Application Form
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Steinway Society 30th Annual Scholarship Competition
First Name: *
Last Name: *
Date of Birth: *
MM
/
DD
/
YYYY
Years of Study: *
Phone: *
Parent's E-mail: *
Street Address: *
Town, State, ZIP: *
Teacher: *
Teacher's Phone: *
Teacher's Email: *
Teacher's Street Address: *
Teacher's Town, State, ZIP: *
Audition Repertoire:
Two contrasting solo works of combined duration 8 minutes or less for Group I, and 10 minutes or less for Groups II, III, IV, V.
1. Composer: *
1. Title: *
2. Composer: *
2. Title: *
Estimated duration of performance *
Signatures:
Please print completed form and sign paper copy
Applicant:
Parent/Guardian:
Teacher:
IMPORTANT: Please print  2 copies of this form, one for your records and a second for signatures from yourself, your teacher and parent. Then [submit] on-line and also mail a completed, printed and signed application with entrance fee to:
Steinway Society, Jacobs Music
2540 Brunswick Pike, Lawrenceville, NJ 08648

Note: This application form must be submitted by February 28, 2020

Entrance Fees:
Group 1, age 7-8  on March 28, 2020    $60;
Group 2 age 9-10  on March 28, 2020    $60;
Group 3 age 11-13 on March 28, 2020   $65;
Group 4 age 14-15 on March 28, 2020   $70
Group 5 age 16-18 on March 28, 2020   $75

(Fee may be waived in case of financial hardship).}
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