The Koussevitzky Music Foundations
Commissioning Program

Application Form
Please print or type.

Please fill in the following information. Submit this sheet with all other application materials in one package and send to:
Koussevitzky Music Foundation
611 Pennsylvania Avenue SE #118
Washington, DC 20003-4303.
Please do not send materials to the Foundation's New York City office or to the Library of Congress. Unfortunately, application materials sent to the Library of Congress cannot be returned. Submissions must be postmarked no later than March 1, 2009.
Your materials will be returned only if a pre-addressed envelope of sufficient size and with sufficient postage is included with your proposal.

Name of applicant organization:

Address:

Contact Person:

Phone Number:

E-Mail:

Chief Executive Officer:

Type of Performing Organization: Chamber [ ] Orchestra [ ]

Date Founded:

Composer Name:

Address:

E-mail:

Phone Number:

Is the composer’s written consent enclosed? (Yes/No):

Type of work: Chamber [ ] Orchestral [ ]

Proposed instrumentation of work:

Proposed duration:

Works submitted including year of composition of each:
(NOTE: scores of each work and a recording of at least two of the works must accompany this application)

1.

2.

3.

Applicant’s fiscal year: Ending Month:                 , 2009

Total budgeted expenses of fiscal year 2009: $

Applicant’s fiscal year: Ending Month:                 , 2008

Total actual expenses of fiscal year 2008: $

Previous grants to ensemble from the Koussevitzky Music Foundations (include year of grant, name of composer, type of work, and amount of support):

Date application is being submitted:

A computer-generated version of this form is acceptable as long as all of the above information is provided. This form can be downloaded from www.koussevitzky.org.