Apply - Eden Theatre Arts

Personal Information

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

Parent/Guardian 1

First Name

Surname

House Name/Number

Street Name

Town/City

County

Post Code

Occupation

Home Telephone Number

Email Address

Parent/Guardian 2

First Name

Surname

House Name/Number

Street Name

Town/City

County

Post Code

Occupation

Home Telephone Number

Email Address

Current Dance Training

Current Dance School

Name of Principal/Teacher

Principal/Teacher's Telephone Number

Principal/Teacher's Email Address

History of Performing Arts Training

Genre

Hours studied per week

Dates From/To

Examinations/Qualificatons

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Genre

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Examinations/Qualificatons

Academic Qualifications

Subjects Studied

Level

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Medical information

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.

Ethnicity

Photographs

Passport Photo

Full Length Photo (in dance clothing)

Marketing

If "other", please specify

Declaration

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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