NLS: That All May Read

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Use the print button at the end of the form to print a copy for yourself before you use the submit button. After you press the submit button, this page, and the information you enter, is replaced by another page telling you that we have received your application.

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First name Last name

Name as you want it on the certificate

Street address

City --- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY State ZIP Code

() Home area code Home number

() Office area Code Office number

Email address

Date of Library of Congress certification in literary braille transcribing.

Name on your Library of Congress certificate, if different from above.

Address at time of your Library of Congress certification, if different from above.

I attest that I am a citizen and/or resident of the Unites States and have a high school diploma or equivalent.

If you will be using a computer for the course, please complete the following:

PC (Windows) computer system  or  MAC computer system

Software being used.

Please provide information about your music background.

I am able to read music notation fluently in both treble and\ bass clefs

I am familiar with common musical terms of mood and expression

Describe any ability you have to play a musical instrument or to sing.

Tell us music degrees you possess.

Number of years you studied music

Describe other music experience.

Some students work independently but receive assistance from a local braille music instructor. Copies of the report on your trial score will be mailed to the instructor.

Name of Library of Congress-certified instructor.

Address of Instructor

City --- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY State ZIP Code

Telephone, including area code.

Name your instructor used when certified by the Library of Congress, if different from current.

Address your instructor used when certified by the Library of Congress, if different from current.

Indicate which copies of the instructional materials you require:

Music Braille Code, 1997

Introduction to Braille Music Transcription

To print a copy of the form with the information you have entered, use the print form button below. Activating that button will open a dialog box for printing the page. You can choose how many copies to print. After you print the form you may want to print the instructions. Printable copy of information about this course.

The submit button will cause the information you entered to be sent to the Braille Development Section. The reset button will clear the information you have entered.