JL Foundation College Audition Application Form - JL Dance Academy

Page 1 of 2

Audition Application Form

JL Dance welcomes students regardless of gender, ethnicity, sexuality, religion or disability. Applicants are offered a place on this course based on the quality of their application and performance during the audition process. When completing this form using BLOCK CAPITALS and return this form by post to the address at the bottom of page 2. Please ensure any additional material, personal statements, photographs and cheques etc have your name clearly written on the back.

One Year Foundation Course 2018

With your application form please include: Full length photo in ballet attire Headshot (professional or passport style) Character reference (from your dance teacher) Personal Statement (approx 300 words) £25 audition fee (cheques payable to JL Dance)

STUDENT DETAILS First Name:

Surname:

Date of Birth:

Gender:

Email Address: Address: Post Code:

Ethnic Origin:

Doctor’s Surgery: Any medical conditions/allergies: Audition Date: School of Education:

Audition fee payment method: (please tick) Cash ( )

Cheque ( )

Bank Transfer ( )

Head Teacher: English:

GCSE Results: (please state grade achieved or predicted grade for English, Mathematics, and one more GCSE subject of your choice*.)

Mathematics: *___________:

EMERGENCY CONTACT DETAILS (please provide at least two) Name and relation:

Phone Number:

Name and relation:

Phone Number:

Name and relation:

Phone Number:

JL Dance Foundation College Whiteley Road, Ripley, Derbyshire DE5 3QL

Page 2 of 2

Audition Application Form

One Year Foundation Course 2018

STUDENT DETAILS CONTINUED

Name of current Dance School:

Principal Teacher: Genre:

Grade/Level:

Awarding Body:

Recognised Dance Examinations/Qualifications: (please state up to five examinations/ qualifications, the grade achieved and the name of the awarding body.)

PARENT/GUARDIAN DETAILS First Name:

Surname:

Phone Number:

Email Address:

Address: Post Code:

Please return your completed application forms and audition fee to: JL Dance Units 1-2 Butterley Croft Business Park Whiteley Road, Ripley Derbyshire DE5 3QL

Signature:

Alternatively return forms via email to: [email protected] BACS details: Sort Code: 60-02-18 Account Number: 63091933 Reference: “Your Initials”AuditionFee e.g. “JLAuditionFee”

Once your application form has been received you will be contacted, within 5 working days, by email with an itinerary for the day and more information about how to prepare for your audition.

‘We look forward to seeing you!’

JL Dance Foundation College Whiteley Road, Ripley, Derbyshire DE5 3QL