2018 Competition Application

2018 INSTRUMENT LOAN COMPETITION
Full Name *

First Name Last Name
Birth Date *

Month Day Year
Age *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *
example@example.com
Phone *

- Area Code Phone Number
Facebook Page
Twitter Handle
Emergency Contact Person *

First Name Last Name
Emergency Contact Phone *

- Area Code Phone Number
Citizenship Status
Country of Citizenship *
Document Type *
Expiration Date *

Month Day Year
Parent/Guardian Information

[Applicants Under 18, as of April 1, 2018]
Full Name *

First Name Last Name
Relationship *

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
Email *
Education History
Current School *
Degree Program *
Graduation Date *

Month Day Year
Primary Instructor *

First Name Last Name
Instructor's Email *
Past School
Degree Program
Graduation Date

Month Day Year
Primary Instructor

First Name Last Name
Instructor's Email
Past School
Degree Program
Graduation Date

Month Day Year
Primary Instructor

First Name Last Name
Instructor's Email
Instrument Loan Request
Current Instrument *
Is this instrument loaned from third party? *

Yes No
Who is the lender? *
When will the loan period end? *

Month Day Year
Which instrument would you like to borrow from the Foundation? *
Questionnaire
Where did you learn about this opportunity? *

0/150
Please describe any financial hardships that prevent you from purchasing a fine instrument. *

0/3500
In your words, what it mean to be a musical ambassador in the 21st century? to be a musical ambassador in the 21st Century? Share with us your relationship to this concept now, and how it might impact your future in music. *

0/3500
Supplemental Materials

Please ask your reference to email the letter to mway@doublestopfoundation.org
Recommendation Letter 1 *

First Name Last Name
Recommendation Letter 2 *

First Name Last Name
Resume (PDF only) *
Biography *

0/150
Musical selection #1 *
Please see Competition Guidelines for preliminary round repertoire.
Musical selection #2 *
Please see Competition Guidelines for preliminary round repertoire.
Musical selection #3 *
Please see Competition Guidelines for preliminary round repertoire.
Headshot *
JPG
Passport/Visa or USA Driver's License/State I.D. *

Upload a File
PDFs only Cancel of
Declaration of Application
I am a citizen or permanent resident of the United States or I have the right under US law to reside temporarily in the United States and have provided proof in a supporting document. *

Yes No
I have carefully read the eligibility criteria for the competition as described in the application guidelines, and I meet these criteria. *

Yes No
I understand the conditions of this competition and will accept the decision of Doublestop Foundation as final and binding. *

Yes No
If named a finalist, I will be available late April or early May to attend the live round in New York City. *

Yes No
I confirm that the responses in my application are complete, true, and accurate and to the best of my knowledge. *

Yes No
Applicant Signature *

Parent/Guardian sign for Applicants under the age of 18 Clear
Should be Empty:

2018 INSTRUMENT LOAN COMPETITION

Citizenship Status

Parent/Guardian Information

Education History

Instrument Loan Request

Questionnaire

Supplemental Materials

Declaration of Application