Honors Credit Verification Form - Ensemble Participation
Director: Please fill out the form below and check to see if the performance meets the criteria listed below. Please leave an email so we may contact you with any questions regarding the students' musical performance. Thank you.

-Hinsdale Central Music Department


- Perform in an extracurricular ensemble at Hinsdale Central.

- Perform in an ensemble outside of school like a community orchestra or church band/choir.

Student First Name *
Your answer
Student Last Name *
Your answer
Instrument *
Your answer
Ensemble Name *
Your answer
Director Name *
Your answer
Director Email *
Your answer
E-Signature *
By clicking the box below, I, the director, verify that the student listed above, performed with my organization and their performance should be considered for part of their honors credit for music.
Required
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