APPLICATION FORM Schools (Section V) 5th INTERNATIONAL MUSIC COMPETITION “Città di Palmanova” (please, complete in block capitals) Deadline April 9, 2017 The School __________________________________________ from _________________________________________________ CAP_________________________ Prov_____________________________State_____________________________________ tel____________________________________ fax__________________________________ with the present application enrolls the following student soloist Surname____________________________________________ Name ___________________________________________ in the Section V, Cat. _____________________ Instrument___________________________________________ Please, specify the year of start of music lessons_________________________ and teaching hours per week___________ the group formed by: nr. ______ members in the Section V Cat. ____ Surname and Name of the members/ Instrument 1)________________________________/__________ 2) ________________________________/__________ 3) ________________________________/__________ 4) ________________________________/__________ 5) ________________________________/__________ 6) ________________________________/__________ 7) ________________________________/__________ 8) ________________________________/__________ 9) ________________________________/__________ 10) ________________________________/__________ 11) ________________________________/__________ 12) ________________________________/__________ Please specify the year of beginning of the activity of the ensemble____________ and teaching hours per week Concerning Choirs and Orchestras, please attach to the application the complete list of students. Name of the teacher/teachers Free choice repertoire proposed: 1. Composer__________________________________________________________ Title ____________________________________________ Duration ______________ 2. Composer__________________________________________________________ Title ____________________________________________ Duration _______________ 3. Composer__________________________________________________________ Title ____________________________________________ Duration ______________ You are kindly requested to to attach the receipt of the entry fees payment. I HEREBY ACCEPT ALL THE RULES. You also authorize the processing of personal data pursuant to Legislative Decree n. 196/2003 Date ___________________ THE HEAD TEACHER__________________________________________________ e-mail and mobile phone of the referent for the competition__________________________________________________________ Please, send the application and the requested documents by the article 11 of the announcement to the following email address: [email protected] or by snail mail to the following address: Accademia Musicale Città di Palmanova, Via Collalto, 2 33057 Palmanova (Udine-ITALY) APPLICATION FORM Soloists (Section I and III and four-hands piano) 5th INTERNATIONAL MUSIC COMPETITION “Città di Palmanova” (please, complete in block capitals) Deadline April 9, 2017 SURNAME__________________________________________ NAME ____________________________________________________ PLACE OF BIRTH _________________________________________ DATE OF BIRTH _________________________________ ADDRESS ________________________________________________ CITY __________________________________CAP _______ PROVINCE________________________________ STATE_______________________________________ TEL ________________________ MOBILE ______________________________ E-MAIL__________________________________________ 2) (second pianist) SURNAME__________________________________________ NAME ____________________________________________________ PLACE OF BIRTH _________________________________________ ADDRESS ________________________________________________ DATE OF BIRTH _________________________________ CAP ____________ PROVINCE___________________ STATE_______________________________________ TEL ________________________ MOBILE ______________________________ E-MAIL__________________________________________ SECTION __________ CATEGORY _________ INSTRUMENT ________________________________________________ TEACHER NAME ________________________________________________ ADDRESS _______________________________________________________________________ e-mail and tel/mobile _________________________________________ _____________________________________ PROGRAMME COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ TOTAL DURATION _______________ Please, send the application and the documents requested by the article 11 of the announcement to the following email address: [email protected] or by snail mail to the following address: Accademia Musicale Città di Palmanova, Via Collalto, 2 33057 Palmanova (Udine-ITALY) I HEREBY ACCEPT ALL THE RULES. Date _______________ Signature (if a minor, signature of a parent)______________ ________________________ Date _______________ Signature (if a minor, signature of a parent) ______________ ________________________ APPLICATION FORM CHOIRS AND VOCAL ENSEMBLES (Section IV) 5th INTERNATIONAL MUSIC COMPETITION “Città di Palmanova” (please, complete in block capitals) Deadline April 9, 2017 NAME of the ENSEMBLE/CHOIR __________________________________________________________________________________________ ADDRESS ________________________________________________ CITY _____________CAP ____________ PROVINCE____________________STATE _______________________________ TEL/MOBILE ______________________________________E-MAIL__________________________________________ NAME and SURNAME of the Responsible/Choir Conductor ________________________________________________________________________________________________ ADDRESS _______________________________________________________________________ TEL/MOBILE _________________________________________________ E-MAIL _____________________________________________________ PROGRAMME COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ TOTAL DURATION _______________ INSTRUMENTS FOR THE ACCOMPANIMENT______________________________________________________ ________________________________________________________________________________________________ Please, send the application and the documents requested by the article 11 of the announcement to the following email address: [email protected] or by snail mail to the following address: Accademia Musicale Città di Palmanova, Via Collalto, 2 33057 Palmanova (Udine-ITALY) I HEREBY ACCEPT ALL THE RULES. Date _______________ SIGNATURE of the RESPONSIBLE________________________________________ APPLICATION FORM CHAMBER MUSIC-ORCHESTRAS (Section II) 5th INTERNATIONAL MUSIC COMPETITION “Città di Palmanova” (please, complete in block capitals and enclose the technical data sheet, with your requests) Deadline April 9, 2017 NAME of the ENSEMBLE______________________________________________________________________ SECTION_____CATEGORY_________the ensemble/orchestra formed by n. ________ members Name and Surname of the members and instrument played: 1)________________________________/________________ 2) ________________________________/__________ 3) ________________________________/_______________ 4) ________________________________/__________ 5) ________________________________/_______________ 6) ________________________________/__________ 7) ________________________________/_______________ 8) ________________________________/__________ 9) ________________________________/________________ 10) ________________________________/__________ NAME and SURNAME of the Teacher/ Responsible for the ensemble ________________________________________________________________________________________________ ADDRESS _______________________________________________________________________ TEL/MOBILE _________________________________________________ E-MAIL ____________________________________________________ PROGRAMME COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ COMPOSER ___________________________TITLE __________________ DURATION_________________ TOTAL DURATION _______________ Please, send the application and the documents requested by the article 11 of the announcement to the following email address: [email protected] or by snail mail to the following address: Accademia Musicale Città di Palmanova, Via Collalto, 2 33057 Palmanova (Udine-ITALY) I HEREBY ACCEPT ALL THE RULES. Date _______________ SIGNATURE (if a minor, signature of a parent)________________________________________ Attachment INTERNATIONAL PIANO AWARD “FILIPPO TREVISAN” CATEGORY E - PIANO PROGRAMME First eliminatory round, max 15 minutes Final round, max 25 min The whole programme of both rounds must include: a) Free choice piece by J.S. Bach and one virtuosic étude by Chopin or other composer; b) A first movement in the sonata allegro form of a classical Sonata by Haydn, Mozart, Beethoven or Clementi; c) One Romantic piece; d) One modern piece (XX° century) e) Free choice piece/pieces. Final round: non more than six candidates will be accepted. N.B. All programmes must be performed by memory. They can not propose pieces already presented in the eliminatory round. The refrains are to be respected on condition that the time doesn't exceed what set. The Jury may stop the candidate who exceeds the time limit.