Birmingham School of Acting for stage, screen & broadcast

Application Form for PG Dip / MA Acting

Part 1 : Personal Details

Title
Surname
Forenames
Nationality
	* If not born in the UK please state date of arrival in the UK : Passport number Country of birth Country of Permanent Residence
Date of birth	Day : Month : Year :
Place of birth
Marital status

Home address
Post/zip code
Country
Telephone
Mobile
Email

Contact address (if different from above)
Post/zip code
Country
Telephone
Mobile
Email

Part 2 : Course Applied For

POSTGRADUATE DEGREES

PG Dip / MA Acting

Part 3 : Education (proof of qualifications will be required at enrolment)

Please enter details of the highest level of qualification you currently hold (Mandatory Field) eg: GCSE, HND, Degree, Access, NVQ, Postgraduate, Masters, Professional

CURRENT EDUCATION / TRAINING
Are you currently in : Full-time education Part-time education

Secondary

VI Form

University

End / Expected end date
If you have been out of full-time education for 9 months or more, please give a desription of what you have been doing during the gaps in education

PLACES OF EDUCATION - please list (including current) with dates starting with the most recent

EXAMINATIONS / QUALIFICATIONS
List 'GCSE','AS','A2' or 'A' level or equivalent subjects taken or to be taken with grade and date

List first degree and post-graduate degree (or equivalent) taken or to be taken

Part 4 : Criminal convictions

The University has a duty to ensure the safety and security of its students and staff. You must tick the box if one of the following statements applies to you:

I have a relevant criminal conviction that is not spent
I am serving a prison sentence for a relevant criminal conviction

The definition of a relevant conviction is one for offences against the person, whether of a violent or sexual nature, or for offences involved unlawfully supplying controlled drugs or substances where the conviction concerns commercial drug dealing or trafficking. If you tick the box, you will not be automatically refused a place but the University will ask for more information before making a decision.

Convictions that are spent (as defined by the Rehabilitation of Offenders Act 1974) are not considered to be relevant and need not be disclosed. Please note that if you do not declare a relevant criminal conviction and this comes to our attention at a later date, you may be excluded from the University.

Part 5 : Training

RELEVANT TRAINING / EXPERIENCE - please list any qualifications with grades and dates

OTHER RELEVANT SKILLS

INTERESTS, ACCOMPLISHMENTS AND PERSONAL AMBITIONS STATEMENT

Part 6 : Auditions

FACTORS WHICH YOU WISH TO BE TAKEN INTO CONSIDERATION AT AUDITION
For example dyslexia, other disability or injury – please state if you have been formally assessed. If you have been formally assessed please provide a copy of your assessment at audition.

As part of our commitment to equal opportunities, promoting equality within all aspects of employment and training, Birmingham School of Acting is committed, wherever practical, to developing opportunities for employees and students alike whatever their physical ability.

Have you applied to other CDS drama schools Yes No

PREVIOUS AUDITION

Have you previously auditioned at Birmingham School of Acting Yes No

If yes, please state audition date(s)

PREFERRED AUDITION DATE - please state 1st and 2nd choice of date (see dates in Audition Dates Section)

1st Choice :

2nd Choice :

Please indicate below the Recall Audition dates you would prefer. If that date is not available, we will give you the nearest date possible.

PREFERRED RECALL AUDITION DATE

1st Choice :

2nd Choice :

Part 7 : Referee

Your referee should be someone who is not a family member. Your referee will only be contacted if you are offered a recall audition.

Names
Relationship to you
Address
Post/zip code
Country
Telephone
Email

Please tick the box on the right to confirm that you have read and understood
the ‘Guide to Auditioning’ regarding the criteria and requirements for auditions.

Part 8 : International Applications

I am an overseas applicant and submit a video for my initial audition:

If English is not your first language please state your highest English test award (see admission requirements) and provide certification at audition or a photocopy with your application if auditioning via video. If you have not been formally assessed you may be required to undertake a test at a recall audition. State certificating body, test score and test date here:

EQUAL OPPORTUNITIES MONITORING

Data collected from this form is only used to monitor applications to the School and supply information for Government and educational statistics. It is not used as part of the audition process. If you would like further information about Birmingham School of Acting's Equal opportunities Policy please contact the Registrar.

Gender	Male Female
Nationality
Area of permanent residence
Do you have a disability?	Yes No
Are you registered disabled?	Yes No

Disability type :
If yes, please select from the list below :

Description
A - No Disability
B – You have asocial/Communication impalement such as Asperger’s syndrome/ other autistic spectrum disorder
C - You are blind or have a serious visual impairment uncorrected by glasses.
D - You have along standing illness or health concision such as cancer/ HIV/Diabetes/ chronic heart disease or epilepsy
E - You have a mental health condition such as depression Schizophrenia or anxiety disorder
F – You have a specific learning difficulty such as Dyslexia, Dyspraxia or AD(H)D
G – You have physical impairment or mobility issues, such as difficulty using your arms or using A wheelchair or crutches
H – You have a disability, Impairment or medical condition that is not listed above
I – You have Two or more impairments and/ or disabling medical conditions

ETHNIC ORGIN

Code	Ethnic Origin
10	White
11	White - British
12	White - Irish
13	White - Scottish
14	Irish Traveller
19	Other White Background
21	Black or Black British - Caribbean
22	Black or Black British - African
29	Other Black background
31	Asian or Asian British - Indian
32	Asian or Asian British - Pakistani
33	Asian or Asian British - Bangladeshi
34	Chinese
39	Other Asian background
41	Mixed - White and Black Caribbean
42	Mixed - White and Black African
43	Mixed - White and Asian
49	Other Mixed background
80	Other Ethnic background
90	Not known
98	Do not wish to provide information

Have you ever been in care?

Yes No Do not want to disclose

Thank you for submitting your application form to Birmingham School of Acting

I confirm that the information supplied is correct

BEFORE YOU SUBMIT YOUR APPLICATION, PLEASE CLICK HERE TO FIND OUT METHODS OF PAYMENT OR IF YOU WISH TO PAY BY CARD

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