Awards Application

EMS Awards & Scholarships Application

Please use the application form below to apply for the relevant EMS Award(s). Submit one application per pupil, per award.

AWARD APPLICATION

Name of Award

STUDENT/SCHOLAR DETAILS

Forename

Surname

Date of Birth

Age on 01/09/2020

Gender

Ethnicity

(These are based on the Census 2001 categories, and are listed alphabetically)

School/College/University attended or place of work

Is this school in Ealing

Current School Year

APPLICANT DETAILS

(Nominator where the Student/Scholar is under 18)

Name of Applicant

Affiliation to Student

Is the applicant resident in the London Borough of Ealing?

Is the applicant currently in part-time or full-time employment?

Has the applicant previously applied for an award through Ealing Music Service on behalf of the student/scholar?

Contact Number

Email Address

UPLOADS

Please upload any required files here e.g. Audio or Video Recording, Lyric Sheet, Teacher Report etc. Leave blank if N/A.

File Descriptor 1

File Descriptor 2

File Descriptor 3

MUSICAL EXPERIENCE & INFORMATION (INSTRUMENT)

Instrument

How long has the student been learning the instrument?

Current level of attainment

Last Grade exam passed and result

Organisation/school/location where the student is taught/sings

Does the student have small group, paired or individual lessons?

Please give a short summary of any relevant musical experience the student has, aspirations and influences

SUPPORTING STATEMENT

EQUAL OPPORTUNITIES MONITORING

Is the student eligible for pupil premium or free school meals?

Is the student in full time education or working?

Does the student or applicant have any special requirements that need to be taken into account regarding any aspect of the application?

Declaration

I have read the eligibility criteria and believe the information given above to be correct.

If you wish to go back to the Awards section to view the Terms & Conditions before submitting, please CLICK HERE.

Please note that awards & scholarships are limited and each application will be considered separately by Alexandra Buckle, Assistant Head of Service.