APPLICATION FORM for Klezfest in Ukraine, 2003
First and last name : *
Date of birth : *
Street Address: *
City *
State: *
Zip Code *
Telephone work : *
Telephone home : *
Fax : *
E-mail : *
Education/degree earned *
Place of work/study : *
What languages do you speak: *
The level of your knowledge of Yiddish: *
What musical instruments do you play (please specify your skill level):
For vocalists and teachers of music in Jewish schools:
What is your vocal range? (bass, tenor, alto, soprano)

What is type of music do you specialize in (classical, pop, folk)?
For leaders of bands and performers
(vocalists and instrumentalists):
please include a brief description of your band
- or yourself
- and repertoire

For musicologists and folklorists:
please specify the scope of your interests and expertise,
present a list of publications, and a copy of one of them, if possible.

For composers: please present a list of composed pieces.