2026 International Piano Institute Application
For participation in the Academy of Music summer program at University of Northwestern - St. Paul led by Dr. Richard Lange, Dr. Peter Liu, and guest artists.
Full Name
First Name
Last Name
Student birthdate:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student grade:
Student MMTA level (if applicable):
Parent/Guardian Full Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Private Teacher's Name
Teacher's Email
example@example.com
REPERTOIRE: Please share current repertoire being studied.
VIDEO: Submit a video of 1-3 pieces representing your playing. This video will be used as your competition submission, if preferred.
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International Piano Institute Competition Participation - Participants will receive critiques, a certificate, and winners will be given a performance opportunity with an award. Should we use the video submitted as your competition submission?
Yes, please use this video as my competition submission (must select the submission in application options).
No, I will send another video as my competition submission. All videos are due by July 1st to be considered for the competition.
I do not plan to participate in the competition.
For Competition Participation, please select a division below:
Junior Division (ages 9-13) at time of submission.
Senior Division (ages 14-19) at time of submission.
Please make your selections below for options (in addition to the $600 tuition and $20 registration fee):
Lodging (price includes lunch and dinner; dorms are equipped with small refrigerator, microwave, and stove) - $250
Competition submission - $30
Scholarship Consideration (select all that apply; more information will be sent following form submission)
Merit-based scholarship
Need-based scholarship
Additional Information (optional):
Application decisions will be sent via email. Thank you for your application! Please email academymusic@unwsp.edu with questions.
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