Instrumental tuition bursary

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Before completing this form, you should ensure that you have a details of the student you will teach for verification. Name, date of birth, age and school.

Student

Name of pupil: *

Date of birth:

Current age: *

School: *

Verification by the peripatetic teacher

To support and help the student named on this form to complete their application confirm the following

I can confirm that the student named above has contacted me to discuss tuition for next term and that I am available and willing to provide this at the rates shown on the form.
I am willing to provide termly progress and attendance reports to the school and Music Hub, via the Music Diary, and to adhere to any procedures, such as DBS, Child Protection policies/training, Public Liability Insurance, Professional Development etc as required.

I confirm the above as their tutor

Teacher contact details

First name: *

Surname: *

Teacher's contact address

House name/number:

Postcode: *

Teacher's contact details

Email address: *

Telephone number:
If we call you our number will show as withheld.

Privacy Statement

The information collected on this form is held securely by Torbay Council and is used purely for the purposes of administering the instrumental tuition bursary scheme. Data may be shared with the student’s school in order to continue funding and to monitor progress. As students leave the scheme, their information is permanently removed from the system.

Do you accept these terms and conditions

Data protection

The information you have provided on this form will be used to deal your request by the relevant department. We may pass your details on to contracted third party service providers and selected Torbay Music Hub Partner Organisations. We will store a copy of your completed request as a backup for 12 months.

If you would like to know more about how we use your information and how you can exercise your information rights please see our privacy notice.

Do you accept these terms and conditions