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APPLICATION FORM - Royal Welsh College of Music & Drama

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COMMUNITY PROGRAMME: MUSIC LESSONS<br />

Application Form<br />

Please complete this form and send it, with a cheque for the relevant fee (see below)<br />

made payable to ‘RWCMD’ to: Junior Conservatoire, <strong>Royal</strong> <strong>Welsh</strong> <strong>College</strong> <strong>of</strong> <strong>Music</strong> &<br />

<strong>Drama</strong>, Castle Grounds, Cathays Park, Cardiff, CF10 3ER<br />

We will write to confirm receipt <strong>of</strong> your application, and contact you normally within 6<br />

weeks with details <strong>of</strong> your audition date and time.<br />

Surname:…………………………………………………………………………………………………<br />

First Name(s):……………………………………………………………………………………………<br />

Date <strong>of</strong> birth:.............…Age (as at 1 st September <strong>of</strong> calendar year <strong>of</strong> application)……………..<br />

(if applicant is under 18)<br />

Contact details given below should relate to parent / carer if applicant is under 18<br />

Address for all communications:<br />

…………….………………………………………………………………………………………………<br />

…………….………………………………………………………………………………………………<br />

County:………………………………….....…… Postcode:………….......................…....……..….<br />

Home tel number:……………………….....…. Mobile number:………………….....….....…….…<br />

Email address:…………………….................. Emergency contact number:………......…....…..<br />

Full names <strong>of</strong> Parents/Carers:……………………………………………………………………..…<br />

(if applicant is under 18)<br />

The audition fee for Community Programme: <strong>Music</strong> Lessons is £30.<br />

I enclose a cheque for £30 made payable to RWCMD with this form.<br />

If in full-time education:<br />

Name <strong>of</strong> School/<strong>College</strong>:<br />

……………………………………………………………………………………………………………<br />

School Year (as at 1 st September <strong>of</strong> calendar year <strong>of</strong> application): ……………………………..


Important Information:<br />

Do you have a disability or any special needs? (please specify)<br />

.....................................................................................................................................................<br />

.....................................................................................................................................................<br />

Do you have any special requirements? (please specify<br />

.....................................................................................................................................................<br />

.....................................................................................................................................................<br />

What Principal Study/Voice are you auditioning on? ……………..................…………….…<br />

Please tell us about your experience so far:<br />

Tick this box if you are a beginner: <br />

Grade achieved:………………… Mark:………… Date passed:.....…………<br />

When did you start learning this instrument?..................................................<br />

Name <strong>of</strong> current teacher:………………………………………………………..….<br />

Do you require a <strong>College</strong> accompanist for your audition? Yes/No<br />

MUSIC THEORY:<br />

Grade achieved:………………… Mark:………… Date passed:.....…………<br />

GCSE / AS / A LEVEL MUSIC (if applicable):<br />

Grade achieved:………………… Mark:………… Date passed:.....…………<br />

Under the Data Protection Act 1998, I give my consent to the storage and processing <strong>of</strong> the<br />

above information for academic and administrative purposes. (please delete as appropriate)<br />

NB If you leave do not indicate your preference we will assume consent<br />

Yes/No<br />

Signed by applicant and Parent/Carer if under 18:<br />

…………………………………………………………………………………………………………..<br />

Date:……………………………………………………………………………………………………..<br />

For Office Use only:<br />

Received: Fee Paid: Receipt Number:<br />

Date <strong>of</strong> Audition: Result: Date <strong>of</strong> Entry:

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