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Personal Details


UCAS personal ID (if applicable)
University Reference Number
Title
First Name
Surname
Date Of Birth

Gender at Birth


Gender Identity


Contact Details

House No./Name and street (Address Line 1)
Address Line 2
Town / City
County

Postcode

Contact Number (Home Telephone)
Mobile
Personal Email Address
Personal Email Address (enter again)
     
How did you hear about us?
Have you auditioned previously?
What year did you audition?


Emergency Contact


Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone number
Emergency Contact Email Address

Legal


Will you be 18 years of age or over for the intended start and enrolment for your applied course (beginning of academic year)?:
Do any of the following apply to you?
Do you have any unspent convictions or pending court cases?
Further details (if necessary)

Please list all Schools/Colleges/Universities you are applying for in order of preference

  1. 1)
  2. 2)
  3. 3)
  4. 4)
  5. 5)
  6. 6)

Please list Schools, Colleges, Universities and any Other Institutions you have attended (include the year from and year to)

Most recent school / college
Date from
Date to
  1. 1)
  2. 2)
  3. 3)
  4. 4)
  5. 5)
  6. 6)

Academic Qualifications


What is your current UCAS score?
Click to calculate your UCAS score

Please tick the following box, if you DO NOT have sufficient UCAS points for this course and will need your Experiential Learning to be considered

 Click to see AEL information
Highest Qualification Level

Academic Qualifications (include the subject, grade and exam board / society)

  1. GCSE English (or equivalent)
  2. GCSE Maths (or equivalent)
  3. 3)
  4. 4)
  5. 5)
  6. 6)
Have you attended an Italia Conti Associate school?

Vocational Qualifications (include the subject, grade and exam board / society)

  1. 1)
  2. 2)
  3. 3)
  4. 4)
  5. 5)
  6. 6)
  7. Other:

Equal Opportunities

The following information is only used to monitor applications to the academy and supply information for Government and Educational statistics. It is not used as part of the audition process

Ethnic Group
What is your country of residence?
Nationality
Do you have any disabilities or learning difficulties?
Primary Disability/Learning Difficulty
Secondary Disability/Learning Difficulty

Please provide any extra information that can help us to help you

Notes

Preferred Audition Location

Please note that whilst the admissions team will endeavour to offer you an audition at your preferred selection above, this may not always be possible. By submitting this application and the non-refundable audition fee, you acknowledge and accept that to be considered for entry to this course you may still be required to attend an audition (or recall) at our Surrey campus, and in some cases remote (digital) auditions will take the place of an in-person audition


Funding


How do you intend to fund the course/support yourself?

Personal Statement

Personal Statement

Terms & Conditions / Privacy Policy


Please tick the box below to confirm:

  • I have read and agree to the Terms & Conditions here
  • I have read and agree to the Privacy policy here
  • I have read and agree to the study location information
  • Additional support is available to me if needed
  • I accept the Conditions of Enrolment
  • I have read and agree to the Privacy policy in relation to GDPR here

Digital signature (Applicant’s signature or parent/guardian if the applicant is under 18 years of age)

Signature

Clear Signature