EMS103e – New and Ad hoc Provision Request

This form is for schools to request music provision (small group, individual or ensembles) provided by Ealing Music Service (EMS) tutors or to request extra ad hoc contact hours for current tutors (i.e. concerts). Spark! (Whole Class Ensemble Tuition) provision must be requested here.

This form must be completed by an authorised school signatory.

  • School Details
  • Details of provision
  • Weekly Tuition
  • Spark!/WCET must be requested using a separate form found here. Please DO NOT complete this form.
  • Provision will be charged for 30 weeks at the current hourly charge (2018/19 Small Group: £36, Ensemble/Choir: £41 per hour)
  • When could you host this provision? (please tick as many as possible)
  •   Monday 8-9am
      Monday 9am-12pm
      Monday 12-1pm
      Monday 1-3pm
      Monday 3-5pm
      Tuesday 8-9am
      Tuesday 9am-12pm
      Tuesday 12-1pm
      Tuesday 1-3pm
      Tuesday 3-5pm
      Wednesday 8-9am
      Wednesday 9am-12pm
      Wednesday 12-1pm
      Wednesday 1-3pm
      Wednesday 3-5pm
      Thursday 8-9am
      Thursday 9am-12pm
      Thursday 12-1pm
      Thursday 1-3pm
      Thursday 3-5pm
      Friday 8-9am
      Friday 9am-12pm
      Friday 12-1pm
      Friday 1-3pm
      Friday 3-5pm
  • When would you like the new provision to start? (this can not be guaranteed)
  • Ad hoc provision request
  • Provision will be charged at the current hourly charge (2018/19 Small Group: £36, Ensemble/Choir: £41 per hour)

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