Type or print clearly all information. Application packets, including audition recording, application fee and supporting materials must be received by Wisconsin Public Radio no later than 5:00pm Friday, February 2, 2007. Incomplete applications will not be accepted.

Name _____________________________________________________              Birth Date ________________________________________

Social Security Number ___________________________                   Proof of Age: (circle) Driver’s License / Birth Certificate / Passport

Permanent Address __________________________________________________________________________________________________

E-mail Address ________________________________________     Cell Phone Number __________________________________________

Day Phone Number ____________________________________        Evening Phone Number ______________________________________

Mailing Address (if different from above)

___________________________________________________________________________________________________________________  


School Attending 2006-07 _____________________________________________________________________________________________  

Instrument ___________________________________________      Name of Principal Teacher _____________________________________ 

Please list the piece(s) you will perform for the concert.   Be sure titles, composers' names, opus numbers and timings are spelled accurately. Total length of music 12-15 minutes.

Title	Composer	Timing
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

I have read the rules of the Wisconsin Public Radio Neale-Silva Young Artists’ Competition and agree to abide by them and the decision of the judges. I also certify that the above information is correct, and that the performance on the recording is my own.

_________________________________________		_________________________________________
Name (Signature)		Date