School Music Program at the | Central Coast Conservatorium

2023 Schools Scholarship Form

Application for Central Coast Conservatorium of Music's 2023 Schools Scholarship

Student Name(Required)

First Last

Email(Required)

Student Date of Birth(Required)

Primary Carer/Guardian Contact Name(Required)

Primary Carer/Guardian Phone Number(Required)

Primary Home Address

Secondary Carer/Guardian Contact Name

Secondary Parent Phone Number

Secondary Parent Email

Does the student have any allergies? If so, please detail

What instrument will the student be auditioning on?

How many years has the student been playing this instrument?

What school does the student attend?

What year is the student currently in at school?

Name of current band/instrumental teacher

I acknowledge that I understand and accept the requirements and criteria for these scholarships as set out on the website and in the Schools Scholarship program application information document.

Yes

Consent

I agree to receive emails from Central Coast Conservatorium of Music about student news and events

2023 Schools Scholarship Form

Address

Contact Number

Opening Hours

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