The James A. Hefner HBCU Piano Competition Department of Music Tennessee State University P.O. Box 9526 Nashville, TN 37209-1561 Detach and return Form may be duplicated Tennessee State University ANNOUNCES Please print or type Name ___________________________________________________________________________________ Name of HBCU ___________________________________________________________________________ HBCU Address ___________________________________________________________________________ Street Address Phone ( Awards 1 Prize $500 2nd Prize $350 rd 3 Prize $250 Additional award $250 for best performance of a work by a Black composer State Zip ) ______________________________ E-Mail _________________________________________ Circle One: st City Freshman Sophomore Junior Senior Age __________ Teacher _________________________________________________________________________________ Teacher Phone ( ) ____________________________ Teacher E-Mail ____________________________ Title Composer Length Selection I _______________________________________________________________________________ Selection II ______________________________________________________________________________ Fee for all entries is $20.00 and must accompany application. Make check payable to Tennessee State University. Applications must be postmarked by March 1, 2015. April 11, 2015 Competition – 9:00 a.m. Awards Ceremony – Following Competition Tennessee State University Nashville, Tennessee Performing Arts Center ________________________________________ Signature of Teacher ________________________________________ Date Mail To: Dr. Joseph Van Dyke The James A. Hefner HBCU Piano Competition Department of Music Tennessee State University Box 9526 Nashville, TN 37209-1561 (615) 963-5348 All forms and procedures are readily available at www.tnstate.edu/music.
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