Instrumental (not for voice)

Student's Full Name:

Instrument:

Ensemble Members (if any)

1. Student's Full Name:

Instrument:

2. Student's Full Name:

Instrument:

3. Student's Full Name:

Instrument:

Please enter information for additional performers within comments area below

Composition 1

Title:

Composer's full name:

Composer's Dates*:

* If living, include date of birth, for example: b. 1971. If unknown, look it up! If truly unknowable, indicate unknown.

Movements (if applicable), including tempo markings:

Length of Composition:

Composition 2

Title:

Composer's full name:

Composer's Dates:

Movements (if applicable), including tempo markings:

Length of Composition:

Physical Arrangements Needed

Piano

Stands

Chairs

State of Piano (if needed): Piano lid fully open Piano short peg Piano lid down

Additional equipment or instructions to stage hands, if required. Please describe.

Contact Information

Email Address of Applied Teacher:

Email Address of Student:

Collaborative Pianist

Full name:

Email:

Date Requested:

If you have any questions, please contact David Hunsicker at david.hunsicker@wichita.edu