EMS102e – Change of Provision Request

This form is for schools to request changes to their music provision provided by Ealing Music Service.

Complete one form per provision e.g. if schools wish to change two different provisions, two different requests must be submitted.

Please note the following:

  • Notice of one half-term is required for any changes to a provision.
  • Any requests must be in line with EMS Service Level Agreement and must be authorised by EMS before any changes are implemented.

School Details


Details of Current Provision

State using 24hr clock e.g. 13:00
Hours : Minutes

Mins


Details of Change Requested

What would you like to change?
Would you like to change anything else?
When would you like the changes to happen?
Have these changes been discussed and agreed with the EMS Tutor?