\ , /\tsi o r r . isul t \Natinna! Qual i f icat ions in Music: Per lbrming Approval Form Qt; .a i tF icA ' r . loNSA U f H 0 R t r Y

Centrc Nirmcs/\umbersAuchinlcck Academy (8243 l3 1) Cumnock Academy (8243239) Doon Academy (824.1 I 38)

Grange Academy (8224234).Iames Fiamiiton Acatiemy \8224,+39) Kiimarnock Acatiemy (82239 jci)Loudoun Academy (822383 1) St Joseph's Ac4{emy (8224643) Steyarton Agademy (82274i0)

Con&rct Name f j Phone lrlo;' '

Pl*as,.- c.:mplete this fbll :f carrd!Cetes in -youi c?!rtf? irrftnd to perfor"n:. fbr asses:tnen1 purpt)ses, pteces....'hich are;

i rrot inclLrded in SQA's liatictnal Qualificcrtion.; in MIttsic ['erfin'ming, t>ro uot included in the syl labus of ABRSM,-l-r in i ty GLri ld iral l , Rocksclrool. or l -ondon Col lege of- lVlr"rsic. orQ rrot previousll' approved lor 1'our centre by' SQA

Pi'ovirie cieiails irekrw ot"tire piece(s) and ihe lel'el(s) ior rl ' ir:rii vo',i seek apprc;vai. A cop)/ c.f ihe urusic fol eacir pi:ceshr.rulcl be submitted."vith the tbrm. Both the fbrm and one copy of each piece shiiuld be sentto: l\ ' luriel Walker, Scotish(lLralil ications Authoritv. The Optima Building, 58 Robertson Street, Glasgor'r, G2 tiDQ. SQA will return this formand the music copies to you, indicating approval or otherrvise. You must retain copies of the music and the lbrmfi.ir tir ture reference.

Pieasr uote that approval of task levels by SQA, based on copies subrliftetl. does not itnpl,"- tlrat Copyright regttlationslravq been corrpl ied with.

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