Entry fm 2017 Diplomas: UK/Ireland Please use this entry fm f: n Music Perfmance, Music Direction and Instrumental/Vocal Teaching Diplomas at DipABRSM, LRSM and FRSM levels This fm is f Diploma candidates in the UK and Ireland, but please note that f Irish entries there are different closing dates and entry fees. When filling in this fm you will need to refer to the Supplementary Infmation insert. The note numbers in the left margin refer you to specific sections in the Supplementary Infmation. Office use only note 1 1 Candidate infmation all candidates Candidate/ Applicant number Please use BLOCK CAPITALS if known note 2 Title Surname Fename note 3 Identification Passpt Driving licence Credit/Debit card Birth certificate Please bring your identification to your exam; do not send it with this entry unless you are a teaching candidate (see note 6) note 4 note 5 line 1 line 2 line 3 line 4 Postcode Home telephone Wk telephone Mobile telephone E-mail note 6 Date of birth ddmmyy Please note that the minimum age f entry f Instrumental/Vocal Teaching is 18 at DipABRSM level and 20 at LRSM level (see Section 5b) note 7 Male/Female M/F ABRSM 4 London Wall Place, London EC2Y 5AU, United Kingdom www.abrsm.g T +44 (0)20 7636 5400 E diplomas@abrsm.ac.uk
2 Exam infmation all candidates notes 8-11 Dip ABRSM LRSM FRSM Main Instrument no. of specialist option LRSM & FRSM only players Perfmance Teaching Direction not applicable not applicable type of ensemble 2a Interpreter optional note 12 I intend to bring an interpreter to my exam Yes This person must be an independent person who is neither your teacher n a relative 2b Access (f candidates with specific needs) optional note 13 You may tick me than one box I need f Perfmance and Teaching candidates only Braille Quick Study Aural repetition Quick Study Large notation Quick Study Modified staff notation Quick Study preferred layout must be specified (see note 14) Large notation Quick Study from memy Modified staff notation Quick Study from memy preferred layout must be specified (see note 14) f Direction candidates only Time allowance f visual impairment f Perfmance, Teaching Direction candidates Time allowance f hearing impairment please include a letter if you also intend to use a sign language interpreter Time allowance f dyslexia/other learning difficulties Time allowance f autistic spectrum disders Other details attached note 14 Documents I enclose an authenticating document confirming my requirements 3 Exam dates all candidates notes 15-16 Perfmance & Teaching candidates July 2017 (Exam dates: Scotland, Ireland & NI: 3 8 July; England & Wales: 17 22 July) December 2017 (Exam dates: 11 16 December) Direction candidates only Preferred date 4a Centre details most Perfmance & Teaching candidates note 17 Indicate one centre at which you would prefer to be examined. Aberdeen Cambridge Manchester Winchester Ashburton Cardiff Newcastle-upon-Tyne Yk Belfast Dublin Nottingham Birmingham Glasgow Oxfd Bristol London Tonbridge
4b Visit details Direction& some Perfmance&Teaching candidates note 18 Visit Name Visit Line 1 Visit Line 2 Visit Line 3 Postcode Visit phone number 5a Perfmance checklist note 19-22 DipABRSM I have ABRSM Grade 8 Practical in the instrument stated in Section 2. the UK Ireland in 1994 later) LRSM I have DipABRSM (Music Perfmance) in the instrument stated in Section 2 FRSM I have LRSM (Music Perfmance) in the instrument stated in Section 2 I enclose my Written Submission and candidate declaration fm (8a front & back) on within the Submission
5b Teaching checklist note 19-22 s DipABRSM I have ABRSM Grade 8 Practical in the instrument stated in Section 2. the UK Ireland in 1994 later) I have ABRSM Grade 6 They (1992 later). the UK Ireland in 1994 later) I am 18 years old over (photocopy of proof of age enclosed) I enclose my Written Submission and candidate declaration fm (8a front & back) on within the Submission LRSM s I have DipABRSM (Instrumental/Vocal Teaching) in the instrument stated in Section 2 I have ABRSM Grade 8 They (1992 later). the UK Ireland in 1994 later) I am 20 years old over (photocopy of proof of age enclosed) note 23 s I enclose my Case Study