Scholarship Application Form

• Surname: *
• Other full names: *
• Date of Birth: *
• Home Address: *
• Town: *
• County: *
• Postcode: *
• Home Telephone: *
• Parents' Mobile Telephone:

• Head's Name: *
• School Name: *
• Address: *
• Town: *
• County: *
• Postcode:*

• Academic *:
• Art:
• Music:
• * Internal candidates only, external applicants will be invited for scholarship interview following the entrance exams

• Academic * :
• Art:
• Drama:
• Music:
• Sport:
• * Internal candidates only, external applicants will be invited for scholarship interview following the entrance exams

• Academic:
• Art:
• Drama:
• Music:
• Sport:

• Main Instrument/Voice:
• How long have lessons been taken?:
• Last grade exam taken and result:
• Date last grade exam was taken:
• Examining Board (eg ABRSM):
• Approximate grade if no exams taken:
• Name and email address for main instrument/voice teacher:
• Second Instrument/Voice:
• How long have lessons been taken?:
• Last grade taken and result:
• Date last grade exam was taken:
• Examining Board (eg ABRSM):
• Approximate grade if no exams taken:
• Name and email address for second instrument/voice teacher:

• Details of sporting achievements including any county, regional or national representation:
  
  
• Please indicate which sport you wish to be assessed in:
  
  
• Rugby:
• Hockey:
• Netball:
• Cricket:
• Swimming*:
• Athletics*:
• Cross Country*:
• Tennis*:
• Golf:
• * National Level Performers Only

• Details of artistic achievements and interests:
  
  

• Details of any drama achievements and interests:
  
  

• GCSE 1:
• Grade/projected grade 1:
• GCSE 2:
• Grade/projected grade 2:
• GCSE 3:
• Grade/projected grade 3:
• GCSE 4:
• Grade/projected grade 4:
• GCSE 5:
• Grade/projected grade 5:
• GCSE 6:
• Grade/projected grade 6:
• GCSE 7:
• Grade/projected grade 7:
• GCSE 8:
• Grade/projected grade 8:
• GCSE 9:
• Grade/projected grade 9:
• GCSE 10:
• Grade/projected grade 10:

Academic Scholarship (16+) - Proposed Lower Sixth Subjects (If Known)

• AS 1:
• AS 2:
• AS 3:
• AS 4:

International Bacculaureate Diploma Candidates
Academic Scholarship (16+) - Proposed Lower Sixth Subjects (IB Higher Level) (If Known)

• IB 1:
• IB 2:
• IB 3:

Academic Scholarship (16+) - Proposed Lower Sixth Subjects (IB Standard Level) (If Known)

• IB 4:
• IB 5:
• IB 6:

• Please indicate if you will you also be applying for a means tested bursary:
• 
  Bursary application forms can be obtained from the Administration Manager, Mrs Kim Elvy, by email on kelvy@bromsgrove-school.co.uk or by telephone on 01527 579679 ext 237.

• Name: *
• Email: *
• Parent's Mobile:
• Please note, all External Candidates are required to complete and submit a Registration Form before they can sit Scholarship Exams or Assessments.
  
  Our Admissions procedures can be found in the Admissions Information Booklet. Should you have any queries or questions, please do not hesitate to contact the Admissions Department admissions@bromsgrove-school.co.uk
  
  The Scholarship Application deadline for Sports Scholarships is in November, applications for all other awards (Art, Drama, Music and 16+ Academic) should be submitted no later the beginning of January. If you have any queries about your application please contact Mrs Kim Elvy kelvy@bromsgrove-school.co.uk