First Name(s) Last Name

Telephone Email

Date of Birth: Day Month (select) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year Are you in full-time education? Yes - No

The name and address of the school or college which you attend

What course(s) are you studying?

What is your current occupation?

What singing experience have you had?

What other musical experience have you had?

If there is other information you would like to send, please put it in the following block

The Award winner will be given a year's membership of the Saffron Walden Choral Society (worth £30) as well as free use of all the season's music (worth £20+) plus a cheque (or cash) for £100 to help in furthering the winner's singing and musical experience.

Please explain how you would use the Award if you won it

Please give the name and address of someone who is qualified (i.e. your music teacher, singing teacher, choral director etc.) and has consented to recommend you for this award. (Friends and family are not excluded)