Application form

Contact Details

Last Name *

Last Name

First Name *

First Name

Date of Birth*

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Age at next birthday*

Age

Address *

Address

City

Post code

State

Primary Phone number

Mobile Phone

Email Address

Are you an Australian Citizen?*

Yes

No

Are you a permanent resident of Australia?*

Yes

No

Please attach a copy of your birth certificate or passport (jpg/png/pdf)

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40 minute solo piano performance video

You Tube link*

http://

You Tube link

http://

You Tube link

http://

You Tube link

http://

You Tube link

http://

You Tube link

http://

Program of repertoire and duration of each piece*

Write Here

Additional information

Parent / guardian's name if under 18

What age were you when you started playing the piano?*

What age were you when you started playing the piano?

Who was your first music teacher?*

Who was your first music teacher?

Who is your current music teacher? *

Who is your current music teacher?

Current music teacher's primary phone number*

Your current music teacher's primary phone number

Current music teacher's mobile number*

Your current music teacher's mobile number

Current music teacher's email address*

Your current music teacher's email address

Please list the highest level of examinations passed for the piano*

Please list the highest level of examinations passed for the piano

What sort of music career are you planning?*

What sort of music career are you planning?

Your annual income from all sources after tax, for the last financial year*

Your annual income from all sources after tax

Are your family members helping you with your music studies? Please describe their level of financial and other support and your own financial position. In order to ensure that the financial awards go to those who really need them, some of your financial statements may need to be verified independently.*

Are your family members helping you with your music studies? Please describe their level of financial and other support and your own financial position. In order to ensure that the financial awards go to those who really need them, some of your financial statements may need to be verified independently.

Please list the piano competitions you have entered and the results, including the financial rewards.*

Please list the piano competitions you have entered and the results, including the financial rewards.

Please identify any potential sources (scholarships, prizes, endowments etc) of funding (and the amounts) for the forthcoming year.*

Please identify any potential sources (scholarships, prizes, endowments etc) of funding (and the amounts) for the forthcoming year.

At which Australian or overseas educational institution are you undertaking your studies? Please provide the precise name of the approved course and contact details, and attach evidence of any ongoing exceptional achievement.*

At which Australian or overseas educational institution are you undertaking your studies? Please provide the precise name of the approved course and contact details, and attach evidence of any ongoing exceptional achievement.

Upload any evidence of any ongoing exceptional achievement.

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Please describe your current personal accommodation situation.*

Please describe your current personal accommodation situation.

Apart from financial hardship, are there any obstacles for you in achieving your musical goals? If so how would you describe them?*

Apart from financial hardship, are there any obstacles for you in achieving your musical goals? If so how would you describe them?

Are you currently receiving any scholarship or similar support? If so, please provide details (eg financial amount, time frame, etc)*

Are you currently receiving any scholarship or similar support? If so, please provide details (eg amount, time frame, etc)

If you were offered financial assistance from the Theme & Variations Foundation, how would you apply it to further your musical development? Please list items in detail such as travel costs, living costs, tuition fees, competition entry fees, etc.*

If you were offered financial assistance from the Theme & Variations Foundation, how would you apply it to further your musical development? Please list items in detail such as travel costs, living costs, tuition fees, competition entry fees, etc.

Is there anything you would like to add in support of your application?*

Is there anything you would like to add in support of your application?

Character references

Please upload a minimum of two letters of recommendation.^*

from your current or past piano teacher
from a person outside your family

Reference 1

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Reference 2

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Reference 3

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All 2020 application performances will be assessed online. The awards will be based entirely on video submissions.

All applicants should read the whole of the terms and conditions carefully as some clauses have been changed from previous years.

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Contact Details

Please attach a copy of your birth certificate or passport (jpg/png/pdf)

40 minute solo piano performance video

Additional information

Upload any evidence of any ongoing exceptional achievement.

Character references

Reference 1

Reference 2

Reference 3

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