PIMF Scholarship Application

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Full Name: *

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

Gender: *
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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?
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If you have attended PIMF in previous years, please check all that apply:
20062007200820092010201120122013201420152016

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