2019 String Quartet Fellowship Application

String Quartet Fellowship Application

Anchorage Chamber Music Festival
Student Information
Please fill out information for each member of the group
Student #1
Name *

First Name Last Name
Instrument *
Cell Phone Number *

- Area Code Phone Number
E-mail *
example@example.com
Confirm E-mail Address *
example@example.com

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth *

- Month - Day Year
Date
Age at the time of Chamber Intensive *
Student #2
Full Name *

First Name Last Name
Instrument *
Cell Phone Number *

- Area Code Phone Number
E-mail *
Confirm E-mail Address *

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth *

- Month - Day Year
Date
Age at the time of Chamber Intensive *
Student #3
Full Name *

First Name Last Name
Instrument *
Cell Phone Number *

- Area Code Phone Number
E-mail *
example@example.com
Confirm E-mail Address *
example@example.com

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth *

- Month - Day Year
Date
Age at the time of Chamber Intensive *
Student #4
Full Name *

First Name Last Name
Instrument *
Cell Phone Number *

- Area Code Phone Number
E-mail *
example@example.com
Confirm E-mail Address *
example@example.com

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth *

- Month - Day Year
Date
Age at the time of Chamber Intensive *
Group Information
Quartet Title *
Number of years playing together *
Name of School *
Name of Group Coach/Professor *
Email of Group Coach *
Title and composer of work(s) you wish to study during the Chamber Intensive *
Chamber music experience/repertoire list *
Quartet Biography *
Upload Quartet Picture *
URL of YouTube/Google Drive Video *
Agreement and Terms of Admission:
- As a String Quartet Fellow, I agree to participate in all of the daily activities, events, and attend all required concerts.
- As a String Quartet Fellow, I understand and agree to the following duties:
  - Teach and coach students/student groups
  - Perform in one or more outreach concert(s)
- I understand that as a String Quartet Fellow that I am a role model to the other students and will act as professionals.
- No use of drugs will be tolerated during the festival. I understand that if I am discovered under the influence of drugs that I will be sent home under my own expenses.
- I understand that as a String Quartet Fellow that I am being admitted to this program with a scholarship worth $1,200. Fellows are required to write thank you cards to a sponsor of the Festival and to their host family.
*

I understand and agree to the terms and statements listed above
In signing below, I acknowledge that my quartet accepts the terms of admission and certify that the statements made above are true and complete to the best of my knowledge.
Student Online Signature (Print Name) *
Payment

Application Fee $ 120.00

Total $ 0.00
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