Vocational College

Professional training delivered by highly qualified and established staff

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First Name

Surname

Address (inc Post Code)

Telephone

Mobile

Email Address

Date of Birth

Nationality

Gender

Height

Weight

How did you hear about Steelworks?

Personal Information

Current Dance / Performing Arts School

Address (inc postcode)

Telephone

Principal's Name

Please state what syllabus you have studied (BBO, RAD,ISTD, IDTA etc) Grade achieved and length of study (if applicable)

Subject Years Studying Grade / Level Syllabus / Examination Body
1

Subject

Years Studying

Grade / Level

Syllabus / Examination Body

Syllabus

Previous Training

Current School / College

Address (Inc Postcode)

Telephone

Please give details of and qualifications achieved or to be taken (G.C.S.E, BTEC, A-Level, HND etc).

English and Maths are required.

Subject * Level *

(GCSE, BTEC, etc)

Date Taken / To be taken * Result / Predicted Grade *
1

Subject

Level

Date Taken / To be taken

Result / Predicted Grade

Qualifications

Please give details of any previous or current performing experience

Have you previously auditioned for Steelworks?

Academic Education / Qualifications

Do you have any learning difficulties? (e.g. Dyslexia, Dyspraxia)

Do you suffer from any Physical Disability?

Have you had/suffered from any broken bones/joints/spinal or muscular injury? If yes please provide details.

Have you had any history of migraines, blackouts or epilepsy? If yes please provide further details.

Have you ever been treated or suffered from depression or any other mental health condition we should be aware of? If yes please provide further details.

Are there any other conditions we should be aware of?

Medical Questionnaire

Confirmation

Date

If the applicant is under the age of 18

Name of Parent / Guardian

Date

Relationship

Contact Number

Email Address

Declaration

By submitting this form, you agree to Steelworks Academy using your details to process your application / the application of the student, if under 18. Steelworks Academy will not use your details for any other purposes, except in accordance of informing you of the status of your application without your permission.

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