APPLICATION FORM

Name: ________________________________________________________________ (please print clearly or reproduce on a computer)

*Nationality: ________________________________________________________________

*Date of Birth: ________________________________________________________________

Address: ________________________________________________________________

(street and number)

City: ________________________________________________________________

Zip Code/Postal Code: ________________________________________________________________

State/Country: ________________________________________________________________

Please use this checklist to insure that all required elements are included with this application:

_____ Curriculum Vitae

_____ Performance Videotape (NTSC Format only)

_____ List of Repertoire Conducted

_____ $50 Non-refundable processing fee (made payable Viva International)

- Please note - all checks must be written in U.S. Dollars  

Jordania/New Millennium'
International Conducting Competition
PO Box 222671
Chantilly Virginia 20153-2671
USA