samyo application form 2012

8/3/2019 Samyo Application Form 2012

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Samyo Application Form 2012 1

The National Indian Music Youth Orchestra

APPLICATION FORM 2012

Before you start, please read the Information for Applicants provided. Fill in all sections. Any

additional information attached on separate sheets must be clearly marked with your name.

Application Checklist:

CD/Cassette with music sample OR recorded sample sent [email protected] All sections of the form filled in correctly Signed by parent/guardian & teacher Personal ID: e.g. Copy of passport / birth certificate

1) Personal Details

2) Musical Information

Name: Date of Birth:

Address: Tel:

Email: Mobile:

Please tell us about the instruments that you play:

Main Instrument Number of years played

Additional Instruments Number of years played

Where have you learned to play your instruments?

Name(s) & Address (es) of Teachers/Schools
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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3) Experience & Achievements

4) Musical Interest

Experience:

What styles of music have you been trained in? Please tell us as about the different genres that you can play.

Achievements:

Use this section to tell us about your musical achievements. You might have completed your arangetram, won prizes or

achieved a certain level of skill. Provide details of Dates & Locations.

Performances:Have you appeared in concerts or other performances? If so, please provide details.

What other kinds of music/instruments are you interested in?

Please provide details of both South Asian and Western music interests.


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Equal Opportunities Monitoring Form

Milap Festival Trust strives to operate a policy of equal opportunity and not discriminate against any

person. To help us monitor our effectiveness as an equal opportunities organisation, please provide the

details below by ticking the appropriate boxes. This information will only be used for this purpose.

Application For:

Gender

I am: male female

Age: DATE OF BIRTH: (dd/mm//yyyy) -

21 30 31 40 41 50 51 65 Over 65

Disability

Do you consider yourself to have a disability? Yes/ No *If Yes, Are you registered disabled? Yes/ No *

Please give details about your disability below:

Ethnic Origin & Cultural Background

How would you describe your ethnic origin?

White Mixed

English Mixed English/ Scottish/ Welsh *

Irish White & Black Caribbean

Scottish White & Black African

Welsh White & Asian

Any other White background, please specify: Any other Mixed background, please specify:

Asian

Asian English/ Scottish/ Welsh * Black English/ Scottish/ Welsh *

Indian Caribbean

Pakistani African

Bangladeshi Any other Black background, please specify:

Any other Asian background, please specify:

Chinese

Chinese English/ Scottish/ Welsh *

Chinese

Any other background, please specify:

* Please delete as appropriate

Use this sheet if required.

samyo application form 2012

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