One Day In January Scholarship Application

2022 One Day In January Scholarship Application Form

Application Deadline - October 1, 2021
Wominjeka (Welcome)!

We are glad to receive your application for the One Day In January Scholarship. Please read and follow the instructions carefully prior to submitting your application. If your scholarship application is successful you will be notified by October 15, 2021. Scroll through the questions to get an idea of what is required and then enter your answers.

Image of Allara Briggs Pattison by Aaron Schuppan
Read and Understand the instructions. *

Yes, I have
I. Personal Data:

Tell us about yourself
Full Name *

First Name Last Name
Which instrument do you play?
For how many years have you studied this instrument? *
Do you currently participate in any of the following ensembles?

School Orchestra Local Youth Orchestra State Youth Orchestra Other- you can name them below
What other ensemble/s do you play in?
Birthdate: *

Day Month Year
Mobile No. : *

Country Code eg +61 for Australia Mobile Number
Parent Mobile (required if under 18 yrs)

Country Code eg +61 for Australia Mobile Number
Applicant E-mail : *
Where the confirmation will be send to
Parent Email. (required if under 18 yrs)
example@example.com
Parent's name
Home Address : *

Street Address

Street Address Line 2

City State

Post Code Country
Gender:

Female Male Gender neutral
Identify one or more *

I am Aboriginal I am Torres Strait Islander I am both
II. ATSI LIFE:

Tell us about your connection to CULTURE
Your Traditional Language Group (if known)
Traditional Language Group of community where you live. *
Please tell us how you are involved in your local ATSI community (Check any that apply) *

Traditional Dance Group Art or Music Program Traditional Language Classes Community Sporting Team Other
We know there are many ways to participate in ATSI communities. If you selected OTHER in the list above write a few words about how you participate in the ATSI community where you live?

0/300
III. Education:
Are you in High School? *

Yes No
Name of School
What year group are you in right now?
When you finish High School do you plan to study music at a University or other Tertiary Institute?

Yes No Not sure Not applicable
Are you at University *

Yes No
Name of University
Name of Degree
Year
Have you completed AMEB practical exams on this instrument?

Yes No
What was your most recent AMEB exam level?
AMusA or Higher
What Grade did you achieve?
IV. Extras:
In addition to this scholarship, would you like to be considered for ongoing opportunities with Ensemble Dutala and Short Black Opera?

Yes No
V. Tell us what music means to you
Your say:

0/500
Upload your 5 minute RECORDED AUDITION *
VI. Let's make sure you have completed everything
Have you created and attached your AUDITION VIDEO *

Yes No
Have you answered all questions marked with an asterisk? *

Yes No
VII. Applicant's E-Signature
By typing your legal name in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
Should be Empty:

2022 One Day In January Scholarship Application Form

I. Personal Data:

II. ATSI LIFE:

III. Education:

IV. Extras:

V. Tell us what music means to you

VI. Let's make sure you have completed everything

VII. Applicant's E-Signature