Leading Dance & Performance Academy
Professional training delivered by highly qualified and established staff
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)
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
Syllabus
Previous Training
Current School / College
Address (Inc Postcode)
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.
(GCSE, BTEC, etc)
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
Relationship
Contact Number
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.
GDPR Consent
Acceptance
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