HND PERFORMING ARTS - THEATRE ACTING
Full Time 2 Year Course

You must be 18 years of age at the start of term

Title:  
Surname:  
Other Names:  
Date of birth:      
Age:
 
RESIDENCY STATUS
Have you had Permanent Residency in the UK
for 3 years prior to commencing the course?: 		 
If you answered "No", please give
date of entry: 		     
Country of Birth:  
ADDRESS DETAILS

Permanent Address:
 
Post Code:  
Email Address:  
Telephone Number:  
EDUCATION

1. School / College Name and Town
Dates From and To:
Subject:
Qualification Level:
Result / Grade:
 

2. School / College Name and Town
Dates From and To:
Subject:
Qualification Level:
Result / Grade:
 

3. School / College Name and Town
Dates From and To:
Subject:
Qualification Level:
Result / Grade:
 
Do you have a record of achievement you could bring to your interview?:  
PREVIOUS TRAINING / EMPLOYMENT

 

Please list any previous training that is relevant to your application and details of any work
experience you may have:

 
PERSONAL STATEMENT
Please indication why you wish to apply for this course and what you feel you can offer the school:
HEALTH
Are you currently in good health?  

 

 

Have you ever suffered from any major illness?

 

 If yes, please give details:
DISABILITIES / SPECIAL NEEDS

Do you have a disability or special need that may
required extra support with your studies?

 

  If other, please explain:
REFEREES

Give name, address and telephone number
of 2 referees:

 1. 

  

 2.

. 

OTHER

How did you hear about this course?


 If other, please specify:


By hitting the submit button, you are electronically signing the application, confirming
that the information give on this form is true, complete and accurate and no information requested or other information has been omitted.