The Rock Academy Scholarship Application Form
Please complete all of the following details:
Applicant's First Name *
Who the scholarship is being applied for
Your answer
Applicant's Last Name *
Who the scholarship is being applied for
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Applicant's Full Home Address: *
Your answer
Postcode: *
Your answer
Applicant's Home/Contact Telephone Number: *
Your answer
Applicant's Current School / College
Your answer
Surname of Parent Applying for Scholarship if different from Student to benefit:
Your answer
Parent / Guardian First Name *
Your answer
Relationship to Member *
Parent / Guardian Mobile Number *
Your answer
Parent / Guardian Email Address *
Your answer
2. Funding Requirement Option (please select one from the options below): *
If you selected Option 1 (Financial) please complete the following: *
What is the total net (before tax) income of your family and individual per year?
Your answer
Do you currently receive any tax credits or income support/benefits? *
If yes, please provide details:
Your answer
What is the make-up of the applicant's family? *
3. Please let us know the student's musical capability: *
Main Instrument
Level *
Grades Achieved
4. Is this your first application or have you ever applied for a bursary previously: *
Which Rock Academy Foundation services are you requesting assistance for: *
Required
Please let us know the amount of funding you require:
If you are able to contribute to costs, please let us know how much and the period (per week/month/term):
Your answer
Why do you want/need this Scholarship? *
In 500 words or less please tell us about yourself, your future plans, why you have chosen to apply for a scholarship at The Rock Academy, and why you merit the scholarship. Please think about: musical or academic experience, personal experience or adverse circumstances, financial disadvantages, or overcoming physical or other disabilities.
Your answer
5. Are you willing to contribute time to support The Rock Academy Foundation in anyway? *
Required
I hereby declare that the information I have given on this form is true, accurate and complete to the best of my knowledge. *
INFORMATION:
There may be a short/informal interview on successful applications. Please let us know the best way to contact you:
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