Wells Music International Application

Candidate's Personal Details

Applicant’s surname *

Applicant’s given name(s) *

Applicant's preferred name(s)

Date of birth *

Gender

Male
Female

Please let us know if there is any information relating to the candidate's gender that we should be aware of

Nationality *

First Language *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Enquirer's Details

Enquirer's name (in full) *

Title *

Relationship to Applicant *

'Other' title *

As you selected 'other', please specify your title.

Please specify your relationship to the applicant *

As you selected 'other', please specify your relationship to the candidate.

Address of enquirer (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact email address *

Contact telephone number *

Candidate's Musical History

First study instrument/voice *

How long have you been studying your first study instrument? *

Please provide details of examinations for your first study instrument, including grade/s, result/s and examination boards (e.g. ABRSM, Trinity Guildhall) *

Current instrument/voice teacher *

Second study instrument/voice

How long have you been studying your second study instrument?

If you have taken examinations for your second study instrument, please provide details including grades, results and examination boards (e.g. ABRSM, Trinity Guildhall)

Current instrument/voice teacher (second study instrument)

Please provide details of your current musical activities (orchestras, ensembles, choirs and solos etc).

What are your musical aspirations?