Boston Civic Symphony James R.

Powers Concerto Competition Application Name: Address: City: Home Phone: E-Mail Address Parent/Guardian Names: Parents Address (if not the same as your own): Parent/Guardian E-Mail Address: Instrument; Competition Piece: Composer Title: Mvt. #: State: Cell: Zip: Age:

Do you have an alternate piece you could perform with the orchestra? Composer: Title: Mvt #:

Accompanist for Audition (if known0; Current Teacher and Contact Information (Phone # and E-Mail):

Boston Civic Symphony James R. Powers Concerto Competition Application -2What other competitions have you entered in the past three years? Please list and tell us whether or not you placed in any of them.

What instrumental ensembles do you currently perform with? Other instruments you play/study: What school do you attend? Grade:

The auditions are currently scheduled for March 17, 2012 at the Rivers Conservatory in Weston. Please tell us your availability on that day. (Note: We will do our best to accommodate your time preference on that day, however, not all time requests can be honored.) The tentative rehearsal schedule for the October 14 concert would be as follows: Brush Up Rehearsal, Sunday, October 14 10:30-12:30 at Regis College in Weston Saturday, October 13, 2-5 pm at Regis College Monday, October 8 or Tuesday, October 9, 7-10 pm at Devotion School in Brookline. (You would not be required to attend the entire time.) Monday, October 1, 7-10 pm at Devotion School in Brookline Please list any conflicts you know with any of these dates and times. Please return your completed application by March 1, 2012 to E-Mail: manager@bostoncivicsymphony.org Fax: 1-866-496-9268 Mail: Michele Mortensen 5 Godfrey Avenue Hampton, NH 03842 Please call 617-923-6333 or e-mail the address above if you have any further questions.