Application Form Academic Year 2017

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1 Application Form Academic Year 2017 Bodywork Company Dance Studios 25/29 Glisson Road Cambridge CB1 2HA +44 (0)

2 Personal information Which course are you applying for? (Please Tick) One Year Foundation Grade 8 Trinity including a Level 3 qualification in Performing Arts One Year Foundation Grade 8 Trinity only Three Year Diploma in Professional Dance or Musical Theatre (NQF Level 6) First Name Surname Date of Birth House Name/Number Street Name Town/City County Post Code Home Telephone Number Mobile Telephone Number Address Height (Feet/cm) Weight (Stones/Kg) Gender (Please Tick) Male Female Current Dance School Name of Principal/Teacher Principal/Teacher s Telephone Number Principal/Teacher s Address

3 History of Performing Arts Training Style/Course Hours a Week Dates (From/To) Syllabus/Qualification Stage and Screen Performing Credits and Experience (you may attach a CV) Academic Qualifications Subjects Studied Level Dates (From/To) Grade Other Vocational Qualifications Subjects Studied Level Dates (From/To) Grade

4 Mother/Guardian Information First Name Surname House Name/Number Street Name Town/City County Post Code Home Telephone Number address Occupation Father/Guardian Information First Name Surname House Name/Number Street Name Town/City County Post Code Home Telephone Number address Occupation

5 Data Capture Required Information The following information is required in order to supply data to the Council for Dance Education and Training (CDET). What is your ethnic group? Please tick only one option. White English / Welsh / Scottish / Northern Irish / British Irish Gypsy or Irish Traveller Any other White background, please describe Mixed/Multiple ethnic groups White and Black Caribbean White and Black African White and Asian Any other Mixed/Multiple ethnic background, please describe Asian/Asian British Indian Pakistani Bangladeshi Chinese Any other Asian background, please describe Black / African / Caribbean / Black British African Caribbean Any other Black / African / Caribbean background, please describe Other ethnic group Arabic Any other ethnic group, please describe Passport Type British EU Other EU Residents How long have you lived in the UK? Visa Requirement Do you need a VISA to study in the UK? Yes No

6 Medical Questionnaire Bodywork Company takes the health of its students very seriously. To help us look after you, please ensure that you fill in the attached as accurately as possible. Any information you provide will be kept in the strictest confidence. 1. Do you have any learning difficulties? (E.G. Dyslexia, Dyspraxia or Dyscalculia) 2. Do you have any visual or aural impairment? 3. 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) 4. Do you suffer from Asthma, Epilepsy, Diabetes or any other condition that we should be aware of? 5. Do you have any allergies? 6. Have you any history of Throat Problems? (E.G. Nodules) 7. Have you ever been treated for Depression, Anxiety, or other Nervous Disorders? 8. Have you ever been diagnosed with an Eating Disorder?

7 Marketing Where did you hear about Bodywork Company? (Tick all those that apply) Search Engine Magazine Social Media Bodywork Company website Dance Teacher Friends and Family Outreach Programme Newspaper adverts or articles Magazine adverts Digital bus adverts Other (please specify) How many other courses are you applying to apart from Bodywork Company? What to do next 1. Sign this Form Please ensure this form is signed (by a parent or guardian if you are under 18) and dated. 2. Return the Application Form Ms S Robinson Applications and Administration Officer Bodywork Company Bodywork Company Dance Studios Glisson Road Cambridge CB1 2HA 3. Make sure you include: A non-refundable audition fee of 45 (cheques are made payable to Bodywork Company) A passport-sized photograph A full length photograph in dance clothes

8 Appeals Procedure Should you feel that your audition has been unfair or that an injustice has occurred, you should write us a letter detailing your concerns. The audition panel will discuss what you have highlighted and if they are in agreement with the issues raised, will reconsider your application. DADA Funding Information on the government s funding for performing arts students, The Dance and Drama Awards (DaDAs), can be found at DaDA funding can only be obtained for our Three Year Diploma course. There is no DaDA funding for our One Year Foundation course. BTEC Funding If you are offered a place on the one year Foundation Course Grade 8 Musical Theatre, you may be eligible to access the BTEC Level 3 course. If this is the case, approximately 3,000 of government funding will be allocated to reduce the Foundation course tuition fees. Further details are available on application. Important Information All students offered government funding through the BTEC Level 3 course, must either have a GCSE Grade C in both English and Maths or continue to seek it over the year they are on our BTEC course. Lessons will be provided on site and students will be assessed on entry so that we can allocate appropriate tuition in these areas. From September 2015, we will offering GCSE and Functional Skills classes in both Maths & English if any student wish to re-take these subjects. Declaration All the information written above is complete, truthful and correct, to the best of my knowledge. Full Name (Print) Signature (Candidate if over 18. Parent or Guardian if under 18) Date (DD/MM/YYYY) / /

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