The Teacher Training Program is a one-year, full time, 30-credit program for advanced/professional level students wishing to prepare for careers in dance teaching.
The Program begins with the Fall Semester (September 8, 2015 to January 22, 2016) and ends with the Spring Semester (January 25, to June 17, 2016). The first semester of study focuses on teaching
approaches and methodology, while the second semester concentrates on teaching practices. The Program requires a minimum of 12 classes per week, including Graham Technique, Ballet,
Performance Workshop, and Body Conditioning. Additionally students must satisfy the required electives determined by the faculty advisor to achieve a minimum 30 credits. The course of study requires research, written analysis, and a demonstration of skills acquired through peer teaching and internships.
Teacher Training Program prerequisites: Advanced Level Graham Technique, completion of Composition I, completion of two Advanced Repertory Courses.
Requirements For Admission: Resume
Personal Statement of Intent. Please describe your goals for enrolling in the Martha Graham School Teacher Training Program. Submissions should be 500 words, Times New Roman, double-spaced, 12 point font, and 1-inch margins
All applicants must be evaluated in person
Applicants currently attending the Martha Graham School: Audition in the Level 4 advanced class
Applicants not currently attending the Martha Graham School but have attended previously:
Participation in at least two weeks of technique class during the Summer Intensive Course prior to the start of the program. Applicants will be evaluated during that time period.
Applicants that have never studied at the Martha Graham School:
Participation in the full six-week Summer Intensive Course the summer prior to the start of the program. Applicants will be evaluated during that time period.
All applications will be reviewed by a faculty committee. Once an application is received and reviewed, the applicant will be contacted within four weeks regarding further procedures.
Teacher Training Program Fees
Tuition (Per semester) $4,200 (for PTP graduates $3,350 per semester)
Registration fees $50 One Time Enrolment Fee $25 International Student Service Fee $100
Completion requirements: completion of all
required credits as well as determined electives.
Degree conferred:
“Certificate of Completion” provided the practical exam is passed.
Total Required Studies: minimum of 30 credits
Transfer credit might apply and will be evaluated per student
Fall Semester
Pedagogy I 3 credits Martha Graham Technique 6 credits Additional Technique 4 credits Dance History 1 credit Music I 1 credit Composition II 1 credit Advanced Repertory 1 credit Anatomy 1 credit Spring Semester
Pedagogy II 3 credits Martha Graham Technique 7 credits Additional Technique 5 credits Music II 1 credit Advanced Repertory 1 credit
Students may elect to complete remaining credit requirements during the following Summer Intensive Program.
Please attach your Personal Statement of Intent, and if applicable proof of previous study at the Martha Graham School (letters, transcripts, certificates).
LAST NAME: _______________________________________________ FIRST NAME: ______________________________________________ MIDDLE NAME: ____________________________________________
DATE OF BIRTH _______________________________ GENDER: Male� Female�
MM/DD/YYY
SOCIAL SECURITY NUMBER: __ __ __ - __ __ - __ __ __ __ or N/A�
ARE YOU A U.S. CITIZEN OR A PERMANENT RESIDENT? Yes� No�
ETHNICITY � American Indian/Alaska � Asian/Pacific Islander � Black, Non-Hispanic
� Hispanic � White, Non-Hispanic � Race/Ethnicity Unknown � Other: ____________
For International Students ONLY
Country of Birth _________________Country of Citizenship Are you currently in the US? Yes � No �
If you answered yes:
What is your current immigration status?
________________________________________ PERMANENT ADDRESS MAILING ADDRESS TELEPHONE EMAIL_______________________________________________________________
PERSON TO CONTACT IN CASE OF EMERGENCY
Name___________________________________________________________________ Address_________________________________________________________________ Telephone _______________________________________________________________ Relationship to you
HOW DID YOU FIND OUT ABOUT THE MARTHA GRAHAM SCHOOL?
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
For Office Use Only
Accepted Yes: No:
Notes___________________________________________________________________ ________________________________________________________________________ Program Director(s): ___________________________________________
Date: ___________________________________________
I certify with my signature that the provided information is true and correct.
Signature Date Print your name
By completing this form you inform the Martha Graham School of the type
of payment you are intending to use to pay Teacher Training Program application fee. PLEASE PRINT CLEARLY
Please complete the applicable sections below.
