Step 1 of 4 25% Associate Tutor Tuition Bursary Application FormWest Sussex Music is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified when using this website or our services, then you can be assured that it will only be used in accordance with our privacy statement and current data legislation. We may change our Privacy Notice by updating our webpage. As such, you should check our Privacy Notice from time to time to ensure that you are happy with any changes(Required)By clicking this you confirm that you have read and agree to the West Sussex Music Data Protection Policy (GDPR) and Privacy Notice I accept the GDPR terms and conditions About the studentName(Required) First Last Date of birth(Required) DD slash MM slash YYYY Address(Required) Address line 1 Address Line 2 Town Post code Sex(Required)MaleFemalePrefer not to sayEthnicity(Required)We use this data for equality monitoring purposes,White/White British - White BritishWhite/White British - White IrishWhite/White British - Gypsy/RomaWhite/White British - Traveller of Irish HeritageWhite/White British - Any other White backgroundMixed - White & Black CaribbanMixed - White & Black AfricanMixed - White & AsianMixed - Any other Mixed backgroundAsian/Asian British - IndianAsian/Asian British - PakistaniAsian/Asian British - BangladeshiAsian/Asian British - ChineseAsian/Asian British - Any other Asian backgroundBlack/Black British - Black AfricanBlack/Black British - Black CaribbeanBlack/Black British - Any other Black backgroundAny other ethnic groupPrefer not to sayNot knownSchool(Required)Albourne C.E. Primary SchoolAldingbourne Primary SchoolAll Saints CE Primary SchoolAlternative Provision CollegeAmberley C.E. Primary SchoolAngmering School, TheArundel C.E. Primary SchoolArunside Primary SchoolAshington C.E. Primary SchoolAshurst C.E. Primary SchoolAshurst Wood Primary SchoolBalcombe C.E. Primary SchoolBaldwins Hill Primary SchoolBarnham Primary SchoolBarns Green Primary SchoolBartons Primary SchoolBersted Green Primary SchoolBewbush Academy, TheBillingshurst Primary AcademyBirchwood Grove Community Primary SchoolBirdham C.E. Primary SchoolBishop Luffa SchoolBishop Tufnell C.E. Primary SchoolBlackthorns Community Primary AcademyBlackwell Primary SchoolBohunt School, HorshamBohunt School, WorthingBolney C.E. Primary SchoolBolnore Village Primary SchoolBosham Primary SchoolBourne Community CollegeBoxgrove C.E. Primary SchoolBramber Primary SchoolBrantridge SchoolBroadfield Primary AcademyBroadwater C of E Primary SchoolBrook Infant SchoolBuckingham Park Primary SchoolBurgess Hill Academy, TheBury CE Primary SchoolCamelsdale Primary SchoolCastlewood Primary SchoolChichester CollegeChichester Free SchoolChichester High SchoolChidham Parochial Primary SchoolClapham and Patching C.E. Primary SchoolColgate Primary SchoolCollyers, The College of Richard CollyerCompton and Up Marden C.E. Primary SchoolCopthorne C.E. Junior SchoolCornfield SchoolCrawley CollegeCrawley Down Village C.E. SchoolDavison C.E. High School for GirlsDesmond Anderson Primary AcademyDownlands Community SchoolDownsbrook Primary SchoolDownview Primary SchoolDuncton C.E. Junior SchoolDurrington High SchoolDurrington Infant SchoolDurrington Junior SchoolEasebourne C.E. Primary SchoolEast Preston Infant SchoolEast Preston Junior SchoolEast Wittering Community SchoolEastbrook Primary AcademyEastergate C.E. Primary SchoolEdward Bryant Primary SchoolElm Grove Primary SchoolEnglish Martyrs Catholic Primary SchoolEstcots Primary SchoolFairway Infant SchoolFelpham Community CollegeFernhurst Primary SchoolFerring C.E. Primary SchoolFishbourne C.E. Primary SchoolFittleworth C.E. Village SchoolFordwater SchoolForest School, TheForge Wood Primary SchoolFuntington Primary SchoolGattons Infant