Application Form 1

Student's Name*

First Last

Date of Birth

Current school year

Address*

Street Address City County / State / Region Postcode

Phone*

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

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

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*

Please describe your ethnic group

Date

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.

Students' Application Form

Parent/Carer

Details of instruments to be studied

School

What is your ethnic group? Choose one option that best describes your ethnic group or background and tick the box

Collection and use of your data:

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