Applicant Information (please write clearly and check boxes where applicable) Last Name: First Name: Address: City: State: Zip Code: Tel: Cell: Email: Gender: M F Date of Birth: / / Membership History Have you previously held RAD membership? Yes No Month/Year membership began: Membership ID#: Previous membership category: RAD Studio Name: RAD Studio ID #: Qualifications (RAD Examinations, Certifications, Degree) Level / Certification / Degree Year Passed Result Membership Category Fee $ Membership Levels Membership Qualification Must hold RAD Award for one of the following: 198 Registered Teacher BA, Diploma, Certificate, Master, Licentiate Registered Teacher For Registered Teaching Members whose membership has lapsed for one 25 Re-instatement Fee or more years (in addition to membership fee) Newly eligible: 42 consecutive years of paid Full or Registered Teaching 68 Life Teaching Member RAD membership Faculty of Education Student Membership is available to students enrolled Faculty of Education Student 0 in an RAD Faculty of Education certificate, diploma, degree or masters Member program. Faculty of Education Student 84 Same as above with upgraded Full Membership benefits Member Upgrade to Full – Must meet one of the following requirements: Have passed an RAD Advanced 1 or Advanced 2 exam, or Benesh equivalent 131 Full Member Hold a Student Teaching Certificate (STC) Be enrolled on any RAD certificate, diploma, degree or masters program Be a graduate of any RAD certificate, diploma or degree program and currently not teaching the RAD syllabus, or entering RAD exams Full Member Education Same as above with discount, must provide proof of full-time education – 84 Discount enrollment if 18 years of age or more Have passed any of the following RAD exams: Grade 6, 7, 8, Intermediate 84 Affiliate Member Foundation, Intermediate, Advanced Foundation, or Benesh equivalent All students, parents and dance enthusiasts are welcome to become a 68 RAD Friend Friend of the RAD, with no qualifications necessary Payment Method Credit/Debit Card (Visa or Mastercard only) Credit/Debit Card Number: Expiration Date: V-Code: Enclosed Check #: Send To Royal Academy of Dance, 1927 N. 4th Street, Milwaukee, WI 53212 Email: Fax: (414) 747-9062 Tel: (414) 747-9060
Applicant Information (please write clearly and check boxes where applicable) Last Name: First Name: Address: City: State: Zip Code: Tel: Cell: Email: Gender: M F Date of Birth: / / Membership History Have you previously held RAD membership? Yes No Month/Year membership began: Membership ID#: Previous membership category: RAD Studio Name: RAD Studio ID #: Qualifications (RAD Examinations, Certifications, Degree) Level / Certification / Degree Year Passed Result Membership Category Fee $ Membership Levels Membership Qualification 198 Registered Teacher Must hold RAD Award for one of the following: BA, Diploma, Certificate, Master, Licentiate 25 Registered Teacher Re-instatement Fee For Registered Teaching Members whose membership has lapsed for one or more years (in addition to membership fee) 68 Life Teaching Member Newly eligible: 42 consecutive years of paid Full or Registered Teaching RAD membership 0 Faculty of Education Student Member Faculty of Education Student Membership is available to students enrolled in an RAD Faculty of Education certificate, diploma, degree or masters program. 84 Faculty of Education Student Member – Upgrade to Full Same as above with upgraded Full Membership benefits 131 Full Member Must meet one of the following requirements: Have passed an RAD Advanced 1 or Advanced 2 exam, or Benesh equivalent Hold a Student Teaching Certificate (STC) Be enrolled on any RAD certificate, diploma, degree or masters program Be a graduate of any RAD certificate, diploma or degree program and currently not teaching the RAD syllabus, or entering RAD exams 84 Full Member – Education Discount Same as above with discount, must provide proof of full-time education enrollment if 18 years of age or more 84 Affiliate Member Have passed any of the following RAD exams: Grade 6, 7, 8, Intermediate Foundation, Intermediate, Advanced Foundation, or Benesh equivalent 68 RAD Friend All students, parents and dance enthusiasts are welcome to become a Friend of the RAD, with no qualifications necessary Payment Method Credit/Debit Card (Visa or Mastercard only) Credit/Debit Card Number: Expiration Date: V-Code: Enclosed Check #: Send To Royal Academy of Dance, 1927 N. 4th Street, Milwaukee, WI 53212 Email: Fax: (414) 747-9062 Tel: (414) 747-9060