Application Form Course applying for: Applications will not be accepted without photographs Dance Applicants, PTC and MTC Applicants,

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Application Form 2017-2018 Photographs Applications will not be accepted without photographs For Dance Applicants, please enclose the following photographs (in leotard/ vest and shorts): (Max size: 6 x 4 inches/ 15 x 10 cm) 1. Full length, front view, feet together, arms by side. 2. Full length, back view, feet together, arms by side. 3. Full length, demi plié in 1 st position, en face. 4. Full length, leg in 2 nd position en l air, en face (entry S2 and above). 5. Full length, 1 st arabesque en l air, de côté (entry S2 and above). 6. One passport sized photograph, head and shoulders. Course applying for: S1 Dance Course Dance Course other* (please state year) *See back page S3 Preparatory Theatre Course S5 Musical Theatre Couse S For PTC and MTC Applicants, please enclose the following photograph: Are you, or were you a member of any associate ballet scheme? E.g. Scottish Ballet, Ballet West. 1. One passport sized photograph, head and shoulders. Yes, currently Yes, formerly If so, which? Personal Details: First Name(s): Date of Birth: Surname: Current School Year: Parent Name(s): Parent mobile: Parent email: 1

Applicant s Present Dance/Drama/ Singing Teacher(s): 1. School Name: Teacher s Name(s): Class(es) taken: 2. School Name: Teacher s Name(s): Class (es) taken: Continue on separate sheet if necessary. Please give details of training to date and/or involvement in performances: Continue on separate sheet if necessary. 2

Applicant s Academic Education: Name of School: Class: Head Teacher: Scottish Candidate Number: Previous School: Dates Attended: Medical Information: Doctor s Name: Surgery Name: Have you ever had or suffered from any of the following? (Please tick) Yes No Serious illness in the last three years, e.g. glandular fever Broken/fractured bones Eye/ear problems Asthma Migraines Any major operations An injury or condition that has required treatment by a physiotherapist or osteopath Allergies 3

(Medical Information Continued) Yes No Blood conditions e.g. diabetes or anaemia Do you wear glasses? Any additional support needs e.g. dyslexia, dyspraxia, ADHD? Any links to Psychological Services or Social Work Department? If you have answered yes to any of the above questions, please give further details below, including dates, treatment received and the name of the doctor where applicable: 4

Declaration: I/We the undersigned, make the above application on behalf of my/our child. I/We understand that a current Head Teacher s report or a report from another appropriate person from the applicant s school will be requested during the audition process. Signature of Applicant: Signature of Parent: Date: Please return form to: Jo Di Lieto, Administration Assistant The Dance School of Scotland, Knightswood Secondary School, 60 Knightswood Road, Glasgow. G13 2XD. Please ensure you use a Large stamp if you are not folding your application. Unfortunately items with insufficient postage are not received. Closing Date: Friday 27 th January 2017. (Details of audition dates and processes will be posted to you after this date.) *For entry into Dance Course S2 and above: (Applicants will be considered on an individual basis) We suggest that applicants for S2 and S3 should be working at the following levels in their ballet: - Applicants for S2 should be currently working at RAD Intermediate Foundation level (or equivalent) - Applicants for S3 should be currently working at RAD Intermediate level (or equivalent) Applicants for S4 and S5 must be working on the following ballet exams which must be sat by the end of the current school year: - Applicants for S4 should be currently working on RAD Advanced Foundation level - Applicants for S5 should be currently working on RAD Advanced 1 level 5