"ESU music scholarship"
THE ENGLISH - SPEAKING UNION MUSIC SCHOLARSHIPS 2011 APPLICATION FORM DEADLINE DATE: FRIDAY 22 OCTOBER 2010 The ESU will be conducting only one day of auditions on Thursday 25 November at Dartmouth House, London Please enclose a teacher’s reference or ensure one is sent under a separate cover. Applications will not be considered otherwise. Completed forms and references should be returned to: Gillian Parker Head of Education English-Speaking Union, Dartmouth House 37 Charles Street, London W1J 5ED firstname.lastname@example.org / +44 (0)207 529 1564 Personal Details Please attach a passport sized portrait photograph of yourself to the front sheet Title: First Name: Family Name: Other names: Please indicate by which name you prefer to be known, by circling it Date of birth: Gender: Place of birth: Nationality: Home address: Telephone number/mobile: Email: Term address: Telephone number/mobile: Education and Professional Training Name of School and Music College: Instrument: Name of Dates Qualifications obtained, year and grade / University, Membership of professional institutions Music College or other institution From To Public Appearances: Names of past/current teachers: Which music school would you prefer to attend? Please mark 1-5 (1 most preferred, 5 least preferred – please state ALL preferences): Acadèmie Internationale de Musique Ravel* Banff Centre for the Arts IMS Prussia Cove Tanglewood Music Centre Yale Summer School of Music (*Please note that applicants for the Ravel Scholarship must have a working knowledge of French) Personal statement All applicants must complete this section of the form Please give reasons, using approximately 50 words, why you have applied for a particular school: Please use the space below to explain, in no more than 400 words, how you think you would benefit from an ESU Music Scholarship and how the experience would help you in your current work and future ambitions and how you intend to use this on your return home. Travel Abroad Country Type of visit (e.g. holiday etc.) Dates From To Travel Expenses The ESU Music Scholarships are not able to provide for the cost of travel, insurance or visa costs. Applicants are encouraged to look elsewhere for such funding. Please include below details of how you might meet such expenses, i.e. university travel grant, private funding, sponsorship etc. Declaration I have read and understood the notes and conditions for applying for a scholarship to the ESU. I declare that the information given above is correct: Signature Date: