Which course are you applying for?One year Intensive Foundation CourseOne year Level 4 Performing Arts Diploma (17 years plus)Two year Level 4 Performing Arts Diploma (16-19 years)Two year BTEC Level 3 in Performing ArtsTwo year BTEC Level 3 in Performing Arts and Level 4 Performing Arts Diploma
First Name
Surname
Date of Birth
House Name/Number
Street Name
Town/City
County
Post Code
Home Telephone Number
Mobile Telephone Number
Email Address
Height (Feet/cm)
Weight (Stones/Kg)
Gender (Please Tick) Male FemaleMaleFemale
Occupation
Current Dance School
Name of Principal/Teacher
Principal/Teacher's Telephone Number
Principal/Teacher's Email Address
Genre
Hours studied per week
Dates From/To
Examinations/Qualificatons
Subjects Studied
Level
Grade
Do you have any learning difficulties? (E.G. Dyslexia, Dyspraxia or Dyscalculia)
Do you have any visual or aural impairment?
Have you had any recent injuries that have stopped you from dancing? (Please state when you attend your audition if you are still carrying an injury)
Do you suffer from Asthma, Epilepsy, Diabetes or any other condition that we should be aware of?
Do you have any allergies?
Have you any history of Throat Problems? (E.G. Nodules)
Have you ever been treated for Depression, Anxiety, or other Nervous Disorders?
Have you ever been diagnosed with an Eating Disorder?
Do you have any special educational needs?
I confirm that, to my knowledge, I am fit, healthy and able to undertake a vigorous audition procedure involving Ballet, Commercial and Jazz. I understand that if offered a place to join Eden Theatre Arts, I will need to undergo a physical health examination with my GP and evidence of this will need to be provided to the College.
What is your ethnic group? Please tick only one option.
WhiteEnglish / Welsh / Scottish / Northern Irish / British IrishGypsy or Irish TravellerAny other White background Mixed/Multiple ethnic groupsWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed/Multiple ethnic background Asian/Asian British IndianPakistaniBangladeshiChineseAny other Asian background Black / African / Caribbean / Black British AfricanCaribbeanArabicAny other Black / African / Caribbean background Other ethnic groupArabicAny other ethnic group If you have selected "other" to any of the options above, please describe
Passport Photo
Full Length Photo (in dance clothing)
Where did you hear about usSearch EngineSocial MediaDance TeacherFriends and FamilyOther (please specify)
If "other", please specify
Confirmation* I confirm that the above information is correct to the best of my knowledge.
Full name (student if over 18. Parent / guardian if under 18)*
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