The Rock Academy Scholarship Application Form
Please complete all of the following details:
Applicant's First Name *
Who the scholarship is being applied for
Applicant's Last Name *
Who the scholarship is being applied for
Gender *
Date of Birth *
Applicant's Full Home Address: *
Postcode: *
Applicant's Home/Contact Telephone Number: *
Applicant's Current School / College
Surname of Parent Applying for Scholarship if different from Student to benefit:
Parent / Guardian First Name *
Relationship to Member *
Parent / Guardian Mobile Number *
Parent / Guardian Email Address *
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?
Do you currently receive any tax credits or income support/benefits? *
If yes, please provide details:
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: *
Please let us know the amount of funding you require:
Clear selection
If you are able to contribute to costs, please let us know how much and the period (per week/month/term):
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.
5. Are you willing to contribute time to support The Rock Academy Foundation in anyway? *
I hereby declare that the information I have given on this form is true, accurate and complete to the best of my knowledge. *
There may be a short/informal interview on successful applications. Please let us know the best way to contact you:
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