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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 to samyo@milapfest.com 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 Name: Address: Email: Date of Birth: Tel: Mobile:

2) Musical Information 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

Samyo Application Form 2012

3) Experience & Achievements

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.

4) Musical Interest

What other kinds of music/instruments are you interested in? Please provide details of both South Asian and Western music interests.

Samyo Application Form 2012

5) Additional Information
(This information does not influence your eligibility for Samyo but is merely for tour organisation)

EDUCATION: Are you doing public/school exams in 2012/13? Please provide any dates during which you would be unavailable for touring. YOUR SCHOOL ADDRESS AND WEBSITE: PERFORMANCES: Are you committed to perform for any other groups, orchestras or schools during the next year?

6) Statement of Interest Why would you like to be a part of Samyo?

7) Declaration I confirm that all of the information I have provided in this form is correct. I understand that I may be invited to audition for a place in Samyo, and that if my application is successful, I am required to commit to rehearsals and concerts according to the Samyo membership plan. Signed: 8) References Please provide contact details of two referees (one of whom should be your teacher). We will contact them to discuss details of your skills, achievements, time management skills and your commitment levels. Name and Contact Details below: Referee 1 Referee 2 Please ask a parent/guardian and your music teacher to confirm their agreement to your Samyo application: Parent/Guardians Signature Music Teachers Signature Date: Date: Date:

Please complete by 9th March 2012 & return this form to: Director of Development, Milapfest, Liverpool Hope University Creative Campus, 17 Shaw Street, Liverpool L3 8QB Tel: 0151 291 3949 Email: samyo@milapfest.com

Thank you for taking the time to fill in this form.

Samyo Application Form 2012

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: Age: 21 30 31 40 male female DATE OF BIRTH: (dd/mm//yyyy) 41 50 51 65 Over 65

Disability Do you consider yourself to have a disability? If Yes, Are you registered disabled? Please give details about your disability below: Ethnic Origin & Cultural Background How would you describe your ethnic origin? White English Irish Scottish Welsh Any other White background, please specify: Asian Asian English/ Scottish/ Welsh * Indian Pakistani Bangladeshi Any other Asian background, please specify: Mixed

Yes/ No * Yes/ No *

Mixed English/ Scottish/ Welsh * White & Black Caribbean White & Black African White & Asian Any other Mixed background, please specify: Black Black English/ Scottish/ Welsh * Caribbean African Any other Black 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