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The Hephzibah Tintner Foundation
Application Form - Composing Fellowship 2012/3

Closing date for Application: 30th August at 5pm.
Click here to view Guidelines and general information
Applicant Details

Name Nationality
Date of Birth
   
Address
Phone (daytime) (evening)
Mobile
Email Fax
Do you have an ABN? Yes No
Are you registered for GST? Yes No
Education and experience

List any post-secondary qualifications. Include institution and year.
What other training have you undertaken in your field? Provide details of institution, program, teacher, dates, etc.
Provide details of performances/recordings you have been involved with. Include the names of companies, dates, venues, and any reviews if you have them.
Attach a biography
(Filesize Restriction - 4 MB)
Fellowship Project Details

Have you received information about
the mentorships available in your field?
Yes No
Describe how you will use this Fellowship to develop in your field.
What additional training and/or study do you propose for the period of the Fellowship, including dates, places, and whether you have confirmation of the work from relevant organizations.
Please supply names of three referees for this Fellowship:
Name Phone/email
Address
Name Phone/email
Address
Name Phone/email
Address