Ptfolio & Video of Teaching Practice and candidate declaration fm (8a front & back) and am submitting these at least 3 months befe the published closing date f entries on within the Submissions No substitution is allowed. These two Submissions must pass befe you may proceed with the rest of the exam I understand that I must enclose my Written Submission with my final payment only when I have received confirmation that I may proceed with the rest of the exam NB The Ptfolio & Video result will be valid f the following exam session only: if you do not proceed with your entry then, any further entry will require the submission and assessment of a new revised Ptfolio & Video I intend to fulfil the requirement through a Listed Substitution (substantiating evidence will be required) FRSM I have LRSM (Instrumental/Vocal Teaching) in the instrument stated in Section 2 I enclose my Written Submission, letter from ABRSM confirming topic approval and candidate declaration fm (8a front & back) on within the Submission
5c Direction checklist note 19-22 DipABRSM I have ABRSM Grade 8 Practical. the UK Ireland in 1994 later) Option I enclose my Arrangement and candidate declaration fm (8a front & back) on within the Arrangement I will present non-syllabus repertoire and have already gained ABRSM approval (letter of approval enclosed) LRSM I have DipABRSM (Music Direction) Option I enclose my Arrangement and candidate declaration fm (8a front & back) on within the Arrangement I will present non-syllabus repertoire and have already gained ABRSM approval (letter of approval enclosed) FRSM I have LRSM (Music Direction) s I enclose my Arrangement and candidate declaration fm (8a front & back) I enclose my Written Submission and candidate declaration fm (8a front & back) on within the Arrangement Submission Option I will present non-syllabus repertoire and have already gained ABRSM approval (letter of approval enclosed)
note 24 note 25 6 Signature all candidates Candidate s signature Parent/ Guardian surname I have read and undertake to abide by the regulations in the current Diploma Syllabus ddmmyy Date If you are a Direction Perfmance candidate and are under 16, your parent guardian must complete this section and sign the undertaking below. Fename Postcode note 26 On behalf of the candidate, I have read and undertake to abide by the current Diploma Syllabus. Parent/ Guardian signature ddmmyy Date Data Protection see Supplementary infmation The processing of personal data by ABRSM is regulated by the Data Protection Act 1998 (registration number Z6618494). note 27 7 Payment all candidates Fees Please indicate your chosen entry option by circling the appropriate fee. Perfmance complete exam with no substituted component Direction complete exam with no substituted component Teaching with Arrangement substituted complete exam with no substituted component with Written Submission substituted DipABRSM LRSM FRSM UK Ireland 240 310 240 310 192 248 240 310 192 248 UK 530 530 424 530* 424* Ireland 690 690 552 690* 552 * UK 770 770 616 770 616 Ireland 1000 1000 800 1000 800 note 28 * LRSM Teaching fees are payable in two instalments see Syllabus p36: 1 Fee f Case Study Ptfolio & Video of Teaching Practice 2a Balance f complete exam with no substituted component 2b Balance f exam with Written Submission substituted 212 318 212 276 414 276 note 29 either Card Number Signature of cardholder I enclose a cheque f / * *delete as appropriate. payable to ABRSM Please charge the full fee to the following credit/debit card (UK only): Visa Mastercard Delta NB We cannot accept American Express Expiry date mmyy Name of cardholder please print UK entries: Irish entries: Please send the fm, together with your cheque card details, to: UK Operations, ABRSM, 4 London Wall Place, London EC2Y 5AU Miss Miriam Halpin, Irish Co-dinat, 31 Sefton, Rochestown Avenue, Dun Laoghaire, Co. Dublin telephone (01) 235 0752 The Associated Board of the Royal Schools of Music A company registered with limited liability in England and Wales No.1926395. Registered office: 4 London Wall Place, London EC2Y 5AU. Charity registered in England & Wales (292182) & Scotland (SC043343).
