2001 PRIMROSE MEMORIAL
VIOLA SCHOLARSHIP COMPETITION

APPLICATION FORM

Name: ____________________________________Birthdate: _____________

Address: _______________________________Telephone:________________

Current Teacher, if any: ___________________________________________

* Please check the appropriate items:

American Viola Society, Canadian Viola Society, other Section of
the International Viola Society, please specify __________________________

OR

I am not currently a member and wish to join the AVS

If you wish to join the AVS or CVS, please enclose a SEPARATE check (made payable to the AVS or CVS), in the amount of $20.00 (student member) or $40.00 (regular member) in the appropriate currency, along with your filled-out entry form, tape and competition application fee.

Enclosed is my non-refundable application fee of $50.00, in the form of a check made out to the Primrose Memorial Scholarship Competition-AVS and my unmarked audition tape/CD. I have read the Competition Rules and Repertoire Lists and certify that I am eligible to participate in this year's Primrose Memorial Scholarship Competition. I am enclosing a photocopy of proof of my age (passport, driver's license) and proof of my or my teacher's membership in one of the branches of the International Viola Society.

__________________________________
Signature Required

SEND COMPLETED APPLICATION, TAPE, AND APPLICATION FEE TO:

APPLICATION AND SUPPORTING MATERIALS MUST ARRIVE NO LATER THAN JANUARY 25, 2001