Application Form 12 week intensive audition prep

Course applying for*
First name*
Surname*
Gender*
- Male
- Female
- Prefer not to say
Date of Birth*
Age*
Correspondence address (please notify us if this changes)*
Postcode*
Home Phone Number*
Mobile Number*
Email*
Name of next of kin*
Relationship to you*
Their email*
Their mobile Number*
Occupation
The School welcomes applications from students with disabilities including mental health issues. It is happy to make reasonable adjustments within it's means to ensure its courses are inclusive. Do you have any physical injuries or mental health disorders, disabilities or chronic illnesses, which may require regular medication or medical attention?
- Yes (give details and special requirements/medication below)
- No
Medical Details*
Signature*
(If applicant is under 18) Countersigned: (Parent/Guardian)
Photo of Applicant*
Accepted file types: jpg, gif, png, pdf.
Experience

Work Experience
Dates
Employer
Duties
Previous theatre training and/or experience (amateur & professional)
Education from secondary
Dates
Institution
Subjects & Results
Further Information
Please write a brief statement telling us why you wish to be considered for this course*
How did you hear about us?*