Fields marked with a red asterisk (*) are required.

Full Name: *

Date of Birth: * (mm/dd/yyyy)

Street Address: *

City: *

State: *

(If outside North America, please enter "N/A")

Zip/Postal Code: *

Country: *

Phone Number: *

E-mail Address: *

Name(s) of Parent(s) or Guardian(s): *

(If aged 18 or over, please enter "N/A")

Parent/Guardian E-mail Address:

Parent/Guardian Phone Number:

School Attending:

Current Grade:

Primary Instrument: *

Secondary Instrument:

Private Teacher Name:

Private Teacher Phone:

School Orchestra/Ensemble:

School Orchestra/Ensemble Director:

Other Orchestra/Ensemble:

Other Orchestra/Ensemble Director:

Current Solo Repertoire: *

Past Two Pieces Learned:

Please select the scholarship(s) for which you are applying: *

Alice Downs ScholarshipChanlan Lee ScholarshipLarry Fisher ScholarshipFrisch & Denig Scholarship

How did you hear about the Philadelphia International Music Festival?

Have you attended PIMF in previous years?

YesNo

If you have attended PIMF in previous years, please check all that apply:

20132014201520162017201820192020

Comments, Questions, or Special Requests:

So that we know you are not a computer, kindly enter the code below before submitting.