<p>Type your information in the grey fields. Fields marked with * (asterisk) are required. Use the Tab key to move between fields. Your entered information will be saved in the form when you save this document, so you don’t have fill everything out at once. When you are done, attach this completed form and the supporting documents (see section D “Supporting Materials” below) to an email and send to [email protected]</p><p>APPLICATION FOR A SYLVA GELBER MUSIC FOUNDATION AWARD</p><p>A. PERSONAL INFORMATION First Name* Middle name Surname* Date of birth* (dd/mm/yyyy) Status* Canadian citizen</p><p>Permanent address Address* Address 2 City* Province or territory* Postal code * Country* Telephone — residence* Telephone — work Telephone — mobile Email* </p><p>Mailing address, if different from permanent address Address Address 2 City Province or territory Postal code Country Telephone — residence Telephone — work Telephone — mobile </p><p>Page 1 of 5 B. PROJECT DESCRIPTION</p><p>Project summary (one sentence) *</p><p>Instrument (including voice) * Length of project The project will begin on (dd/mm/yyyy) and end on (dd/mm/yyyy) Cities / countries where the project will be undertaken </p><p>Project description (limit of 1,000 words). The description should include the following:  your program of study and any other activities for which you are seeking support  your particular goals in relation to this project and how you believe it will advance your career </p><p>Page 2 of 5 C. FINANCIAL INFORMATION</p><p>Please note: Applicants are required to fill in Section C to the best of their ability, even if plans are not yet finalized. Incomplete applications will not be considered. Expenses Living expenses for months @ $0.00 per month (up to $2,000 or more with appropriate justification)* $0.00 Travel (bus, train, plane at economy rates)* $0.00 Project expenses* $0.00 Tuition * $0.00 Other expenses: please list: Other expense 1: description amount $0.00 Other expense 2: description amount $0.00 Other expense 3: description amount $0.00 Other expense 4: description amount $0.00 Other expense 5: description amount $0.00 Other expense 6: description amount $0.00 Other expense 7: description amount $0.00 Total expenses* amount $0.00</p><p>Revenues List all grants applied for (indicate anticipated decision dates in brackets) and any other sources of income anticipated during the period covered by the award. Use an asterisk to indicate any that are confirmed.* Do not forget to indicate the amount of the grant requested from the Foundation.</p><p>Sylva Gelber Music Foundation Award * amount $0.00 Other grants/awards 1: source/date amount $0.00 Other grants/awards 2: source/date amount $0.00 Other grants/awards 3: source/date amount $0.00 Teaching revenue 4: source/date amount $0.00 Performance revenue 5: source/date amount $0.00 Personal or family contribution(s) 6: amount $0.00 Other revenue 7: source/date amount $0.00 Total revenues* amount $0.00</p><p>Page 3 of 5 D. SUPPORTING MATERIALS</p><p>Please attach all required document to your application email. The following are required to complete your application: </p><p>1. Curriculum vitae: Include your principal teachers and music training, performance history and personal or professional achievements such as awards. 2. Proof of Canadian citizenship or permanent resident status: Attach a scan or photograph. 3. References  Name of the person or institution who referred you to the Foundation as a candidate deserving of this award </p><p> Name, title and coordinates of two music professionals acquainted with your work, aptitudes and character (you may include your nominator as one of your references). 1. Name / title Institution Telephone or email </p><p>2. Name / title Institution Telephone or email </p><p>4. Recorded performances: Submit digital recordings (CD audio quality or better) of your performances of three contrasting solo works, of a total duration of up to 45 minutes. You can attach audio files directly (up to 20 MB in total) to your application email. Alternatively (mandatory for videos and larger files), indicate the web address (URL) where the performances can be found. The audio or video can be private or public and located anywhere, including your own page or a video (e.g., YouTube) or file sharing (e.g., DropBox) site.</p><p>1. Title & Composer </p><p>URL (if required) Password (if required) Date recorded, duration, any other pertinent information:</p><p>2. Title & Composer </p><p>URL (if required) Password (if required) Date recorded, duration, any other pertinent information:</p><p>3. Title & Composer </p><p>URL (if required) Password (if required) Date recorded, duration, any other pertinent information:</p><p>5. Letter(s) of acceptance from the teacher(s) with whom and/or institution(s) where you will be Page 4 of 5 studying. Attach either the letter itself or a scan/photograph. This must be provided if your application is successful to permit the release of funds. If you have not received your acceptance letter by the time your application for this award is due, please so indicate. We ask that you forward confirmation of acceptance as soon as it is received.</p><p>Page 5 of 5 I have not yet received my letter of acceptance, and will forward it to the Foundation separately as soon as I do.</p><p>E. CONFIRMATION* </p><p>I certify that the information in this application, and all supporting documents, is true and accurately represents my background, training, accomplishments, intentions and needs. </p><p>Name* I Date* (dd/mm/yyyy)</p><p>Page 6 of 5</p>