Music-application-form-2013

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ESU Music Scholarships Application form 2013 Closing date for applications: Friday 5 October, 2012 Please check you have: • • •

Enclosed a teacher’s reference (or ensured one is sent under a separate cover) Attached a passport sized photo Ensured you are available for auditions on Friday 2 November, 2012

Completed forms and references should be returned to: education@esu.org Music Scholarships Education Department The English-Speaking Union, Dartmouth House 37 Charles Street London W1J 5ED Personal Details Title: First Name:

Family Name:

Other names: Please indicate by which name you prefer to be known, by circling it Date of birth:

Gender:

Place of birth:

Nationality:

Home address: ______ Telephone number/mobile: Email: Term address:

Telephone number/mobile:


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