PIMF Scholarship Application

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    Full Name: *

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

    Street Address: *

    City: *

    State: *

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

    Zip/Postal Code: *

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    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:

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    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?
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    If you have attended PIMF in previous years, please check all that apply:
    20132014201520162017201820192020

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