songSLAM Composer Questionnaire

Name*

Prefix First Middle Last Suffix

Your name as you'd like it in the volume

What name do you go by?

For our correspondence, do you go by a name other than your "official composer name"?

Email

Website

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your birthdate

Your Performing Rights Organization

(ASCAP, BMI, SESAC, etc.)

Short Bio

c. 250 words for publication in the volume. (Helpful hint: avoid language like "upcoming ___ include..." since this will go out of date quickly.)

Social Media handles

Please share any social media handle you'd like included with your bio in the book.

May we include your email in the volume?

Yes
No

We prefer to break down barriers between performers and composers, and feel that including a composer's email address in the volume helps to facilitate communication - and direct sales of a composer's work.

Work Information

Title of Your Song

Title of Overall Work

If your song is from a larger set or cycle, please indicate that here, otherwise, leave blank

Year of Composition

Copyright Notice

Please indicate how you would like your copyright notice to appear in the score (including any language indicating text ownership by the author/author's publisher)

Author of Text

Author's Website (if known/appropriate)

Author's Email (if known/appropriate)

Demographic Questionnaire

The following questionnaire is optional and for informational purposes. We are regularly asked at conferences and events about the demographic make-up of the composers we publish. This helps us to answer those questions accurately, and to know where we can do better in overall representation.

I identify my ethnicity as:

Asian
Black/African
Caucasian
Hispanic/Latinx
Native American
Pacific Islander
Other/Prefer to self-describe
Prefer not to say

(select all that apply)

Ethnicity self-description

I identify my gender as...

Female
Male
Non-binary/third gender
Prefer to self-describe
Prefer not to say

Gender Self-description

I identify as transgender

Yes
No
Prefer not to say

I consider myself a member of the LGBTQ community

Yes
No
No, but I identify as an Ally
Prefer not to say