/Music_Application_form_2012

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THE ENGLISH-SPEAKING UNION MUSIC SCHOLARSHIPS 2012 APPLICATION FORM DEADLINE DATE: FRIDAY 7 OCTOBER 2011 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 THURSDAY 3 NOVEMBER

Completed forms and references should be returned to: Jennifer Luk Education Programmes Coordinator English-Speaking Union, Dartmouth House 37 Charles Street, London W1J 5ED jenl@esu.org / +44 (0)207 529 1560 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: The ESU will be conducting only one day of auditions on Thursday 3 November at Dartmouth House, London. If successful, you will be assigned an audition time, which CANNOT BE CHANGED. Please note any times during the day that you will be UNABLE to attend an audition so we can best accommodate you: _________________________________________


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