Apply Now 2022 UPDATED ApplicationApplication Form Thank you for applying to Addict Dance Academy. Please complete all sections of this form and select SUBMIT when you are finished. PLEASE SELECT THE COURSE YOU WISH TO APPLY FORPERSONAL DETAILSPLEASE SELECT THE COURSE YOU WISH TO APPLY FOR BTEC EXTENDED DIPLOMA IN PERFORMING ARTS (DANCE) (LEVEL 3) BTEC EXTENDED DIPLOMA IN PERFORMING ARTS (MUSICAL THEATRE) (LEVEL 3) FDA DANCE PERFORMANCE (LEVEL 4 & 5) FDA MUSICAL THEATRE PERFORMANCE (LEVEL 4 & 5) BA HONS DANCE (LEVEL 6) TOP UP BA HONS MUSICAL THEATRE PERFORMANCE (LEVEL 6) TOP UPTITLE Mr Mrs Miss OtherFORENAMESURNAME/FAMILY NAMEDATE OF BIRTHDay- Select -12345678910111213141516171819202122232425262728293031Month- Select -JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear- Select -2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Do you know your National Insurance Number? Yes NoNATIONAL INSURANCE NUMBERPERMANENT ADDRESSAddressAddress Line 1Address Line 2CityCountyPost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweDo you live at a different address during term time? Yes NoAddressAddress Line 1Address Line 2CityCountyPost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweHOME TELEPHONEMOBILE TELEPHONEEMAIL ADDRESSETHNICITYI would describe my ethnic origin as: ENGLISH/SCOTTISH/WELSH/ NORTHERN IRISH/BRITISH IRISH GYPSY OR IRISH TRAVELLER OTHER WHITE BACKGROUND INDIAN PAKISTANI BANGLADESHI CHINESE OTHER MIXED BACKGROUND WHITE AND BLACK CARIBBEAN WHITE AND BLACK AFRICAN WHITE AND ASIAN OTHER MIXED BACKGROUND AFRICAN CARIBBEAN OTHER BLACK/AFRICAN/CARIBBEAN BACKGROUND ARAB ANY OTHER ETHNIC BACKGROUND UNKNOWN/NOT PROVIDEDDISABILITY OR LEARNING DIFFICULTIESDO YOU HAVE A DISABILITY? Yes NoDISABILITY MULTIPLE DISABILITIES BLIND OR VISUALLY IMPAIRED (little or no sight) DEAF OR HEARING IMPAIRED (use a hearing aid or sign language DISABILITY AFFECTING MOBILITY (e.g. wheelchair user) EMOTIONAL/BEHAVIORAL DIFFICULTIES MENTAL HEALTH DIFFICULTY (please state) TEMPORARY DISABILITY OR ILLNESS (e.g. accident) PROFOUND COMPLEX DIFFICULTY ASPERGERS SYNDROME OTHER PHYSICAL DISABILITY OTHER MEDICAL CONDITION (e.g. epilepsy, asthma, diabetes) OTHER (please state)OTHERDO YOU HAVE A LEARNING DIFFICULTY? Yes NoLEARNING DIFFICULTY MODERATE LEARNING DIFFICULTY SEVERE LEARNING DIFFICULTY DYSLEXIA (difficulty with words) DYSCALCULIA (difficulty with numbers) AUTISM SPECRTUM DISORDER OTHER SPECIFIC LEARNING DIFFICULTY (please state) OTHER (please state)OTHERDO YOU NEED ANY SUPPORT AT INTERVIEW STAGE? Yes NoIf YES please give detailsDO YOU HAVE A STATEMENT OF SPECIAL EDUCATION NEEDS? Yes NoIf YES please give detailsADDITIONAL DETAILSDO YOU HAVE ANY UNSPENT CRIMINAL CONVICTIONS, INCLUDING INTENSIVE SUPERVISION AND SURVEILLANCE PROGRAMME (ISSP) OR DRUG TREATMENT AND TESTING ORDER (DTTO)? Yes NoPLEASE GIVE THE NAME OF THE LAST SCHOOL OR COLLEGE YOU ATTENDED OR ARE STILL ATTENDINGNAME OF EMERGENCY CONTACTEMERGENCY CONTACT NUMBERSAVE PROGRESSPreviousNext PagePERSONAL STATEMENTPlease complete the following questions:WHY DO YOU WANT TO STUDY THIS COURSE?HOW DO YOU THINK THIS COURSE WILL HELP YOU IN YOUR FUTURE PLANS OF EMPLOYMENT/EDUCATION?DO YOU HAVE ANY PERFORMANCE EXPERIENCE?ARE YOU CURRENTLY STUDYING ANY QUALIFICATIONS YOU ARE YET TO RECEIVE GRADES FOR? Yes NoHOW MANY QUALIFICATIONS ARE YOU CURRENTLY STUDYING?- Select -1234567891010+Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEPredicted GradeDate to be TakenLength of Study (Years)Please add details of the remaining qualifications you are currently studyingDo you have any previous qualifications? Yes NoTELL US ABOUT YOUR PREVIOUS QUALIFICATIONS (FOUNDATION DEGREES, HNDS, GCSES, A-LEVELS, BTECS ETC)HOW MANY PREVIOUS QUALIFICATIONS DO YOU HAVE?- Select -1234567891010+Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Examining Board e.g. EdexcelSubject e.g. MathsLevel e.g. GCSEGrade AchievedDate TakenLength of Study (Years)Please add details of the remaining qualifications you have completedWHERE DID YOU HEAR ABOUT US?- Select -Social MediaFriend/Current StudentMove ItOther I consent to have Addict Dance Academy store my submitted information so they can respond to my application I have read and agree to the Terms and Conditions and Privacy PolicySAVE PROGRESS Previous SUBMIT APPLICATION
