Please copy and paste entire form into a word processing document, complete the application, then print out this form and include a hard copy with application packet.
Name:
Address:
City:
State:
Zip:
E-mail:
Phone (h):
Phone (w):
Fax:
Title of submitted work, composed at least in part at Copland House:
Dates of composition:
Recording submitted: YES_____ NO_______
Performance history and future performance plans:
Recording history and future recording plans:
Publication history and future publication plans:
Signature:
Please submit all materials, postmarked by June 15th each year to:
Sylvia Goldstein Awards
Copland House, Inc.
P. O. Box 2177
Cortlandt Manor, New York 10567