BCRMTA Victoria Branch Summer Bursaries Application Form (for instrumental studies only)
APPLICATION DEADLINE: June 1
This application will not be accepted if received after this date.
Student Information
Name
*
First Name
Last Name
Age
*
Birth Date
*
-
Month
-
Day
Year
School Grade
*
Primary Instrument
*
eg. piano, violin, flute, saxophone, clarinet etc.
Other Instruments
*
eg. piano, violin, flute, saxophone, clarinet etc.
Performance Level of Primary Instrument
*
Beginner
Year One
Year Two
Year Three
Prep A
Prep B
RCM Level 1
RCM Level 2
RCM Level 3
RCM Level 4
RCM Level 5
RCM Level 6
RCM Level 7
RCM Level 8
RCM Level 9
RCM Level 10
RCM ARCT
Other
Teacher's Name (Teacher must be a member of the BCRMTA)
*
First Name
Last Name
Summer Program Name
*
Eg. masterclasses, private lessons etc.
Have you been accepted to this institution?
*
yes
no
Musical Experience (Last five years ONLY)
Exam Experience (Practical and/or Theoretical)
Please list the exams taken and marks achieved.
*
Performance Experience
Please list your performance experience, such as festivals, recitals etc.
*
Musical Activities aside from your primary instrument
Please list your involvement in activities such as choirs, band, musical theatre, dance etc.
*
Non-musical Activities
Please list your regular activities that are not music related.
*
Contact Information
Student's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Contact Name
*
First and Last Name
Contact Email
*
example@example.com
Today's Date
*
-
Month
-
Day
Year
Date
Submit
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