APPLICATION FORM

How did you hear about International Competition for Young Perfomers in Val de Travers?

Website___ Advertisement___ Teacher___ Other_________

APPLICANTS PERSONAL INFORMATION:

LAST Name: _______________________

FIRST Name: _________________________________________________________

Gender: Male ___ Female ____

Date of Birth: Year: ________ Month: ______ Day: _______

APPLICANTS CONTACT INFORMATION:

Phone Number (beginning with the area code):______________________________

Email: _________________________________________________________________

Street Address: _________________________________________________________

City, State and Zip Code: ________________________________________________

NAME OF THE SCHOOL/COLLEGE/UNIVERSITY YOU ARE ATTENDING:

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NAMES OF PIANO TEACHERS AND DATES OF STUDY:

List your current piano teacher first.

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BIOGRAPHICAL INFORMATION:

List your recent performances, prizes and honors. Attach a separate page if needed.
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VISION STATEMENT:

Describe how the Competition prize will help you to enhance your education or career in music.

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COMPETITION PROGRAM FOR FIRST ROUND

See REPERTOIRE REQUIREMENTS for required repertoire and time limit. Include full title, key,
opus number, movements (if applicable), composer and playing time for each selection.

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COMPETITION PROGRAM FOR SECOND ROUND (CATEGORY C)

See REPERTOIRE REQUIREMENTS for required repertoire and time limit. Include full title, key,
opus number, movements (if applicable), composer and playing time for each selection.

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DO YOU NEED ACCOMPANIST ?

APPLICANT AGREEMENT AND SIGNATURES:

I declare that the information submitted in my Competition Application is complete and truthful. I
understand that any tax obligation will be paid by the winner of the prize. The Competition reserves
the right, without payment of fees, to record, videotape, photograph and broadcast the Competition.

Applicants Signature:
________________________________________________________________ Date: __________8
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Parents Signature (If Applicant is less than 18 years of age): _______________________________
Date:
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Teachers Signature (Certifies that Applicant has studied under your guidance for the past six
months):___________________________________________________________________________
__ Date:
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