School, TheGatwick School, TheGeorgian Gardens Community Primary SchoolGlebe Primary SchoolGlobe Primary School, TheGoring-by-Sea CE Primary SchoolGossops Green Primary SchoolGraffham CE Infant SchoolGreenway Junior SchoolHalsford Park Primary SchoolHandcross Primary SchoolHarlands Primary SchoolHarting CE Primary SchoolHassocks Infant SchoolHawthorns Primary SchoolHaywards Heath CollegeHazelwick SchoolHeene CE Primary SchoolHeron Way Primary SchoolHerons Dale Primary SchoolHilltop Primary SchoolHolbrook Primary SchoolHollycombe Primary SchoolHolmbush Primary AcademyHoly Trinity CE Secondary School, The, CrawleyHoly Trinity C.E. Primary School, CuckfieldHoly Trinity C.E. Primary School, Lower BeedingHome SchoolHomefield Primary SchoolIfield Community CollegeImberhorne SchoolIngfield Manor SchoolJessie Younghusband Primary SchoolJolesfield C.E. Primary SchoolKilnwood Vale Primary SchoolKingsham Primary SchoolKingslea Primary SchoolLangley Green Primary SchoolLaurels Primary School, TheLavant C.E. Primary SchoolLeechpool Primary SchoolLindfield Primary AcademyLittlegreen SchoolLittlehampton Academy, TheLondon Meed Community Primary SchoolLoxwood Primary SchoolLyminster Primary SchoolMaidenbower Infant SchoolMaidenbower Junior SchoolManor Green CollegeManor Green Primary SchoolMarch C.E. Primary School, TheMeads Primary School, TheMedmerry Primary SchoolMidhurst C.E. Primary SchoolMidhurst Rother CollegeMill Primary School, TheMillais SchoolMilton Mount Primary SchoolMuntham HouseNorth Heath Community Primary SchoolNorth Lancing Primary SchoolNorth Mundham Primary SchoolNorthbrook CollegeNorthchapel Community Primary SchoolNorthgate Primary SchoolNorthlands Wood Primary AcademyNyewood C.E. Infant SchoolNyewood C.E. Junior SchoolOakfields Primary SchoolOak Grove CollegeOak Tree Primary SchoolOaks Primary School, TheOathall Community CollegeOrchards Infant SchoolOrchards Junior SchoolOriel High SchoolOrmiston Six Villages AcademyOur Lady Queen of Heaven Catholic Primary SchoolPalatine Primary SchoolParklands Community Primary SchoolPetworth C.E. Primary SchoolPlaistow & Kirdford Primary SchoolPortfield Community Primary SchoolPound Hill Infant AcademyPound Hill Junior SchoolQueen Elizabeth II Silver Jubilee SchoolRake C.E. Primary SchoolRegis School, TheRiver Beach Primary SchoolRogate C.E. Primary SchoolRose Green Infant SchoolRose Green Junior SchoolRudgwick Primary SchoolRumboldswhyke CE Primary SchoolRusper Primary SchoolRustington Community Primary SchoolSackville SchoolSeal Primary AcademySeaside Primary SchoolSelsey Academy, TheSeymour Primary SchoolSheddingdean Community Primary SchoolShelley Primary SchoolShipley C.E. Primary SchoolShoreham Academy, TheShoreham Beach Primary SchoolSidlesham Primary SchoolSingleton C.E. Primary SchoolSir Robert Woodard AcademySlindon C.E. Primary SchoolSlinfold C.E. Primary SchoolSompting Village PrimarySouth Bersted C.E. Primary SchoolSouthbourne Infant SchoolSouthbourne Junior SchoolSouthgate Primary SchoolSouthwater Infant AcademySouthwater Junior AcademySouthway Junior SchoolSouthway Primary SchoolSpringfield Infant SchoolSt. Andrews C.E. High School, WorthingSt. Andrews C.E. Primary School, CrawleySt. Andrews C.E. Primary School, NuthurstSt. Anthony's SchoolSt. Augustines C.E. Primary SchoolSt. Catherines Catholic Primary SchoolSt. Francis of Assisi Catholic Primary SchoolSt. Giles C.E. Primary SchoolSt. James C.E. Primary SchoolSt. John the Baptist C.E. Primary SchoolSt. Johns Catholic Primary SchoolSt. Josephs CE Junior SchoolSt. Josephs Catholic Primary SchoolSt. Josephs Infant SchoolSt. Lawrence C.E. Primary SchoolSt. Margarets C.E. Primary School, AngmeringSt. Margarets C.E. Primary School, CrawleySt. Marks C.E. Primary SchoolSt. Marys C.E. Primary