MiraTone Academy 2024 Fellowship

MiraTone Academy 2024 Budapest

Hungarian-Polish Fellowship Program - Student Application Form
Application deadline: June 30, 2024

With limited slots available, applications to the Fellowship Program are reviewed on a first-come-first-serve basis. When places in the fellowship program are filled, applicants will be considered for participation in MiraTone’s general Academy.
Applicant's Full Name*

First NameMiddle NameLast Name
Nationality*

PolishHungarian
Name of chamber ensemble (only if applicable)

Ensemble members' names (only if applicable)

	name	instrument
member 1
member 2
member 3
member 4
member 5

Email*
example@example.com
Mobile Phone Number*

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Instrument*
Note: If a given instrument has more than one professor, participants may receive master classes from multiple mentors.
Curriculum Vitae*

Please upload the applicant's CV here. (In case of a chamber ensemble, the ensemble's CV is required.)
Cancelof
Link to a video recording of a performance*
Please provide a link to a short video recording of your performance.

Course repertoire*

	Composer	Work Title	Duration
1.
2.
3.
4.

Payment options

Please choose one of the following options to pay your application fee.

Please note that application fees are non-refundable.

1. Payment via Wise

Pay your application fee via Wise:

CLICK HERE TO START PAYMENT

2. Payment via regular bank transfer

Please transfer the payment to the following bank account:

Account holder: V4 Music Foundation 
BIC: TRWIBEB1XXX

IBAN: BE17 9676 4294 0921 
Wise's address: Avenue Louise 54, Room S52, Brussels, 1050 Belgium
Note: name of the applicant
Application fee: €50
Payment confirmation*

Please upload a copy of the certificate of your application fee payment.
Cancelof
Additional information
Please provide any other information or remarks you would like to let us know.
Declaration regarding the applicant's age*

Hereby I declare that I am older than age 14. This form was completed by myself.Hereby I declare that the applicant is under age 14. This form was completed by the applicant's guardian. I hereby declare that I, as the applicant's guardian, will accompany the applicant to the events of the MiraTone Festival and Academy 2024 and care for the applicant during his/her stay.
Full name of guardian (only in case of underage applicants)

First Name(s)Last Name(s)
(Please note: in case of an underage applicant, the guardian's contact data must be provided on this application form. The guardian's signature must also be provided for underage applicants - see next form field below. Without the guardians' signature, underage applications will not be accepted.)
Signature scan of guardian (only in case of underage applicants)

Please upload a scanned signature of the underage applicant's guardian.
Cancelof
Should be Empty:

MiraTone Academy 2024 Budapest

Application deadline: June 30, 2024