Keldwyth Award Online Application Form Full Name Date of Birth Home Address Home Tel. No. Your Email Mobile No. Instrument on which you will compete College/University attending/ed (with dates) - if applicable Secondary School(s) attended (with dates) Music Exams taken with dates and levels attained The Keldwyth Award is intended to help finance your further Musical Education. How will this benefit you personally? Give details of any other musical activities/achievements which you feel would support this application I understand that if I am shortlisted, I will be required to compete in mid-July, and if selected as a finalist, at Grange Victoria Hall in late August/early September (dates as advertised on ATTEND page) Check here if you accept these terms. Signed (required) How did you hear about the award? keldwythaward.org.ukfacebooknewspaperschool or collegefriend or familyother