APPLICATION FORM for Klezfest in Ukraine, 2005
(Fields marked by * are obligatory)

First and last name: *
Date of birth: *
Street Address: *
City: *
State: *
Zip Code: *
Telephone home: *
Telephone work: *
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 genres of music do you specialize in (Classical, folk, pop, Theater, cabaret?)

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.