Bursary Application Form 2014 Section 1: Personal InformationTitle: Surname: Forename(s) Date of Birth (dd/mm/yy): Nationality: Parent/Guardian's Name: (for students under 18s) Permanent Address of student: (or of parent/guardian for students under 18) Telephone: Address for communication purposes: (if different from above) Email for Correspondence Section 2: EducationDetails of School Education: (If you are attending school at present, please state what examination courses you are following. If you have left school, please list the qualifications you obtained.)Details of Higher Education:Institution attended (or being attended): Dates: Course(s) followed (or being followed): Dates: Qualifications obtained (or being sought): Dates: Section 3: Organ StudiesFor how long have you studied? Details of your current organ teacher:Name of Teacher: Teacher’s Address: Teacher’s Telephone: Details of your most recent music examination:Grade: Mark/Percentage: Examination Board: Date of Examination: Section 4: Additional InformationOther information relevant to your musical education and experience: (ie, other instruments played, participation in choirs, diplomas obtained, posts held, etc.)‘Oundle for Organists’ course applied for: Other Music Bursaries: Are you applying for any other financial assistance for this course? If so, please state the amount you are seeking and the name and contact telephone number of the funding body. Are you a (student) member of the Royal College of Organists? Yes No Section 5: Reference Please ensure that this bursary application is accompanied by your course application which must enclose a letter of reference from your organ teacher. Applicants should send an accompanying email explaining the financial circumstances of the family as far as they have a bearing on the application. The email may be written by the applicant or by a parent, guardian or teacher. Any information given in this connection will be treated in confidence. Powered By ChronoForms - ChronoEngine.com