School, ClympingSt. Marys C.E. Primary School, East GrinsteadSt. Marys C.E. Primary School, HorshamSt. Marys C.E. Primary School, PulboroughSt. Marys C.E. Primary School, WashingtonSt. Marys Catholic Primary School, Bognor RegisSt. Marys Catholic Primary School, WorthingSt. Nicolas and St Mary C.E. (Aided) Primary SchoolSt. Oscar Romero Catholic SchoolSt. Paul's Catholic CollegeSt. Peters C.E. Primary School, ArdinglySt. Peters C.E. Primary School, CowfoldSt. Peters C.E. Primary School, HenfieldSt. Peters Catholic Primary School, East GrinsteadSt. Peters Catholic Primary School, Shoreham-by-SeaSt. Philip Howard Catholic High SchoolSt. Philips Catholic Primary SchoolSt. Richards Catholic Primary SchoolSt. Robert Southwell Catholic Primary SchoolSt. Wilfrids C.E. Primary School, Haywards HeathSt. Wilfrids Catholic Primary School, AngmeringSt. Wilfrids Catholic Primary School, Burgess HillSt. Wilfrid's Catholic School, CrawleyStedham Primary SchoolSteyning CE Primary SchoolSteyning Grammar SchoolSteyning Grammar School (Rock Road)Steyning Grammar School (The Towers)Storrington Primary SchoolSummerlea Community Primary SchoolSwiss Gardens Primary SchoolTanbridge House SchoolTangmere AcademyThakeham Primary SchoolThomas A Becket Infant SchoolThomas A Becket Junior SchoolThomas Bennett Community CollegeThorney Island Community Primary SchoolThree Bridges Primary SchoolTrafalgar Community Infant SchoolTurners Hill C.E. Primary SchoolTwineham C.E. Primary SchoolUpper Beeding Primary SchoolVale SchoolVirtual SchoolWalberton and Binsted C.E. Primary SchoolWarden Park Primary AcademyWarden Park Secondary AcademyWarnham C.E. Primary SchoolWaterfield Primary SchoolWeald School, TheWest Chiltington Community Primary SchoolWest Dean C.E. Primary SchoolWest Green Primary SchoolWest Hoathly C.E. Primary SchoolWest Park CE Primary SchoolWest Wittering Parochial C.E. SchoolWestbourne Primary SchoolWhite Meadows Primary SchoolWhytemead Primary SchoolWilliam Penn SchoolWindmills Junior School, TheWisborough Green Primary SchoolWoodgate Primary SchoolWoodlands Meed SchoolWorthing CollegeWorthing High SchoolYapton C.E. Primary SchoolOtherYear Group 2025-26(Required)R12345678910111213 About the lessonsInstrument(Required)Baritone HornBass GuitarBassoonCelloClarinetCornetDouble BassDrum KitEuphoniumFluteFrench HornGuitarHarpKeyboardOboePianoSaxophoneTenor HornTromboneTrumpetTubaUkuleleViolaViolinAssociate Tutor name(Required)Proposed start date for lessons? DD slash MM slash YYYY What is the student's current level of playing ability?(Required)BeginnerPreparatoryFoundationGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8DiplomaOther About the parent/carerName(Required) First Last Mobile phone(Required)Home phoneEmail(Required) Enter Email Confirm Email Are you over the age of 18?(Required) Yes No Are you the parent or carer of the child in this application?(Required) Yes No Major BursaryDoes the student receive benefits related free school meals?(Required) Yes No Is the student currently in care?(Required) Yes No Do the student have asylum seeker/refugee status?(Required) Yes No Minor BursaryDo you receive Income Support/Employment and Support Allowance (ESA)?(Required) Yes No Do you receive Jobseekers Allowance (JSA)?(Required) Yes No Do you receive Child Tax Credit/ Working Tax Credit/Universal Credit?(Required) Yes No Do you receive Incapacity Benefit?(Required) Yes No Do you receive Housing Benefit?(Required) Yes No Do you receive Pension Credit (Guarantee Credit)?(Required) Yes No Do you receive Unaccompanied Minors – Refugees and/or Asylum Support?(Required) Yes No Evidence Please provide a copy of your evidence of entitlement for any of the above which you have selected. Max. file size: 32 MB. Any other relevant information? Δ
