CIMC application form

Age Group

Young Musician I Young Musician II Young Musician III Young Artist I Young Artist II Concert Artist

Name

First Name Last Name

Date of Birth

Date

Email

example@example.com

Nationality

Teacher's name

Teacher's email

Music School name

Repertoire Selection No.1 -Please provide title，composer, and duration

Video Url No.1

Repertoire Selection No.2 -Please provide title，composer, and duration

Video Url No.2

Repertoire Selection No.3 -Please provide title，composer, and duration

Video Url No.3

Repertoire Selection No.4 -Please provide title，composer, and duration

Video Url No.4

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Participant's headshot

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Receipt of your payment -PayPal, Zelle and Bank Transfer

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Proof of date of birth-passport or other government issued ID

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Chicago International Music Competition Application Form

Vocal Solo Division

Professional Category