Before you start to fill in this form, please read the guidance

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Before you start to fill in this form, please read the guidance Powered By Docstoc
					Before you start to fill in this form, please read the guidance notes carefully.
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Applicant Details

       First name                                    Date of Birth


         Surname


            Email


           Phone:


          Address


            Town                                          County


         Postcode

           School


Parent/Guardian Information

        Full Name


           Phone:

I give permission for my son/daughter to
    apply for this bursary and I have read Signed:
     and understood the Guidance notes
Bursary Application Details

               First Instrument
             Second Instrument
                  (if applicable)


   How did you hear about the
              Music Bursary?




          Musical Experience

   Please provide details of the
 instruments you play and any
   music exam results or other
 indicators of the standard you
                 have reached.

  Then give details of how you
  have been involved in music
   until now. Include ensemble
 membership, chamber music,
        solo work and any other
     projects, both at school or
            college and beyond.

 If you require additional space
please securely attach no more
     than one extra page to this
                            form.




          Musical Aspirations

     Please explain your future
     plans for a career in music
Please explain FULLY what you
 intend to use the funds for, and
    how these funds will make a
         difference. (Please see
               Guidance Notes).

      For instrument purchase,
 please attach relevant supplier
                     estimates.




Supporting Statement


   Please explain why you think
  the applicant is in need of this
bursary (maximum 100 words)


 This should be completed by a
     parent/guardian or another
professional person who knows
                     your work
        Name


      Address


     Postcode


   Contact Tel

  Relationship
  to Applicant

     Signature

Including a Reference

                       Please fill in the Applicant Details section of the Reference Form
                       and give it to your music teacher (either from school, or a private
                       music teacher) or another professional person who knows your
                       work. This can be returned separately to the address below by
                       your referee.

Returning the Application Form

Please send your completed Application Form, to arrive by Friday 19 March 2010:


         By post or by hand to: Lindsay Orton
                                Creative Communities & Tourism Officer
                                Hinckley & Bosworth Borough Council
                                Council Offices
                                Argents Mead
                                Hinckley
                                Leics LE10 1BZ


                           Checklist (please tick)       Official Use Only
                  Completed reference enclosed           Date Received
                   OR to be returned separately          Application no.
                                                         Acknowledgment
           Any additional information attached
                                                         sent
                 Any relevant estimates attached         Shortlisted          Yes            No
                                                         Confirmation
                                                         received

				
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Description: Before you start to fill in this form, please read the guidance