Login Home music Engage Open Music Academy Centre For Young Musicians Current: Open Music Academy Bursary Application form Open Music Academy Bursary Application form Applicant's personal details Given name Surname Home address Date of birth (00/00/00) Email address Contact number Enrolment summary Instrument 1 Length of lesson 1 Teacher 1 Instrument 2 Length of lesson 2 Teacher 2 Years studying at the Open Music Academy Family information Parent 1 Title Mrs Ms Miss Mr Other… Enter other… Surname Given name Relationship to student Mother Father Guardian Other… Enter other… Residential address Email address Home phone Work phone Mobile Occupation Employer Parent 2 Title Mrs Ms Miss Mr Other… Enter other… Surname Given name Relationship to student Mother Father Guardian Other… Enter other… Residential address Email address Home phone Work phone Mobile Occupation Employer Family circumstances Student normally lives with: Parent 1 & 2 together Parent 1 only Parent 2 only Parent 1 & 2 (shared custody) Other guardian (please specify) Please specify… Details of family earnings Please attach the income tax returns for the last financial year for parent 1 and parent 2 Income tax return One file only.20 MB limit.Allowed types: jpg, png, pdf, doc. Income tax return One file only.20 MB limit.Allowed types: jpg, png, pdf, doc. Additional information If you wish to provide additional or qualifying information regarding your financial position, or personal circumstances (including information on other dependent children’s education expenses), please do so below. Additional details: For further information, please contact the Open Music Academy.