Application Form

Name Instrument/Voice

Home Address

City/State Zip Code Phone

Email address Age Grade

School School Address

Accompanist (for scheduling purposes) Phone

Private Instructor Phone

Selection to be Performed Composer

(Include K.#, Op., date of composition for contemporary work)

Duration of the Selection Publisher of Orchestral Materials

See the requirements page for the requirements governing this competition.

Written approval from the applicant’s private instructor should be mailed with the signed application form to: Cleveland Philharmonic Orchestra, P.O. Box 16251, Cleveland, Ohio 44116. Applications must be postmarked no later than December 31, 2010.

Please check all boxes that apply:

Ohio is the State of my legal residence.

I am enrolled in an accredited Ohio High School or Middle School and live in Ohio during the school year.

I am home-schooled.

Wherever possible, student and accompanist scheduling, conflicts will be considered when assigning audition times. Please indicate below your preference for _________A.M. _________P.M.

I will participate in the competition according to the requirements established by the Cleveland Philharmonic Orchestra.

______________________________________________________ ____________________________

Signature of the Applicant Date