T: 020 7239 9119 Awards and Professional Development

Young Talent Awards

Application Form 2010
Please refer to the guidelines before completng. In order to save data that you have typed into this form you will
need Adobe Acrobat Reader version 8 or higher, available free from www.adobe.com.
Grade of your most recent exam (if applicable)
If you havent taken any exams, please tell us what youve done that shows you are an outstanding musician
Forename Surname Date of birth Age
Address E-mail
Telephone
Mobile Postcode
Natonality Date of arrival in UK
Name of school / college where you receive full-tme
educaton
Instrument/voice type you are applying for funding for
1/3
What result did you achieve?
Are you due to take another exam soon? If yes, please provide the date and grade
What style of music do you play (e.g. Classical, rock, jazz)?
DANIEL LLOYD-JONES 02FEB97 13
46 INNES GARDENS, LONDON paola_rava@hotmail.com
07984 716 850
SW15 3AB 07984 716 850
BRITISH WIMBLEDON COLLEGE
TROMBONE SEVERAL STYLES (JAZZ, FILM MUSIC, ETC)
5
GRADE 6, 20TH JULY 2010
T: 020 7239 9119 Awards and Professional Development
Please list your current musical actvites (e.g. Orchestras, choirs, bands, concerts, compettons, tours)
What are you applying for an award for?
Please provide details of the costs involved (clearly statng whether these are one-of, weekly, termly or annual)
Young Talent Awards
Application Form 2010
2/2
Please list any other funding bodies you have approached and amounts raised
First parent or guardians annual, gross salary
Child beneft (per year)
Income support (per year)
Housing beneft (per year)
Other
Second parent or guardians annual, gross salary
Total Household income (per year) Please state details of other, e.g. Pension, dividends etc
Please enter fgures only in the boxes below, unless otherwise stated
PLAY REGULARLY IN WANDSWARTH 51ST STATE BAND .PARTECIPATED AT TWO CONCERT AT ROYAL FESTIVAL HALL AND TWO
CONCERT AT PUTNEY THEATRE, PUTNEY

Private lessons
DO NOT KNOW
20,000.00
1,040.00
0.00
0 21,040.00
T: 020 7239 9119 Awards and Professional Development
How many dependants at school or full-tme university/college are there in your household, including the applicant?
Please list names and ages
Please email the completed applicaton form to youngtalent@mbf.org.uk, or post to:
Young Talent Awards, Musicians Benevolent Fund, 7-11 Britannia Street, London, WC1X 9JS
We are unable to acknowledge receipt of applicatons.
Parent or guardians signature/name Date
Young Talent Awards
Application Form 2010
3/3
A reference from your music teacher will be needed to support your applicaton. This reference must relate specifcally
to the instrument for which you are applying for funding. It is your responsibility to contact your teacher and ask them
to complete the reference form. Please provide details of your teacher.
Where do your music lessons take place (e.g. Privately, at school, at a Saturday centre)?
Name of teacher Teachers email Teachers phone
DECLARATION BY PARENT OR GUARDIAN
The Musicians Benevolent Fund will use all of the informaton on this applicaton form to help determine the applicants
eligibility for assistance and other related purposes. If you have provided personal data, for example fnancial informaton,
we will only use this data in order to determine your needs. By providing this informaton you are giving your explicit
consent to its use for this purpose. All informaton will remain with the Musicians Benevolent Fund and will not be
passed to any third party. This is covered by the data Protecton Act 1998. By signing this form you confrm that you
have understood this.
I certfy that the informaton given on this form is truthful and accurate to the best of my knowledge.
Where did you hear about the Musicians Benevolent Fund?
If you atend a Saturday centre, please tell us which one



Please select
ST STEPHEN CHURCH, PUTNEY EVERY THU, WHEN DANIEL PLAYS IN THE BAND
SAHANA GERO
sahana@worldheartbeat.org 07973 631 203
PAOLA RAVA 11 JUNE 2010