Date application received (for internal use only):		
Learner’s Reference Number (for internal use only):		

Application for ‘The Arcoleo Music Bursary’ 2023-24

Applications should be submitted to Mr Hampson or the Office (see end of form)	

Did you receive the Arcoleo Bursary for 2022/23?
	
Yes	

	
No	

	

Learner’s Legal Surname:	

Learner’s Legal First Names:	

Date of Birth:		YEAR: 		Instrument:  	

Home Address:

	
Postcode:
	
SCHOOL EMAIL ADDRESS : 	

The Bursary funding is designed to support students who might otherwise have financial barriers to music education specifically 1-2-1 specialist instrumental/ vocal tuition.
The Bursary is to cover 50% of the cost of 1-2-1 weekly 30-minute instrumental lessons for one academic year. 
Applications for the Bursary will be considered by the Head of Music and a panel made up of senior leadership and a governor. 
The Bursary will be reviewed termly to ensure the recipient is attending their lessons and making good progress. Unexplained poor attendance may result in the funding being withdrawn

We encourage eligible students to apply to the fund, and application can be made at any point in the year if their family circumstances change. 

In the space provided below please explain how the above-named student would benefit from 1-2-1 instrumental lessons and their interest/ commitment to music education:

 

Financial Assessment:	
This section MUST be completed by the student’s Parent(s)/Carer	

Name of 
Parent/Carer 1:	Name of 
Parent/Carer 2:	
Occupation of 
Parent/Carer 1:	Occupation of 
Parent/Carer 2:	
		
Number of dependent children living permanently within the household		

Insert proof of receipt of Child Allowance here. Eg. Bank statement

DECLARATION :	
Assessment Declaration:

Please read the following declaration, your application will not be assessed unless you sign and date.

•	I declare that all the information given on this form is to the best of my knowledge correct in every respect and I UNDERTAKE to inform the Head of Music of any changes in the particulars given concerning my circumstances.

•	Frome College is under a duty to protect the public funds it administers and to this end may use information you have provided on this form within this authority for the prevention and detection of fraud.  It may also share this information with other bodies administering public funds solely for these purposes.

•	If you knowingly provide misleading or false information, you may be liable to prosecution.

•	Upon receiving the Bursary the recipient student will do their best to attend all of their Instrumental/ Vocal lessons and in the event of sickness contact the relevant Instrumental/ vocal teacher as soon as possible

•	Upon receiving the Bursary the recipient student will regularly undertake practice in their instrument so they make good progress

•	Upon receiving the Bursary the recipient student will regularly attend musical ensembles relevant to their instrument (eg. If receiving vocal lessons the student attends choir). 

Signed: (Parent/Carer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   Date:   . . . . . . . . . . . . . . 

Full Name (in block capitals):   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signed: (Student)            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   Date:   . . . . . . . . . . . . . 

Please return by email to msymes@fromecollege.org
 or post to 
 Music Dept. Frome College, Bath Road, Frome. Somerset. BA11 2HQ