NEALE-SILVA
YOUNG ARTISTS’ COMPETITION
Sunday,
April 11, 2010
Application Form
Type
or print clearly all information.
Application packets, including audition recording, application fee and
supporting materials must be received by Wisconsin Public Radio no later than 5:00pm Friday,
February 5, 2010. Incomplete
applications will not be accepted.
Name______________________________________________ Birth Date_________________
Proof
of Age: (circle)
Driver’s License
/ Birth Certificate / Passport
Social
Security Number_____________
or Individual Taxpayer Identification Number_____________
Permanent
Address___________________________________________________________________
E-mail
Address
______________________ Cell Phone Number __________________________
Day
Phone Number
____________________Evening Phone Number______________________
Mailing
Address (if different from above)
______________________________________________________________________________
School
Attending 2009-10
________________________________________________________
Instrument__________________ Name
of Principal Teacher_____________________________
Please
list the piece(s) you will perform in order for the concert. Be sure titles, composers' first and last
names, opus numbers and timings are spelled accurately. Total length of music: 12-15 minutes.
Title
(include movements) Composer Timing
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
I
have read the rules of the Wisconsin Public Radio Neale-Silva Young Artists’
Competition and agree to abide by them and the decision of the judges. I also certify that the above information is
correct, and that the performance on the recording is my own.
___________________________________________________________________
Name
(Signature) Date
Please check off each item to ensure that all
requirements are complete:
1._____ Application form
2. _____Recording (circle one: a. CD b. MP3)
3. _____Biographical paragraph Mail to: WPR/Neale-Silva Young Artists’ Competition
4. _____Entrance fee