The String Quartet Program

THE QUARTET PROGRAM

in Residence at

S.U.N.Y.Fredonia

and University Colorado

at Boulder

APPLICATION

(PRINTER-FRIENDLY)

deadline for application and tape/audition March 1, 2008

Please mail to Charles Castleman, c/o Eastman School, 26 Gibbs St., Rochester, NY 14604

(please enclose $50 fee -- $65 if applying from a non-U.S. address)

Name

Birth Date

Instrument

Year in School

Phone

FAX

Email Address

Address

(In the following you may put more than one response per line.)

Private Teachers

Summer Programs/Special Seminars Attended

4TET/5TET/6TET Repertory

Solo/Chamber Performances

Applying for 6/15-8/3_____ 6/15-7/6_____ 6/15-7/13_____ 7/6-8/3______ 7/13-8/3 _____ in Fredonia

Applying for 7/ 6-27 in Boulder_____

(Please rank preferred dates of attendance)

Audition repertory = 15 minutes, 2 contrasting works ..audio or videotape or CD acceptable..no minidiscs

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Financial Information

If you want to apply for a scholarship, print this form first and then fill out and print the Financial Information Form at this link.

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Medical Form (for those under 18 years of age)

As parent/guardian, I delegate authority to a Quartet Program staff member to act in my absence to assure that __________________________ will receive emergency medical care if the need arises. This authorization is effective June 15- August 3, 2008, and pertains to any medical personnel or facilities. If the attending physician believes there is sufficient time before treatment must commence, every effort will be made to contact me.

_____________________________________________

(Parent/Guardian Signature) (Date)

______________________________________________________________________________

(Address)

Phones: Home______________ Work____________________

Participant Name__________________________________________Birth Date_____________

Medical Insurance Co._____________________________________________

Policy No.___________________________________ Blood Type__________

Ongoing Medication__________________________________

Illness or Allergies____________________________________

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Transportation plans for arrival at Quartet Program:

Name:

Address:

Phone: Email:

Please check one and include details:

ARRIVAL

___ Plane: (Buffalo) Airline______ Flight______ Time_______

___ Plane: (Denver) Airline______ Flight______ Time_______

___Amtrak (Buffalo) Time________

___Bus (Dunkirk) Time________

___Car Estimated time________

DEPARTURE

___ Plane: Airline______ Flight______ Time_______

___Amtrak Time________

___Bus Time________

___Car Estimated time________

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