the CSC website. Packages that are incomplete, or more than 7 days late will be returned and no exams will be scheduled. Post dated cheques will not be accepted Candidate entries The spelling on exam schedules will be used for reports and certificates. In case of a discrepancy between the application and the timetable, the spelling on the schedule will be used. The fee for reproducing certificates is $25.00 each. Please submit reprint requests using the certificate request form available on the website. Candidates ages 18 is the minimum age for all teacher examinations. A student teacher must be sponsored by his/her teacher, and a letter of recommendation must accompany the Application forms. Candidates entering more than one exam Must be identified on this application and on the Exam Timetable by an asterisk (*) beside the name each time it appears. The candidate must pass the first exam before attempting the second exam. Pointe work and exemptions Pointe work is not obligatory for women 30 and over in category B Intermediate and Advanced 1, or 25 and over in category B Advanced 2 and Enrico Cecchetti Diploma. Medical refunds and credits Medical credit for Qualifying Exams Only MAJORS: There are no refunds or credits for major examinations. Qualifying and Diploma: When fee for exam has been paid prior to the 6 week deadline, candidate may request a 50% credit of examination fee, less deposit. Medical certificate along with a completed (P402) exam credit application form must be submitted in order to receive a credit. There are no refunds or credits provided after the 6 week deadline. Please refer to 4.4 Examination Fees. When using credit the P402 form must be submitted with Exam Fee Summary. This applies to Qualifying examinations only. Please make cheques payable to The Cecchetti Society of Canada 1 Cecchetti Society of Canada 2016 Examination Application (Form A003) Exam Fees Summary/Invoice – TEACHERS, QUALIFYING & DIPLOMA Please enter all information on this form and mail with your complete application package to: 1. Your Regional Exam Organizer or 2. Susan Sheffield, Canadian Examination Administrator 525 Lorne Street Gravenhurst, ON P1P 1N1 Tel: 705-684-9991 Fax: 705-684-9991 office@cecchettisociety.ca REMINDER: Associate and F/T Associate/Licentiate candidates, please include with this form a separate cheque for your membership fee. Your teacher will be able to find the appropriate amount for you listed on page six of the Handbook. The cheque for membership will be returned to you should the examination be unsuccessful. Deadline for examination fees, “Exam Fees Summary” form A003, and other application documents must be received by the CSC Head office a minimum of 6 weeks prior to first exam date of your tour. Regions with Exam Organizers may have earlier deadlines. Please check with your regional exam organizer for the application deadline dates in your region. Incomplete or late packages will be returned. Agreement: I the undersigned shall observe the conditions published in the CSC Members Handbook. I understand that in order to submit this application I must be a member in good standing. My application will not be accepted if my membership dues are in arrears. Signature of Candidate: Date: 2