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Students’ Application Form
Yorkshire Young Musicians Application form
"
*
" indicates required fields
Student's Name
*
First
Last
Date of Birth
DD slash MM slash YYYY
Current school year
Address
*
Street Address
City
County / State / Region
Postcode
Phone
*
Email
Parent/Carer
Name
*
First
Last
Phone
*
Phone (alternative)
Email
*
Details of instruments to be studied
Main Instrument / voice
How long have you been studying?
Last examination taken (if any) - date
DD slash MM slash YYYY
Grade
Result
Name of instrument / voice teacher
*
First
Last
Teacher email (if known)
Second Instrument / voice
How long have you been studying?
Last examination taken (if any) - date
DD slash MM slash YYYY
Grade
School
School attended by student
*
Give details of any ensembles, orchestras etc with which you currently play
*
How did you hear about YYM?
What is your ethnic group? Choose one option that best describes your ethnic group or background and tick the box
Please tick a box that is appropriate
*
1. English / Welsh / Scottish / Northern Irish / British
2. Irish
4. Any other White background, please describe in the box below
5. White and Black Caribbean
6. White and Black African
7. White and Asian
8. Any other Mixed / Multiple ethnic background, please describe in box below
9. Indian
10. Pakistani
11. Bangladeshi
12. Chinese
13. Any other Asian background, please describe in box below
14. African
15. Caribbean
16. Any other Black / African / Caribbean background, please describe in the box below
17. Arab
18. Any other ethnic group, please describe in the box below
19. Prefer not to say
Please describe your ethnic group
Consent
*
I the parent or carer of the above child approve this application and understand that it does not guarantee the applicant a place
Date
DD slash MM slash YYYY
Collection and use of your data:
Please ensure you notify the YYM office of any change in your personal information Records may be written down (manual records) or held on a computer (electronic record). The records may include: Basic details about you, such as address and contact details. Notes and reports about your music education whilst at YYM Administrative and teaching staff who have access to your personal information use it to provide a good basis for your music education at YYM.
Consent
*
I agree to the privacy policy.
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