Assisted Places for Summer School
Application Form
The Guildhall School of Music & Drama Assisted
Places Scheme
As part of the Guildhall School’s commitment to
widening participation we are able to offer a
number of assisted places on our summer school
programmes. This means that the programme
fees will be waived.
Am I eligible for an assisted place?
You can qualify for an assisted place if you
satisfy both the residency requirement and the
income requirement.
Assisted places are also given to people who
satisfy residency requirement and are in local
authority care or are a recent care leaver. The
School defines a recent care leaver as someone
who has been in local authority care for at least 13
weeks in the last 5 years. If you qualify for an
assisted place as a person in care or recent
care leaver you do not have to supply information
about income.
Residency
Assisted places are available for individuals who
live in the Guildhall School’s targeted areas of
London. These eligible boroughs are:
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Barking & Dagenham
Bexley
Camden
City of London
Greenwich
Hackney
Havering
Islington
Lambeth
Lewisham
Newham
Redbridge
Southwark
Tower Hamlets
Waltham Forest
Proof of residency will be required for all
applicants for the assisted places. Please
provide one of the following documents, which
must be dated within the last 6 months.
Council Tax Bill
Letter from Utility Company
TV licence
Letter from a government department such
o
o
o
o
as DWP, Job Centre, HMRC or DVLA
o
Bank Statement
o
Tenancy Agreement or Mortgage
Statement
GP registration letter or NHS card
o
Income
Assisted place applicants must demonstrate they
have a residual household income*
of less than £30,000 per year.
This can be demonstrated by providing evidence
of household eligibility for the following meanstested state benefits.
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
16-19 Bursary Fund
Free School Meals
Income Support
Income Related Job Seekers
Allowance
Income Related Employment and
Support Allowance
Carer’s Allowance
Universal Credit
Local Authority Housing Benefit
Local Authority Council Tax Support
*‘Residual Household Income’ is left over income
after deductions are made for dependents. For
summer school assisted places we deduct £1,130
for each dependent
childAssisted
in the Places
household,
line
Summer School
Novemberin 2015
with the Student Loans Company’s calculations
Assisted Places for Summer School
Application Form
How do I apply for an assisted place?
If you are not on any of the above state benefits
you should complete an income assessment.
We require the following information:
o How much household income* you have a
year after tax and National Insurance
deductions. If you have a partner in your
household you should include their
income.
o How much you expect to receive each
year from child support payments, if these
apply to you.
o How much you receive, annually, in child
tax credits or working tax credits, if these
apply to you.
o How much you receive, annually, from
state benefits, if these apply to you.
You will be asked to supply evidence of your
household income*. This evidence can include:
If you believe you satisfy the eligibility
requirements and would like to apply for an
assisted place please complete the following
form.
If you are over 18 please complete the form
yourself. If you are under 18 please ask a
parent or carer to fill out this form on your
behalf.
Please send the completed form to the Guildhall
School’s Widening Participation Officer via email
or mail.
Please remember to include all evidence of your
financial circumstances. These may be scans
attached to an email or a photocopy attached to
a paper form to:
wp@gsmd.ac.uk
Or
o
o
o
o
A wage slip that shows your annual
income.
A job contact that shows your annual
income.
Award letters for state benefits and/ or
tax credits if you receive them.
Information about your pension if you
receive one.
*‘Household Income’ is
the
total
available
income for a family or household. If you live
with a partner you should include their details
of their income, state benefit or tax credit
awards and/or pension
Hazel Robertson
Registry (5th floor)
Milton Court
Silk Street, Barbican
London
EC2Y 8DT
Deadline for applying
Deadline for applying for assisted places for
summer school programmes is the 31st of March
2016.
What happens next?
When you apply for an assisted place on
Summer School you will receive an email to
confirm your application has been received.
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
All assisted places applications will be considered
after 31st March 2016. All applicants will be
assessed to ensure that they meet the income
threshold for assisted places. Following this,
applicants will be compared based on personal
statements.
course.
It may take up to 21 days to make a decision.
After this you will receive an email informing you
of the outcome of your application.
If you have been successful in your application
for an assisted place, an administrator will
contact you with joining instructions for the
Section One: Personal Details
You are: The applicant (over 18)☐
A parent or carer filling in this form on behalf of the applicant ☐
Full Name
Address
Postcode
Home Phone Number
Mobile Phone Number
Email
What London Borough are you resident in?
Barking & Dagenham ☐
Bexley ☐
Camden ☐
City of London ☐
Greenwich ☐
Hackney ☐
Havering ☐
Islington ☐
Lambeth ☐
Lewisham ☐
Newham ☐
Redbridge ☐
Southwark ☐
Tower Hamlets ☐
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
Waltham Forest ☐
What document have you supplied in order to prove residency?
