1. Applicant details

Please enter the details of the person who will benefit (the 'beneficiary') from financial assistance, i.e. the name of the audition candidate or member.
By completing this form, you can apply for financial assistance towards:

• Residential Course Fees
• Audition Fee
• Membership Fee
• Travel Expenses

If you have any questions, please call us on 0191 383 7355.

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* 1. Forename(s):

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* 2. Surname:

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* 3. Home Address:

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* 4. County:

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* 5. Postcode:

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* 6. Date of Birth:

Date

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* 7. Gender:

T