Application – Adult Workshop RM_Stats2022 CIMF Adult Chamber Music WorkshopBiographical InformationFirst Name *Last Name *Date of Birth *Address Address Line 1 Address Line 2 City State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State or Region Country Zip Phone *Email *Please Select Your Instrument *Select an optionFluteOboeClarinetBassoonSaxophoneHornTrumpetTromboneTubaPercussionHarpPianoViolinViolaCelloDouble BassMusical BackgroundYears of Experience on Primary Instrument *Years of Experience Performing Chamber Music *Name of Current or Most Recent Private Instructor *List up to five solo pieces (or pieces with piano accompaniment) you have learned/performed (if applicable):List up to five chamber pieces that you have performed (if applicable):List chamber music programs you have attended:List performance ensembles (orchestras, etc.) in which you have participated (including WCYO):How did you hear about our program?Additional relevant information about yourself:Please Re-Enter EmailEmail * Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.