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					HELP WITH CROYDON MUSIC AND ARTS FEES
To apply for help with fees please complete this form in BLOCK CAPITALS and send to:
Croydon Music and Arts, Ashburton Learning Village, Shirley Road, Croydon CR9 7AL


Pupil’s Name: _____________________________________________________________________


Pupil’s School: ____________________________________________________________________


Music Centre Ensemble (if applicable): _________________________________________________
Please tick one of the options below

I wish to apply for a subsidy of 80% as my child is eligible for Free School Meals because I receive:
    Income Support
(please enclose copy of award note or cover and first 2 pages of your benefit book)
    Income Based Jobseekers Allowance
(please enclose copy of whole award note)
    Support under Part VI of the Immigration and Asylum Act 1999
(please enclose copy of award note)
    Child Tax Credit, but not Working Tax Credit, and have an annual income below £15,575
(please enclose copy of award note)

    My child is not eligible for Free School Meals, but I wish to apply for help with Croydon Music and
Arts fees because:
(We are required to contact your child’s Headteacher to support the application)

_________________________________________________________________________________


_________________________________________________________________________________


_________________________________________________________________________________


_________________________________________________________________________________


_________________________________________________________________________________
(please enclose covering letter if you need more space)

Signature of Parent / Carer: __________________________________Date: ___________________
Fee remission will be reviewed annually. If your circumstances change during the year it is your
responsibility to inform Croydon Music and Arts.
               Please remember to enclose photocopies of your documents.
                  We will need them in order to process your application.

				
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posted:9/17/2012
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