Academy Inégales 2015-16 Application Form

Name:*
E-mail:*
Address:*
Overview of your work to date (300 words)*
Statement of interest - Why do you want to be an academician? (300 words) *
Please supply 2 examples of your work. If you wish to submit a score or text please upload it. For large files such as audio or video please supply links. Please get in touch if you require advice.
Work sample 1 (upload)
Work sample 1 (link)
Work sample 2 (upload)
Work sample 2 (link)
References : Please supply the names and addresses of two referees
Name and address of referee 1*
Name and address of referee 2*