GWS Public Schools Concert Band 2022
The Greater Western Sydney Public Schools Concert Band is an ensemble program opportunity which aims to extend the skills of musicians in Years 4 to 12 who attend NSW public schools. More information on the program can be found at https://artsunit.nsw.edu.au/local-arts-programs/metropolitan-north/pulse-concert-band.

Please note, in addition to this form,  the PARENT PERMISSION FORM (bit.ly/PPFcb22), PUBLICITY FORM (bit.ly/PUBcb22) and SCHOOL ENDORSEMENT FORM (bit.ly/SEFcb22) must be completed and submitted to the email address indicated on the forms.

APPLICATIONS EXTENDED TO FRIDAY 3 JUNE 2022.

For further information, please contact the concert band director Richard Sandham at Richard.Sandham@det.nsw.edu.au.
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Email *
Student first name *
Student surname *
Student gender *
Student date of birth *
MM
/
DD
/
YYYY
Instrument/s played *
Required
Experience *
Please provide some information on your experience playing the above instrument/s - eg. when did you start playing, what ensembles have you played with, have you completed any exams (AMEB/Trinity/etc). Do you have any other informaiton about your playing you would like to share?
Instrumental Tutor name *
This should be your main instrumental teacher. If you have submitted for more than one instrument and have different tutors for each instrument, please list all appropriate instrumental tutors.
Instrumental Tutor email address *
The GWSPS Concert Band team may contact your instrumental tutor as part of the selection process.
Student home street address *
Student home suburb *
Student home postcode *
Student home phone
(if applicable)
Student mobile
(if applicable)
Student contact email *
School *
Student Year 2022 *
Student Shirt Size *
Name of school contact teacher
This should be a classroom teacher or executive staff member at your school who has responsibility for music and/or performing arts programs.
Name of school principal
Parent first name *
Parent surname *
Parent mobile *
Parent email *
Parent relationship to student *
Additional parent first name
(optional)
Additional parent surname
(optional)
Additional parent mobile
(optional)
Additional parent email
(optional)
Additional parent relationship to student *
(optional
Student Medicare card number *
Please include position on card
Private medical insurance information
(if applicable)
My child has the following special needs or medical conditions: *
If none, please write N/A
My child has the following allergies: *
If none, please write N/A
My child has an Anaphylaxis and/or Asthma Action Plan *
If your answer to this question is yes, a copy of the action plan MUST be directly emailed to the ensemble coordinator (Richard.Sandham@det.nsw.edu.au) on submission of this application.
My child currently takes the following medication (please provide as much detail as possible): *
If none, please write N/A
Emergency contact information
Please provide information of TWO emergency contacts who are not listed in parent section of this application. Please indicate their name, contact details and relationship to the child.
Audition video link/s *
Please copy and paste the link/s to your audition video/s here. Audition requirements can be found at https://artsunit.nsw.edu.au/local-arts-programs/metropolitan-north/pulse-concert-band.
Application Agreement *
Please ensure all boxes are ticked prior to submitting.
Required
A copy of your responses will be emailed to the address you provided.
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