Summer Music Academy

Summer Music Academy

Discretionary Bursary Application 2018

Thank you for applying for a discretionary bursary for our Summer Music Academy for 2018. We have a fixed amount allocated for bursaries in our budget and we will look at each application on a case-by-case basis. We allocate partial bursaries where possible, totaling a percentage of the fee.

Bursary levels

Household income under £16,190 (The level at which you receive free prescriptions and free school meals) = full bursary where possible
Household income between £16,190 and £42,600 = partial bursary where possible

Please return the forms and evidence to us by Friday 18May 2018 by post (Junior LCoM, Leeds College of Music, 3 Quarry Hill, Leeds, LS2 7PD).

You will be notified of our decision by email by Monday 4June 2018.

Section 1 – Parental Details (to be completed by parent/carer)

Name of Student

Name of Parent/Carer

Household circumstances

Please tick which applies / One parent/carer in household?
Two parents/carers in household?

Address

Post Code

Email Address

National Insurance Number(s)

Section 2 – Course fees

Please list the fees applicable to the student attending the Summer Music Academy.

Summer Music Academy course fee:
(Please choose which one of these four fee optionsyou have paid)

Early bird course fee: £320(for bookings received before Monday 2 April 2018)

Standard course fee (bookings after Monday 2 April 2018): £350

Early bird fee with SMS 10% discount: £288

Standard fee with SMS 10% discount: £315

/ £
Liberty Dock Accommodation fee
(£125) / £
(Please write N/A if not applicable)
Totalpaid(course fee + accommodation fee if applicable) / £

Section 3 – Household Income

Please state your annual total taxable household income:
(Please note the following benefits are not taxable:
Please indicate if your household is in receipt of any of the following and provide the evidence requested to support your stated income.We cannot process applications without income evidence.
Type of income / Evidence required / Tick one which is applicable and supply the evidence requested
Income Support / Recent dated letter confirming benefit, or recent bank statement showing payment into your account (recent = within last 2 months)
Job Seekers Allowance
or ESA / Recent dated letter confirming benefit, or recent bank statement showing payment
(recent = within last 2 months)
Tax Credits/Universal Credit with gross household income of less than £42,600 / Copy of Tax Credit/Universal Credit Award Notice for 2017 - 2018 (all pages)
Housing benefit or council tax support / Copy of recent letter from Local authority showing eligibility
(NB 25% discount for single person occupancy does not qualify on its own)
Household income under £42,600 / Provide full evidence of household income (i.e. P60(s) from 2017/letter from employer)

Section 3 – Student Personal Statement

This section must be written by the student.

Please use the space below to tell us about yourself and your music. You may wish to use the following points as a guide:

What made you want to learn a musical instrument?
Why did you choose the main instrument that you play?
What do you hope to achieve?
Why is music important to you?
What do you enjoy most about making music?

(Please write no more than 200 words in total here)

Section 4 – Music Teacher’s Reference Form

Please pass on Section 4 to your instrumental tutor and ask them to return the ‘Music Teacher Reference Form’ to post it to:Junior LCoM, Leeds College of Music, 3 Quarry Hill, Leeds, LS2 7PD) by Friday 18 May 2018.

This formcan be downloaded from the website:

Section 5 – Declaration

Please tick the following and sign:
The information I have given in this form is correct and complete
I will inform Leeds College of Music of any change in my financial circumstances
I understand that this is a finite budget and that all bursaries are discretionary and subject to satisfactory attendance on the course.
I have supplied the relevant evidence with this form
Data protection- Leeds College of Music, which is a wholly owned subsidiary of Leeds City College, is a data controller in terms of the 1998 Data Protection Act. Your personal data supplied on this form will be used solely for the purpose of deciding your financial entitlements and will not be passed to any third party, other than for the purpose of funding claims, without your prior consent, except where the college is required to do so by law.
Signed…………………………………………………………
Date ……………………………………………………………