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Central Coast Conservatorium of Music Schools Scholarship Application
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Email
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Your email
Student Full Name
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Your answer
Student Date of Birth (DD/MM/YY)
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MM
/
DD
/
YYYY
Primary Parent /Guardian Contact Name:
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Your answer
Primary parent/guardian contact phone number:
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Your answer
Primary Home Address:
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Secondary parent/guardian name
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Your answer
Secondary parent contact phone number:
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Your answer
Secondary parent email:
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Your answer
Does the student have any allergies? If so please detail
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Your answer
What instrument will the student be auditioning on?
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Your answer
How many years has the student been learning this instrument?
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What school does the student attend?
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What year is the student in at school?
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Name of current band/ Instrumental Teacher?
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Please include the link/links to your video audition below:
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I acknowledge that I understand and accept the requirements and criteria for these scholarships as set out on the website and in the schools scholarship program application information document.
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