Please note that this document must be dated within the last six months.
Council Tax Bill ☐
Letter from Utility Company ☐
TV licence ☐
Letter from a government department such as DWP,
Job Centre, HMRC or DVLA ☐
Bank Statement ☐
Tenancy Agreement or Mortgage Statement ☐
GP registration letter or NHS card ☐
Which programme are you applying for assistance to?
Adult Summer School: Shakespeare & Contemporary Theatre ☐
Adult Summer School: Musical Theatre ☐
Drama for 16&17 year-olds ☐
Jazz & Rock Summer School ☐
Advanced Jazz ☐
Brass and Percussion Summer School ☐
Essential Music Theory ☐
Music Theory: Beyond Grade 5 ☐
Care Leavers
*‘Recent Care Leaver’ is defined as someone who has been in local authority care for at least 13
weeks in the last 5 years.
Are you currently in care or a recent care leaver* under the age of 21?
Yes ☐
No ☐
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
If ‘Yes’ please supply a letter from your local authority or social work department confirming this. You do not
need to fill out the income assessment - go to Section Three
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
Section Two: Income Assessment
You do not need to complete an income assessment if you supply a copy of an award letter for the
following means-tested state benefits. Please tick which award/s apply to you.
Free School Meals ☐
16-19 Bursary ☐
Income Support ☐
Income Related Job Seekers Allowance ☐
Income Related Employment and Support Allowance ☐
Carer’s Allowance ☐
Universal Credit ☐
Local Authority Housing Benefit ☐
Local Authority Council Tax Support ☐
If you are not in receipt of any of these benefits please complete the following income assessment
Please provide details of your
Annual household income from employment or selfemployment after tax & National Insurance
£
Expected annual household income from
maintenance/child support payments
£
Annual working tax credits or child tax credits
£
Total household expected income from state benefits
£
Total household expected income from occupational
pension(s) or private pensions
£
TOTAL
£
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
How many dependents do you have (such as children) do you have living in your household?
You will be asked to show evidence of dependents living in your household such as a child benefit of
child tax credit statement.
What documentation have you provided to show household income?
Please tick as many as required
This does not apply to me- I am in receipt of means-tested benefits ☐
Wage slips that shows annual income OR Job contract that shows annual income ☐
*If you have a joint household income with a partner you will need to include their wage slips or job
contract*
Working tax credit or child tax credit award notice (if you receive this) ☐
Pension Award letter (if you receive this) ☐
What documentation have you provided to show the number of dependents in your household?
Please tick as many as required
This does not apply to me ☐
Child tax credit award notice ☐
Child benefit award notice ☐
Universal credit award notice ☐
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
Section Three: Motivations for applying for Summer School:
This section must be completed by the applicant, including under-18s
What would you describe as your motivations for wishing to participate in a Summer School?
(Please tick as many as apply)
I want to improve my level of confidence ☐
I want to improve my skills in a specific area ☐
I want to have the opportunity to work in an ensemble group
☐
I want the opportunity to meet like-minded individuals ☐
I want experience before applying to a degree level programme ☐
I have already applied for a degree level programme and been unsuccessful; I want more experience
before reapplying ☐
Other (please explain)
Click here to enter text.
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
Personal Statement
In not more than 250 words please tell the School why you wish to attend the Guildhall’s Summer
School?
You can mention things such as your motivations for studying, how attending will help you realise future
ambitions or how the summer school will help improve your skills.
I confirm that, to the best of my knowledge, the information I have provided is true and complete
Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
Section Four: Declaration
Signed
(If you are under 18 please have a parent or carer sign)
Print name
Date
Please tick this box if you would like to be added to the Guildhall School’s events mailing list ☐
The Guildhall School would like to keep track of you/your child’s future interactions with the School in
order to find out the effectiveness of assisted places at improving progression in arts education. In order
to do this we will need your permission to hold and analyse your/their data. This information will be
used for internal monitoring purposes and will not be passed on to any third party. To give permission
please tick this box
☐
Have you:
Fully completed the personal details section of the form including contact information?
Attached a copy of a document confirming your residency in a target borough?
☐
☐
Attached a copy of a document confirming that you are, or have recently been in care (if this applies
to you)? ☐
Attached a copy of a document that confirms your eligibility for listed state benefits (if this applies to
you)? ☐
Attached a copy of a document that confirms the number of dependents in your household (if this
applies to you)? ☐
Attached a copy of a document confirming your household income (if this applies to you)? ☐
Completed the personal statement section of the form? 
Signed and dated the form?

Summer School Assisted Places November 2015
Assisted Places for Summer School
Application Form
If you have any questions about filling in this form or suppling evidence then please get in contact with
the Guildhall School’s Widening Participation Officer on wp@gsmd.ac.uk or 0207 382 7184
Summer School Assisted Places November 2015