Music—Practical
Application for an alternative instrument
(other than those listed in the practical resource package)
Complete and return this form by mail or fax (9273 6318) to the Examinations
Coordinator (Practical) no later than 4 March, 2011 (Week 5, Term 1). Please note,
emailed and late forms will not be accepted.
Curriculum Council candidate number:
Candidate:
School:
School postal
address:
School School contact
phone: teacher’s email:
School
contact
teacher:
Practical
supervisor:
Note: All correspondence regarding the approval will occur through the school contact teacher.
INSTRUMENTAL/VOCAL PROPOSAL
Circle relevant stage and option:
Stage 2 Stage 3
Option (practical component table): 1 4 5
Context: _____________________________________________
Instrument: ___________________________________________
School contact
teacher’s signature: Date:
The school approves and supports this instrumental proposal.
Principal’s signature: _________________________________ Date: ____________________
2011/6941
Proposed repertoire:
State all pieces to be performed with all relevant information (e.g. movement,
section, composer/arranger, publisher, running order of the piece—incorporating
candidate’s role).
Candidate’s signature: Date:
Practical supervisor’s
signature: Date:
2011/6941