Download GRACE MOORE APPLICATION FORM

(Please type online, print, sign and mail with requested materials.)
GRACE MOORE
APPLICATION FORM
APPLICATION DEADLINE: MUST BE POSTEMARKED BY FEB. 17, 2015
Send to: Dr. Christine Isley-Farmer, P.O. Box 47, School of Music, MTSU, Murfreesboro, TN 37132
VOICE CATEGORY:
Soprano
(Please Check one)
ACCOMPANIMENT:
Mezzo-soprano
Tenor
Baritone
Bass
I will need the competition to provide an accompanist.(Copies of music and $60 fee payable to Kimberly Hopkins enclosed)
I will provide my own accompanist for the competition.
NAME ________________________________________ AGE _______ DATE OF BIRTH ____________
PRESENT ADDRESS _________________________________________________________________
CITY/STATE/ZIP _________________________________ PHONE _____________________________
PERMANENT ADDRESS _______________________________________________________________
CITY/STATE/ZIP _________________________________ PHONE ____________________________
E-MAIL ADDRESS ____________________________________________________________________
EDUCATION:
High School
Undergraduate
Graduate
Other
ADDITIONAL TRAINING OR EXPERIENCE _________________________________________________________________
_____________________________________________________________________________________________________
(Please Check one)
CLUB MEMBERSHIP (location) __________________________________ OR
COMPLETE REPERTOIRE
TITLE
SPECIAL MEMBERSHIP
$15 FEE ENCLOSED
COMPOSER
1. __________________________________________________________________________________________
2. __________________________________________________________________________________________
3. __________________________________________________________________________________________
I hereby make application to enter the Grace Moore Memorial Scholarship Competion, and I certify that I am eligible according to the rules set
forth for the awards of $1,200, $500, and $300, I promise to comply with all conditions outlined in the rules
SIGNED: _________________________________________________________