Application for Membership

Honorary Fellow

Please complete the form below and print out the page.
Sign and date the printed copy
Proceed to Page 2 and either complete the form with your supporting information or alternatively send your CV
Send the Application form and Supporting information form or CV to.

The Registrar,
The Academy of St. Cecilia,
Music Department
Cathedral House
Westminster Bridge Road
London, SE1 7HY
United Knigdon

First Names:
Family Name:
Title:
Address:
Home Telephone:
Work Telephone:
Fax:
Email:
Date of Birth

Name of first referee
Name of second referee
I wish to apply to the Chapter of The Academy of St. Cecilia for Associate Membership
Signature :
Date: