APPLICATION FORM
BRAVO INTERNATIONAL CHAMBER MUSIC WORKSHOP
February 3-5, 2012
APPLICANT INFORMATION
First Name:__________________Last Name:__________________Instrument: ____________________
Date of Birth:_______________________Age (as of 1/1/12)_________Sex:________________________
Address: _____________________________________________________________________________
City:____________________State____________Zip___________________________________________
Phone: _________________Cell: __________________ Email:__________________________________
School in 2011/12: _______________________________ Grade in 2011/12________________________
Are you going to be a resident?______________ Roommate preference________________________
for summer workshop onlyPARENT/GUARDIAN INFORMATION
Mother/Guardian Name: _________________________________________________________________
Address: _____________________________________________________________________________
Phone: _______________ Cell: ________________________ Email: ____________________________
Employer:______________________ Work Phone: __________________________________________
Father/Guardian Name: _________________________________________________________________
Address: _____________________________________________________________________________
Phone: _______________ Cell: ________________________ Email: ____________________________
Employer:______________________ Work Phone: __________________________________________
MUSICAL STUDIES (if you need more space, please use the other side to answer any of the following)
Name of Private Teacher: ________________________________________________________________
Private Teacher's email
Number of Years with this Teacher: ________________________________________________________
Total Years of Private Study: _____________________________________________________________
Are you a member of an Orchestra? If so, which one?_________________________________________
What is your Chamber Music Experience?__________________________________________________ What Chamber Music have you learned?____________________________________________________
BIOGRAPHICAL INFORMATION
Please write a short 1 page bio including experience, achievements, education, current and former
teachers, and repertoire (solo, orchestral and chamber music).
$30(US Funds) Application Fee (NON-REFUNDABLE) Due by December 15th, 2011., remaining balance of $220 is due by January 5th 2012
Signature of Applicant _________________________________________Date______________________
Signature of Parent/Guardian____________________________________ Date_____________________
RETURN THIS FORM AND YOUR BIO WITH THE APPLICATION FEES (PAYALBE TO BRAVO WORKSHOP)
to: Mary Handley,
Executive Director of BRAVO
13 Copper Heights,
Amherst, NY 14226
