APPLICATION FORM

Form must be signed by the teacher. Pre-application inquiries are welcome, but an application is not complete until this form is signed and submitted. This is to insure that the competitors are qualified under the rules and that we have complete information when putting the program together. Soloist’s name: ______________________________________________________

Accompanist’s name: ______________________________________________________

Teacher’s name: ______________________________________________________

Contestant’s signature: _____________________________________________________

Name of composer: ______________________________________________________

Title of composition: ______________________________________________________

Movement(s): ______________________________________________________

Key (applicable for vocal selections): _________________________________________

Publisher/Source1: ______________________________________________________

Cost of purchase/ Rental: ______________________________________________________

Faculty signature2: ________________________________________________________

1 Please determine the availability of the proposed work. For works which are public domain, check www.lucksmusic.com. For protected works, please indicate the source. There may be a private publisher, a major publishing house, etc. Check the publishers’ websites, or http://www.orchestralmusic.com/. 2 In signing this form, faculty member is stipulating that the student is studying with the faculty member, that the submitted repertoire is approved, and the orchestral parts are available from the source(s) indicated.