2022-2023 ASTA Student Chapter Registration and Renewal Form

2022-2023 ASTA Student Chapter

Registration and Renewal Form

Student Chapter Name*

College/University Name*

College/University City, State*

i.e., Fairfax, VA

NEW or RENEWING ASTA Student Chapter*

NEW

RENEWING

Year ASTA Student Chapter Established*

Student Chapter Website URL*

Student Chapter Social Media URLs*

Please place on different lines

ASTA Student Chapter Advisor Information

Chapter Advisor First Name*

Chapter Advisor Last Name*

Chapter Advisor Job Title

Chapter Advisor ASTA ID*

Chapter Advisor School Email*

Chapter Advisor Personal Email

Chapter Advisor Phone Number*

Phone

ASTA President & Student Chapter Officer Information

President First Name*

President Last Name*

President ASTA ID*

President School Email Address*

President Personal Email Address

President Phone Number*

Phone

President Anticipated Graduation Year*

i.e. 2023

President Anticipated Graduation Term*

i.e. Spring

Student Chapter Officer Positions*

Lionel Tertis, President

Ivan Galamian, Vice President

etc.

Student Roster Information

Please click this link to complete your student chapter roster information.

Link to folder of Student Chapter Images

Place a link to an accessible folder (Google Drive, Box, Dropbox, etc.) that includes:

Student Chapter logo (jpeg or png)
Student Chapter group photo (jpeg or png)
Student Chapter candid photos during service or other activities

*Please label your files

We will use these images to update the ASTA Student Chapter Directory on the ASTA website.

Folder link*

Permissions*

I consent to the American String Teachers Association (ASTA) using the content provided in this form on ASTA social media and/or the ASTA website. I understand and agree that all such media and/or written content will become the property of ASTA.

ASTA is authorized to use the video footage and likeness of the individual and/or the complete or part of the written content on ASTA’s social media or web pages.

I acknowledge that I will receive no financial compensation for using the submitted content and that this content may or may not be shared on social media or web pages.

I affirm that the content I have submitted is either original work or that any necessary permissions for all materials have been obtained. I understand that in the event that I did not have the necessary permissions for the materials, I shall indemnify and hold harmless ASTA against any losses, liabilities, damages, costs, and expenses (including legal costs and expenses) arising from or resulting out of any claim or demand of any kind relating to the publication of the materials I posted.

I have agreed to submit this application by electronic means. I certify that I am the individual completing this form. I am signing this application electronically by checking the box below and submitting this form.

Send me a copy of my responses

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