Online Application
To apply for an Individual Audition, please complete and submit
this Application Form. N.B: You will need to upload a recent
photograph of yourself and pay the audition fee of £25.00.
this Application Form. N.B: You will need to upload a recent
photograph of yourself and pay the audition fee of £25.00.
KSA Performing Arts, Beckenham Halls,
4 Bromley Road, Beckenham, Kent BR3 5JE
Tel (UK): 020 8090 5801 Tel (Intl): 0044 20 8090 5801
Email: info@ksapa.co.uk Web: www.ksapa.co.uk
4 Bromley Road, Beckenham, Kent BR3 5JE
Tel (UK): 020 8090 5801 Tel (Intl): 0044 20 8090 5801
Email: info@ksapa.co.uk Web: www.ksapa.co.uk
APPLICATION FORM
PERSONAL DETAILS
NAME:
ADDRESS:
DATE OF BIRTH:
dd / mm / yyyy
TEL NO:
EMAIL:
WHICH COURSE ARE YOU APPLYING FOR?
ONE YEAR:
TWO YEAR:
PREVIOUS TRAINING & EDUCATION
COLLEGE / INSTITUTION
YEAR/S ATTENDED
COURSE / SUBJECTS
QUALIFICATION/S
PERSONAL STATEMENT
Please tell us a little bit about yourself and outline your reasons for wanting to attend KSA. (Maximum 4000 characters)
Please tell us a little bit about yourself and outline your reasons for wanting to attend KSA. (Maximum 4000 characters)
MEDICAL QUESTIONNAIRE
Have you had any serious illness in the last 3 years, e.g: Glandular Fever?.............................................................................................
Have you ever had any broken or fractured bones?................................................................................................................................
Have you had any condition requiring treatment by an Osteopath / Chiropractor / Physiotherapist?............................................................
Do you ever have any faints, fits or blackouts?......................................................................................................................................
Do you have any ear / eye conditions?.................................................................................................................................................
Have you had any throat problems?.....................................................................................................................................................
Do you suffer from Asthma?................................................................................................................................................................
Do you suffer from Migraine?...............................................................................................................................................................
Do you have any blood conditions, e.g: Diabetes, Anaemia?..................................................................................................................
Have you had any major operations?....................................................................................................................................................
Are you allergic to anything?...............................................................................................................................................................
If you have answered YES to any of the above questions, please provide as many details as possible below. Please also provide further information if there are any other medical details we should be aware of:
YES NO
All information on this form will be treated as strictly confidential and will not be divulged to anyone outside of KSA.
DECLARATION
By typing your name in the box below, you are agreeing to the Declaration Statement and to the Terms & Conditions on our website, which, if you are offered a place on the course, will form the basis of our contract with you:
By typing your name in the box below, you are agreeing to the Declaration Statement and to the Terms & Conditions on our website, which, if you are offered a place on the course, will form the basis of our contract with you:
Declaration Statement: I confirm that the information I have provided in this Application Form & Medical Questionnaire is true and accurate, to the best of my knowledge. I confirm that I am physically able to participate in an intensive and rigorous training course and I accept full responsibility for my own personal health and safety, both during the audition process and throughout my training. I shall provide, with this application, a recent photograph of myself and I agree to pay the audition fee of £25.00, which, I understand, is non-refundable and does not guarantee my acceptance onto this course.
SIGNED:
dd / mm / yyyy
DATE:
Please upload a recent photograph of yourself
PHOTOGRAPH:
Please check that you have completed all relevant sections of this form and
have uploaded a recent photograph of yourself, then click Submit.
You will then be redirected to a page where you can make a payment of the
audition fee of £25.00.
have uploaded a recent photograph of yourself, then click Submit.
You will then be redirected to a page where you can make a payment of the
audition fee of £25.00.
