Postgraduate Diploma in Theatre Costume (two years)

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Postgraduate Diploma in Theatre Costume (two years) Attach a small passportsize photograph of yourself here. Use glue or a staple. Application for entry in September 2019 Please complete all sections of this application form and return with the application fee. See page 5 for application fee details. Your details First name: Surname: Permanent address: London interview dates from Nov 2018 to Apr 2019 Application closing date 1 April 2019 Your qualifications State your most recent or highest qualification(s) and subject: Town: Place of study for this qualification: County: Other relevant qualifications: Postcode: Country: Date of birth (dd/mm/yy): If you have previously applied for this course, please state when: Your age on 1 Sep 2019: Town of birth: Nationality: Contact details Telephone/mobile: Email: Correspondence address if different from permanent Page 1 of 6

1. Brief details of previous theatre experience ie school, college, amateur, youth theatre etc 2. Please make a brief statement in support of your application 3. Please state your professional aims 4. Leisure interests and hobbies Page 2 of 6

Fees for Postgraduate Diploma in Theatre Costume UK and EU students Fees for UK/EU students applying for the PgDip in Theatre Costume for 2019-20 are 6,695. You must have been resident in the UK/EU for at least three consecutive years (for purposes other than study) prior to starting the programme to qualify for the UK/EU tuition fee rate. If you are new to higher education, you can apply for a tuition fee loan from the Government and there is a range of possible support available. For full details please go to: www.rada.ac.uk/theatre-production. I confirm that I am a UK or EU student. Have you been a resident in the UK/EU for the last three years? International students You will be required to pay the full cost of your tuition for the PgDip in Theatre Costume (including all fees and living costs). Fees for 2019-20 are 6,695 For full details and fee information please go to: www.rada.ac.uk/theatre-production If necessary, government loans, scholarships or sponsorship should be sought from your country of origin. All international students MUST have funding in place and have provided the Academy with written guarantees of your ability to pay all fees and living costs prior to taking up your place at the Academy. Failure to do so may result in an offered place being withdrawn. Yes No How do you intend to fund your study? If No, please provide your previous address: Private finance Government loans / grants / sponsorship from my country of origin Other (please specify): Date of residence at previous address: From: To: International students living in the UK What was your reason for the change of address, ie left home, university etc Are you already in the UK? Yes No Date you arrived in the UK: How do you intend to fund your study? Student Loan Company What is your residency status? Private finance Sponsorship, trusts and foundations RADA scholarship awards If you gain a place at RADA, you may also be eligible for a scholarship award through RADA. In order to assess your eligibility, please give us an indication of your household income: Under 25,000 Under 42,875 Over 42,875 I do not wish to give this information at this time Page 3 of 6

Disability How did you hear about RADA? RADA does not discriminate against applicants on the grounds of sex, disability, ethnicity, religion or sexuality; and offers places solely on the basis of potential and suitability to enter the profession. The Academy has access for wheelchair users. Applicants are encouraged to disclose any relevant health condition or disability so that we can ensure that appropriate support is in place for your audition or interview and during the course. We have considerable experience of supporting students with a wide range of disabilities and specific learning difficulties such as dyslexia and dyspraxia; students with visual and hearing loss; and mental health issues. Should you wish to discuss this further, please contact the Admissions team on: 020 7636 7076 / admissions@rada.ac.uk It would be helpful if you could give us any relevant information about your disability or impairment: Please put a X in the box which best describes how you heard about this programme: Teacher / school / careers advisor / library RADA brochure / poster / other printed material Internet search Facebook / Twitter / Instagram RADA website Other website (please state) TheatreCraft Other event / exhibition (please state) RADA Youth Company Open Door Camden Summer University Completed a RADA short course Other course or programme (please state) Attended an open day at RADA Attended a Technical Theatre Taster Day at RADA Through your drama / youth company Through your local theatre Already knew about RADA Page 4 of 6

Payment The application fee is 31 Application fees are non-refundable The fee can be paid by cheque, credit or debit card Cheques should be made payable to RADA in sterling Payment in any other currency will not be accepted and will be returned I enclose a cheque made payable to RADA for 31 Please charge my credit/debit card 31 Card number: Expiry date: Valid from (if applicable): Issue no. (if applicable): 3 digit security code: Applications received without the fee will not be processed. Applicants who are not eligible for application fee waivers will be required to pay. Late applications are not considered under any circumstances. Please send your your application form well in advance of the closing date to allow time for posting. The Academy does not accept any responsibility for postal applications received after the cut off date. Please ensure you use the correct postage. A4 envelopes in the UK need a large letter stamp. Incorrectly paid postage is held at the mail sorting office and delays your application. Data Protection The information which you give will be used to enable RADA to create an electronic and paper record of your application; to enable the application to be processed; to enable the institution to compile statistics, or to assist other organisations to do so, provided that no statistical information that would identify you as an individual will be published. Before we present your application to the interview panel, this page will be removed. The information will be kept securely, and will not be disclosed to any external sources without your express written consent. It will be kept no longer than necessary and will be deleted/ shredded securely. If you fill out this form, you understand your information will be used to process your application and you consent to RADA holding and using your personal data for the specified purposes (as stated above). I agree to RADA using the information provided for the purposes listed above. Page 5 of 6

Application form equality monitoring For the PgDip in Theatre Costume, RADA collects this information to help with its equality monitoring. This will not be shared with members of the initial Interview panels. It may, however, be made available to the Panel Chair/Director/Director of Technical Training at later stages of the interview process. Sex Please click in the box which best describes you: Disability Please click in the box which best describes you: Male Prefer not to say No known disability or prefer not to say Female Non-binary OPTIONAL QUESTION Is your gender identity the same as the gender you were originally assigned at birth? Yes No Prefer not to say Ethnicity Arab Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Black or Black British African If you prefer to use your own term, please specify here. Specific learning difficulty such as dyslexia, dyspraxia or AD(H)D Social/communication disability (eg Asperger s syndrome/other autistic spectrum disorder) Long standing illness or health condition (eg cancer, HIV, diabetes, chronic heart disease, epilepsy) Mental health condition (eg depression, schizophrenia or anxiety disorder) Physical disability or mobility issues (eg difficulty using arms, using a wheelchair or crutches) Deaf or a serious hearing impairment Blind or a serious visual impairment uncorrected by glasses Two or more impairments and/or disabling medical conditions A disability or medical condition that is not listed above Black or Black British Caribbean Chinese Gypsy or Traveller Mixed - White & Asian Mixed - White & Black African Your secondary (high) school education State school (ie publicly funded and free to the student) Independent school (ie not publicly funded and paid for by the student s family) Mixed - White & Black Caribbean Other Asian background Other Black background Other Ethnic background Other Mixed background White Not known Prefer not to say Care leavers Have you been/are you currently in care? * Yes No Prefer not to say * A care leaver is defined as a young person over the age of 16 who has been in care of the local authority and/or Health & Social Care Trust (including private fostering) for at least 13 weeks. Return this form to: Sarah Agnew, Registry Manager, RADA, 62-64 Gower Street, London WC1E 6ED United Kingdom Page 6 of 6