PDMC Bursary Application Form

Bursaries may be awarded, at the discretion of a panel of the PDMC Trustees, for financial help with membership fees and/or the cost of instrumental lessons and other music opportunities.  Please use this form to apply.  If you would like more information about Bursaries please contact admin@pdmc.org.uk

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Parent/carer's name *
Parent/carer's home address *
Parent/carer's e-mail address and contact phone number *
Total number of dependents *
Name of the first child that you would like a Bursary for (Player 1) *
Player 1 age, instrument, instrument teacher and latest grade achieved (if any) *
If Player 1 has any additional needs please summarise below
Name of second child that you would like a Bursary for (Player 2) if applicable
Player 2 age, instrument, instrument teacher and latest grade achieved (if any)
If Player 2 has any additional needs please summarise below
Please tick the box/es below to indicate what you would like a Bursary for (please tick all that apply) *
Required
If you ticked the 'other opportunities' box above please explain below what you would like a Bursary towards
Please indicate if you are in receipt of any of the following benefits (tick all that apply). Please e-mail copies of any supporting documentation/evidence of receipt of benefits to admin@pdmc.org.uk
If you ticked 'other help with the cost of instrument lessons' or 'other means tested benefits' above, please provide brief details here
Please provide details of income and earnings from any other sources and tell us about your situation, including whether it is permanent or temporary (and if temporary the estimated duration).  Please e-mail supporting documentation and/or more detailed explanation to admin@pdmc.org.uk *
If you are applying for assistance with the cost of instrument lessons please provide the following details:
a) Instrument
b) Teacher
c) Lesson length and frequency
d) Individual or shared
e) Weekly cost of lessons
f) Brief details of any other subsidies received towards the cost of lessons
Please state below the proportion (if any) that you could afford to pay yourself towards the cost of the costs that you are applying for help with
I confirm that I have read and agreed to comply with the terms Terms of PDMC Bursaries (click the underlined words to read the document) *
Required
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