Christine Brown Trust

Application form

Before you apply

Before applying, please confirm the following criteria apply to the applicant. If the following is not applicable, you will be ineligible to apply for funding.

I confirm the student is under 19 years of age I confirm the student is a UK resident I confirm the student is under financial hardship I confirm that the student has achieved a minimum of Grade 5 standard in at least one instrument (or voice)

All fields marked with an asterisk (*) are mandatory, although the more information you can provide, the better it will help your application.

Part 1 - Details of Student

First name *

Last name *

Gender *

Date of birth (DD/MM/YYYY) *

Statement in Support of Application (Maximum 150 words) *

Please tell us why you are making a request for funding. You should include the following information:

1) Why you are in financial need
2) What are you requesting funding for? (e.g. tuition fees, a music course or similar)
3) How much do you need? (please let us know the full cost of what you need. If we cannot meet the full amount, we might make a contribution towards it.)

Part 2 - contact details

Email address *

Telephone number *

Address (including postcode) *

Part 3 - applicant background

Main instrument *

Other instruments played

Give details of musical activities such as orchestras, choir, chamber music, solo concerts and busking

Are any of these activities fee earning? If so, give details

Music examinations taken *

Exam

Year (YYYY)

Grade

Result

Add more

Schools/colleges attended *

Name

Date Start (YYYY)

Date Finish (YYYY)

Add more

Academic examinations taken

Exam

Year (YYYY)

Grade

Add more

Give details of other interests including sports and hobbies *

Have you been accepted for further or higher education? *

Have you received any awards? *

If so, did you have any financial benefits? Please give details

Have you applied for financial support from any other source? If so, give details

Was your application successful? If so, how much did you receive?

Part 4 - applicant family

Parent/guardian 1 full name *

Parent/guardian 1 occupation *

Parent/guardian 2 full name

Parent/guardian 2 occupation

Number of siblings *

Age of siblings

Part 5 - supporting information

Please provide any relevant details of your financial situation that might support your application.

Other information

Part 6 - confirmation

Please confirm that you are either the applicant or the parent/guardian of the applicant, and that you have the consent to submit this application.

I am the applicant and I agree that I have the consent of my parent/guardian to submit my details I am the parent/guardian of the applicant and I consent to the submission of the applicant's details