Name:____________________________________________

Male ____ Female ____

Home Address: ________________________________________

City ___________ State ____ Zip _______ Country ___________

Phone: ______________________

Phone after May 1: ______________________

Current School Address: _________________________________

E-mail: __________________________________

Social Security or Student ID Number: ______________________

Birth date: ______________________

Birthplace: ______________________

Will you have a car this summer? ____
Are you a licensed driver? ____

In case of emergency, call: ______________________
Telephone Number(s):______________________

Current Teacher(s): _____________________________________

Background Information:
Use separate sheet to list teachers, performance experience, honors, awards, previous degrees, schools, special interests, activities. Please include copies of concert programs or other publicity materials and photo (optional).

For Information:
First check our Website at www.pianofest.com

Pianofest Office:
(631) 835-2645 until May 31
(631) 329-9115 after May 31

Please arrange for a live audition (in Cleveland or New York) or send DVD or video tape and application materials to:

Pianofest
1701 East 12th Street, Apt. 21TW
Cleveland, OH
44114
USA

Include Non-refundable Application Fee of $15.

All performances should include selections in contrasting styles.

To arrange for an audition or speak to Mr. Schenly:
Tele: (216) 696-2984
E-mail: pschenly@aol.com
(Please include your email address in the body of the email.)

Four and eight-week sessions possible:
June 16 – July 14
July 15 – August 11

Pianofest subscribes to the following equal opportunity tenets: to provide access to all Pianofest facilities,services, activities, and funding without regard to sex, color, handicap, national origin, race or religion; to recruit and admit qualified students at all levels without regard to sex, color, handicap, national origin, race or religion.