WISCONSIN PUBLIC RADIO’SWISCONSIN PUBLIC RADIOíS

NEALE-SILVA YOUNG ARTISTS’ COMPETITION

Sunday, March 24, 2013

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, January 25, 2013.  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 2012-13 ________________________________________________________

 

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. _____Proof of age and residency (each musician)

4. _____Biographical paragraph                                               Mail to:  WPR/Neale-Silva Young Artists’ Competition

5. _____Entrance fee                                                                                    821 University Ave.  7th Floor, Madison, WI 53706