WORKSHOPS WORK! GRANT APPLICATION FORM

CHOIR NAME:
CONTACT PERSON :
ADDRESS:
CITY/TOWN:
PROVINCE:
POSTAL CODE:
TEL (H):	( ) - -
TEL (W):	( ) - -
EMAIL:

CONDUCTOR :
TEL (H):	( ) - -
TEL (W):	( ) - -
EMAIL:

CLINICIAN:
TEL (H):	( ) - -
TEL (W):	( ) - -
EMAIL:
DATE OF WORKSHOP:	Select Date
HALF OR FULL DAY:	Half Day Full Day

BRIEF WORKSHOP DESCRIPTION:
WORKSHOP BUDGET (including income and expenses - clinician fee, travel, accommodation, material costs, etc.):

IMPORTANT: After you press the "submit" button, a confirmation message will appear on your screen. If you do not see this message, your application has not been sent. Please retry.

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