I have enclosed a $30 check drawn on an US American Bank
I have wired $55 directly into the Martha Graham School account
Date the wire transfer was initiated: ________________________
Name of the account holder the wire transfer was sent from:________________________
I will include my credit card information below
By completing this section you authorize the Martha Graham School to charge your Credit Card in order to pay the application fee for the Teacher Training Program. You may also use a parents or a friend’s credit card authorization.
CREDIT CARD AUTHORIZATION SECTION
This section authorizes the use of a credit card for the payment of the $30 Teacher Training Program Application Fee only
Type of Credit Card:
MasterCard Visa American Express
Credit Card Number – Please include 3 or 4 digit CVV# Do not forget
Expiration Date
Signature of Cardholder Today’s Date
Name of Cardholder (if different from student, please print):
Billing address of Cardholder Line #1 State/Province
Address Line #2 Country
City Phone Number
Zip/Postal Code Email
Your receipt will be included when notified of the results of your application.
TEACHER TRAINING PROGRAM APPLICATION FEE PAYMENT
APPLICANT
Applicant’s Last Name Applicant’s First Name
To be completed by student prior to entrance into all full time programs. All information will be kept private and confidential. Please print clearly and keep a copy for your records. PROGRAM: _________________________________________________________
Independent Program, Professional Training Program, Post Certificate Program, Teacher Training Program
SEMESTER AND YEAR OF ADMISSION: ______________________________
Fall, Spring, Summer, Year
STUDENT’S NAME: ________________________________________________
DATE OF BIRTH: __________________________________GENDER: MALE FEMALE
MM/DD/YYYY
SOCIAL SECURITY NUMBER: _______________--________--________________or N/A ADDRESS:____________________________________________________________________ HOME TELEPHONE NO.: ___________________________ CELL PHONE NO.: ___________ LOCAL (NEW YORK) ADDRESS: ________________________________________________ PARENT/GUARDIAN NAME: ____________________________________________________ PARENT/GUARDIAN ADDRESS:________________________________________________ IN CASE OF EMERGENCY NOTIFY: _____________________PHONE: _________________ RELATIONSHIP TO YOU: _______________________________________________________
MEDICAL HISTORY
List any medical conditions you have including asthma, high or low blood pressure, heart conditions, allergies etc.:
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ List medications that you take regularly.
Nonprescription:
_______________________________________________________________________ Prescription:
___________________________________________________________________________
List any allergies or reactions you have had to medications and when:
Medication Reaction
Date
_________________________ _________________________ _________________________ _________________________ _________________________ _________________________
List allergies or reactions you have to foods, molds, pollens, animals, insects, etc.
________________________________________________________________________ ________________________________________________________________________ List any physical or dance related problems you have including injuries, bone, joint, or muscular disorders, etc.
________________________________________________________________________ ________________________________________________________________________ Have you ever been hospitalized? No Yes (if yes, please specify and include
date(s)): ________________________________________________________________________ Injury ______________________________________________________________________________ Surgery ______________________________________________________________________________ Psychiatric ______________________________________________________________________________
Please provide any information with regard to psychological and/or emotional conditions that may affect your physical health of which you would like the School to be aware.
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Have you been vaccinated for the following: Chicken Pox __________ Measles __________ Do you have any religious beliefs affecting any aspect of your health care, which our Office should know about?
No Yes (If, yes, please specify)
________________________________________________________________________
HEALTH INSURANCE INFORMATION
Do you currently have health insurance coverage? No Yes
Health Insurance Company ____________________________Dates of coverage __________ Will your insurance cover you while you are attending the Martha Graham School? No Yes (You must include a copy of your health insurance card/information)
HEALTH CARE PROVIDER INFORMATION
Please list your doctor’s information below (include any health care providers in addition to your primary care physician, including chiropractors, physical therapists, etc.)
Primary
Physician’sName:_____________________________________________________________ Address:_______________________________________________________________________ Telephone:_____________________________________________________________________
Other healthcare provider(s) Name:_________________________________________________ Telephone:_____________________________________________________________________
Name:_________________________________________________________________________ Telephone:_____________________________________________________________________
I, _______________________________________________ confirm that the information above is correct and true.
________________________________________________ _______________ Student’s Signature Date
TO BE COMPLETED BY A LICENSED PHYSICIAN
I confirm that the above named student is physically able to take part in a rigorous dance program.
Physical activity is not recommended, please state limitations below.
______________________________________________________________________________
____________________________ ___________________ __________________ Physician’s Signature (required) License number Date of Examination
