Application Form – International Workshop for Young Composers 2019

Your Name and Surname *

Your Date of Birth (day/month/year) *

Your Complete Address: Street, City and Country *

Your Phone *

Your Email *

Passport or identity card (pdf) *

Current or past composition studies *

Title of the submitted composition *

Instrumentation of the submitted piece *

Score of the submitted composition for instrumental ensemble included among 3 to 15 performers (pdf, max 2 MB) *

Recording of the submitted composition
YesNo
If YES, any links to the recordings

How did you get to know about the course *
advertisingnewslettersocial networksfriend talked me aboutother

* (required)

In submitting this form I agree to my details being used for the purposes of IDEA and Divertimento Ensemble Activities. The information will only be accessed by necessary Divertimento Ensemble staff. I understand my data will be held securely and will not be distributed to third parties. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, official Divertimento Ensemble procedure will be followed to dispose of my data."

By filling out this form you will be addressed to Pay Pal for the payment of the enrollment fee of € 30.
In case you do not have a Pay Pall account, you may pay through bank transfer to the IBAN IT70P0335901600100000101448 in the name of Divertimento Ensemble, purpose of payment “Name, Surname, Enrollment IWYC Ensemble 2018” Please send copy of the bank transfer to idea@divertimentoensemble.it

Information: idea@divertimentoensemble.it / tel. +390249434973 - +393396326211