Application Form for Bursary Funding for the Musicability Access Programme

CONFIDENTIAL. PLEASE COMPLETE THE FOLLOWING INFORMATION:

1) Applicant’s / Child’s Name and Date of Birth

Name

Date of Birth:

APPLICANT/CHILD TO ANSWER

2) Why Do You Want to Learn A String Instrument? I want to learn to play because....

Signed:

Date:

PARENT/CARER AND/OR SPONSOR TO ANSWER – Only one person needs to complete

3) Why would you like your child to play a string instrument?

4) What are the financial reasons for this bursary request, and what evidence could you provide to support your application?

TO I bursary

Signed Parent /Carer or Sponsor*:

A ‘sponsor’ could be a parent or another relation and if not a family member would need to be a responsible adult employed by an institution with DBS checks in place. *Please indicate your role in relation to the child i.e. school T.A; social worker etc

Date: