Name


Age


Address


Phone


Email


Instrument



How did you hear about this program?



Please answer the following questions thoughtfully, adding as much space as you need:

1. Where and with whom have you studied your instrument?





2. How long have you been studying your instrument?





3. What experience have you had as a performer? As a teacher?





4. What is your goal or ambition as a performer? As a teacher?





5. What experience, if any, have you had with mediation? Please include the type of meditation you have practiced.





6. Why are you interested in meditation?





7. If you are a pianist, are you open to exploring new ideas about piano technique? Why, or why not?





8. Why do you wish to take this program, and what do you hope to gain from it?





9. What repertoire would you like to perform in the two workshops? (One or two short pieces or movements are sufficient.)

This application must be accompanied by a tape or CD of your playing or singing. If possible, please include in your recording one of the selections you wish to perform in the workshops. Please mail the application along with your tape or CD to:

Madeline Bruser
801 West End Avenue
New York, NY 10025