Scholarship Application Form: RCM Theory & History Name of person completing this form:(Required)Name of student:(Required)Contact email(Required) Exam Subject and Level(Required)By completing this form, you are certifying that you are either the student who wrote the exam, or are the parent/guardian of the student.(Required) Yes, I understand Please select the option that applies:(Required)This information will help us check our records to verify your eligibility for the scholarship. I registered through VAM for private lessons to prepare for this exam. I registered through VAM in a group class to prepare for this exam. Please list the name of your lesson or group class teacher:(Required)Upload a screenshot from your RCM portal(Required)To validate your results, ensure that you submit a single image containing the student name, exam date (month and year), subject, level, and official mark.Max. file size: 2 MB.Do you give permission for VAM to list the student name, mark, and scholarship in the next available edition of the 'Appassionato' newsletter?(Required)Note: numerical grades will not be published, only the associated category (e.g., First Class Honours) Yes No Optional: is there any other information you would like the office to know about your application? Δ