8a Candidate declaration fm f submissions sent with this fm note 30 Surname Fename Date of submission ddmmyy Perfmance Written Submission FRSM Direction Arrangement all levels Written Submission FRSM note 23 Teaching Written Submission DipABRSM and FRSM Case Study Ptfolio & Video of Teaching Practice LRSM These must be submitted at least three months befe the published closing date f entries and must gain a pass befe you may proceed with the rest of the exam I have gained written permission from parents/guardians to film any children featured on the Video LRSM In accdance with ABRSM s child safeguarding and protection policy, candidates must gain written permission from parents/guardians befe filming any child. This documentation must be available, should the need arise. Please ensure you have read and signed the declaration on the last page of the entry fm Send this declaration with your submission(s) 8b Candidate declaration fm f submissions brought to the exam note 30 Surname Fename Candidate no. Date of submission ddmmyy Perfmance Programme Notes DipABRSM Programme Notes LRSM Direction Programme Notes DipABRSM Programme Notes LRSM Please ensure you have read and signed the declaration on the last page of the entry fm Keep this declaration and give it to the examiners at the start of your exam
8a Candidate declaration fm continued note 30 Declaration I confirm that I have read the regulations in the Diploma Syllabus and that: n The enclosed submission(s) are genuinely my wk and I am their sole auth* n They have not previously been submitted to ABRSM to any other institution agency f another academic award n The sources used and quoted are properly acknowledged and listed n I have read the section on plagiarism below and understand that I will be penalised disqualified if a charge of plagiarism is upheld * F the purposes of this declaration submission is used to encompass arrangements, recdings (where you are the sole direct on the recding), Ptfolios & Videos (where you are the featured teacher) as well as Written Submissions Signature Date ddmmyy Plagiarism ABRSM defines plagiarism as an attempt to pass off as one s own the wk of others. Thus copying from a printed unprinted source without acknowledging it, constructing a précis of someone else s writing without citing indebtedness to that writer, constitutes plagiarism. In preparing Written Submissions, candidates are encouraged and expected to read widely to demonstrate the breadth of their reading and, where appropriate, to quote the wk of others. However, such quotations and references must be properly and fully attributed in accdance with the advice provided by ABRSM. Candidates who igne this advice run the risk of being accused of plagiarism. The Chief Examiner will refer any suspected cases of plagiarism to the Diploma Board. The Diploma Board may disqualify a candidate if the charge of plagiarism is upheld. Candidates will have a right of appeal and representation if such charges are made. 8b Candidate declaration fm continued note 30 Declaration I confirm that I have read the regulations in the Diploma Syllabus and that: n The attached Programme Notes are genuinely my wk and I am their sole auth n They have not previously been submitted to ABRSM to any other institution agency f another academic award n The sources used and quoted are properly acknowledged n I have read the section on plagiarism below and understand that I will be penalised disqualified if a charge of plagiarism is upheld. Signature Date ddmmyy Plagiarism ABRSM defines plagiarism as an attempt to pass off as one s own the wk of others. Thus copying from a printed unprinted source without acknowledging it, constructing a précis of someone else s writing without citing indebtedness to that writer, constitutes plagiarism. In preparing Programme Notes, candidates are encouraged and expected to read widely to demonstrate the breadth of their reading and, where appropriate, to quote the wk of others. However, such quotations and references must be properly and fully attributed in accdance with the advice provided by ABRSM. Candidates who igne this advice run the risk of being accused of plagiarism. The Chief Examiner will refer any suspected cases of plagiarism to the Diploma Board. The Diploma Board may disqualify a candidate if the charge of plagiarism is upheld. Candidates will have a right of appeal and representation if such charges are made..