Sviatoslav Richter Outreach Application Form |The Shepherd School of Music

First Name

Last Name

Phone

Email

Street Address

Address Line 2

City

State/Province/Region

Zip Code

Country

Please write a brief summary of your project and indicate what you hope to accomplish through it

What is the proposed instrumentation and personnel involved in the project?

Reminder: All participants must be current Shepherd School students

Please provide a project timeline and anticipated date of completion

All projects must be completed by the last day of the term

Will you require any special equipment to accomplish this project?

If so, please explain how you intend to use the equipment

List name, address and contact information of the organization sponsor (phone number and email address) for the venue(s) where you intend to present your project

Include a detailed budget for your outreach project expenses

i.e. local transportation costs, materials, special equipment, meal per diems (when appropriate), and any additional expenses. You will need to research costs and provide accurate quotes to substantiate your budget requests.

Who is your Shepherd School faculty sponsor for this project?