Application form for participant of Vladimir Spivakov International Charity Foundation concert programs Country, Federal District City Full Name of Participant Female/Male Participant’s Date of Birth Participant’s Phone Number Email Name of Parent or Legal Representative (relationship) Contact Phone Number & E-mail of the Parent or Legal Representative A copy of the Birth Certificate, Passport or other Document confirming the Identity of the Participant. Maximum File Size is 10Mb Category of participants: Musical Instrument (specify)VocalChorusDance group or dancer solo (specify the type of choreography)Circus ArtistArtist (specify)Other Musical Instrument (specify) Dance group or dancer solo (specify the type of choreography) Artist (specify) Specify what exactly Teacher and school information Full Name of Professor (indicate all Merits of Professor) Professor’s Phone Number & e-mail Name of the School/Сonservatory Full Name of the Principal School/Сonservatory Administration phone number & e-mail Additional Information Biography Awards, diplomas for the last 3 years Concert repertoire at the time of filling this application Foundation concert requirement: lively pieces up to 5 min long (exept sonatas and polyphony) Repertoire of performances with orchestras at the time of filling this application Demonstration materials for selection Link to the uploaded video file of your performance on the YOUTUBE channel. The total time is 15 minutes, Recording should be made no more than 6 months prior to the date of sending this application. The Foundation will not provide a review of your submitted performance. Photo of the Participant Horizontally positioned portrait photo with clear image. Resolution of the photo — not less than 300 dpi. Maximum file size 10 Mb. Did you participate in Vladimir Spivakov Foundation Projects? What projects have you participated in? Did you receive Foundation Scholarship? When? Do you have an Instrument donated by the Foundation? Specify Agreement for processing of personal data Agreement for use of submitted proprietary materials Agreement to use the image of the applicant profile in future material Submit
