BRIDGES FOR MUSIC SCHOLARSHIP APPLICATION FORM
Email address *
SECTION 1: ESSAY *
1) Please write a 1000 word reflective on why you are the deserved recipient of the Bridges For Music Scholarship. In the essay tell us more about yourself and interests. 2) Should you be awarded the Scholarship what would it mean to you. 3) What do you know about Bridges for Music?
Your answer
SECTION 2: APPLICANT DETAILS *
Surname:
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Course applying for: *
Your answer
Name: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Age: *
Your answer
Home Address: *
Your answer
Home Language: *
Your answer
South African ID Number: *
Your answer
Home Number
Your answer
Cell Number: *
Your answer
Alternative Number:
Your answer
Sex: *
PARENT/SPOUSE/GUARDIAN/FAMILY MEMBER DETAILS:
Include full name (Mr, Mrs, Miss, Ms) Relationship to you, Home Phone and Cell Number
Your answer
SECTION 3: HIGH SCHOOL DETAILS *
School Name:
Your answer
Year Matriculated: *
If Matric not completed, last grade passed?
Your answer
TERTIARY EDUCATION: *
Did you study after Matric?
If yes, please give details of the programme, how many years you completed, year of graduation, etc.:
Your answer
Graduated / Completed *
SECTION 4: FINANCIAL STATUS *
Monthly household income:
Number of household members: *
Monthly household income:
Your answer
Are you currently responsible for supporting anyone financially (family members, children etc.): *
If yes, how many:
Your answer
SECTION 5: SKILLS *
How would you rate your skills in the following areas?
Computer Skills: *
Please indicate what level of computer literacy you are from 1 – 10:
Poor
Excellent
SECTION 6: CURRENT ACTIVITY *
Please indicate what you are currently doing,working/ studying? Please provide further details such as the organisation or institute as well as how long you have been there:
Your answer
SECTION 7: REFERENCES (Include the names of two people, who we can contact as a reference for you. References should not be family members or from more than 5 years ago) *
Reference 1) Full name
Your answer
Organisation name and their position: *
Your answer
Email address: *
Your answer
Contact number: *
Your answer
Reference 2: Full Name *
Your answer
Organisation name and their position: *
Your answer
Email address: *
Your answer
Contact number: *
Your answer
Subscribed to Bridges For Music news:
If you would like to be kept up to date with our scholarship program and other Bridges For Music news please tick the box:
STATEMENT OF INTEGRITY *
I hereby certify that I have provided accurate information in this application. I understand and agree that any misrepresentation or omission of facts in my application will justify the denial of admission, the cancellation of admission, or expulsion.
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