Scholarship Application for a Music Scholarship 2018 for boys entering Years 7 and above in 2019 * Indicates required field Family Name of Applicant * First Name(s) * Date of Birth * Parent 1 * Parent 2 Contact email address * (Email will be the method of contact so please ensure the address is active and correct. Please regularly check your junk mail folder.) Residential Address * Contact telephone number * School attending in 2018 * Year Level at school in 2018 * Is the applicant receiving a scholarship at his current school? * YesNo Brothers attending CGS * YesNo Music details Principal Instrument * Other Instrument Other Instrument Level Attained * Level Attained Level Attained Years Learning * Years Learning Years Learning Teacher's name * Teacher's name Teacher's name Teacher's phone number * Teacher's phone number Teacher's phone number Teacher's email address * Teacher's email address Teacher's email address Results of latest music examination (if applicable) * Ensemble & Choral experience Have you also applied for an Academic Scholarship? * YesNo Please note the following conditions : The closing date for applications is Wednesday 31 January 2018 and late applications will not be accepted Detailed information about this scholarship is available here on the school’s website. The school receives a large number of applications and it is not possible to audition all applicants. The Director of Music will select candidates for audition based on the completed application form. Applicants are asked not to send any further information unless they are requested to do so. Boys selected for the audition will be contacted by email or telephone and given details of the audition which occurs on Tuesday 6, Wednesday 7 and Thursday 8 February 2018. Those selected for audition who do not currently attend CGS will also be given further details by email on or about Thursday 1 February 2018 of an academic test on Saturday 10 February 2018 which is an additional requirement to the audition. Those applicants not selected for audition will also be notified by email. There is no charge for this application but if the applicant is chosen for a music audition then he may be required to sit an academic test at the cost of $105. All applicants will be sent an email acknowledging receipt of this application. If you do not receive this then contact the Registrar's Office at the school on 9835-1777. I confirm that I have read and understood Camberwell Grammar School's conditions as well as the Privacy Act Notice. PRIVACY ACT NOTICE The personal information on the following pages is collected by Camberwell Grammar School in order to process an application for a Scholarship. This information is used to assess an applicant's suitability for a scholarship, as well as to give the school the ability to contact you for the purposes of disseminating information regarding the school and the scholarship. If we do not obtain this information we will not be able to process the application. The information provided on this form will be used by the school to contact those families who are to be invited for an interview and to whom an initial offer of a scholarship may be made. The information will be kept by Camberwell Grammar School until the end of the year in which the applications are submitted, at which time it will be destroyed or permanently de-identified. Parents may seek access to the information by contacting Camberwell Grammar School on 9835-1777. All information remains confidential and will not be used for any other purposes.