Login Home Ameb Current: The Regina Rose Memorial Award application The Regina Rose Memorial Award application If a candidate is under 18 years old, this form must be filled in by a parent/guardian. Applications are due 1 December at the close of each examining year. Applicant's details First name Last name Email address Relationship to candidate - Select -ParentLegal guardianCandidate (18+ years) Candidate's details First name Last name Date of birth Teacher's details First name Last name Email Phone number Teacher's recommendation Applicant’s must provide the candidate’s teacher’s recommendation for the award. Please attach a PDF letter from the teacher. One file only.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Confidential supporting documentation Candidates, or their guardians, must be able to demonstrate financial need with supporting documentary evidence at the time of application. Please select the type of supporting documentation you wish to attach School card Youth Allowance Family Tax Benefit Farmer Household Allowance Newstart Allowance Austudy ABSTUDY benefits Please upload the supporting documentation. This documentation will be treated confidentially and the candidate’s identity (or teacher’s) will not be provided to the Prizes Committee. Maximum 2 files.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Please upload a recent report for a successfully completed AMEB piano exam in SA or NT (to a minimum level of Grade 3, with a minimum grade of B). The result and report will be reviewed with other applications by the Prizes Committee. One file only.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Any additional comments Applicant's signature Sign above This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.