Junior Conservatoire Application Form

Student's Details

First Name of Student

Surname of Student

Date of Birth

Date of Birth - DayDate of Birth - MonthDate of Birth - Year

Gender

Address

Postcode

Student Email

Student Phone Number

Parent or Guardian's Details

Title (Miss/Mrs/Mr/Ms/Dr etc.)

Name

Phone Number

Course and Experience

Principal Instrument(s)

How long have you studied the instrument(s)? (if applicable)

Name of Current Teacher (if applicable)

Second Study Area (if applicable)

Music examinations passed, including Theory (if applicable)

Name and Address of School

Confirmation

How did you hear about Junior Conservatoire?

Please note, in order to process your application to Junior Conservatoire Courses (not including the Young Strings Project and Primary Winds Programme), your musical referee will need to supply a reference to Conservatoire.Juniors@bcu.ac.uk, or by post to Birmingham Conservatoire Junior Department, 200 Jennens Road, Birmingham B4 7XR.

I understand that it is my responsibility to ask my musical referee to send in a reference.

To apply, please read and confirm the following:

I declare the above information to be correct. If accepted as a student, I undertake to abide by the regulations of BCU/Birmingham Conservatoire Junior Department. I confirm that I shall be responsible for any fees due to Birmingham City University in respect of each term’s attendance at the Junior Conservatoire. [Where the applicant is over 18]. I, the parent/guardian of the above applicant, approve and give my consent to this agreement.