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Audition Application 2012 

Please complete the following sections
1. Audition Course Selection
2. Personal Details
3. Performance, Training and Qualifications
4. Questionnaire
5. Equal Opportunities Monitoring 

1. Audition:-

Please tick your course preference - please note all students undertake the same audition and the Audition Panel will advise which course is most suitable for you.

National Diploma in Professional Musical Theatre -3 yr course
Foundation Musical Theatre - 1 year
Dance Performers Course - 1 year
 

2. Personal Details

Name

Telephone Contacts
Forename Home
Last name Personal Mobile

Address

 Emergency - Daytime hours
Number and Street Name

Other
Town DOB
County / City Male
Post code Female
Email Address

Finance

Yes

No
Are you eligible to be considered for a Dfes/DaDa scholarship (i.e. UK or ECD national)
If you are unsuccessful in obtaining an award, are you able to meet the full cost of tuition and maintenance
How did you hear about Liverpool Theatre School?
If other please detail...
Did you attent and LTS open day?
If so when ?
 

3. Performance, Training and Qualifications

At which School/College did you last train?
Dance / drama school
Secondary school
Singing School/Teacher
 

Dance -

please tick which dance training you have recieved and insert highest grade achieved
  Ballet Tap Modern Jazz Ballroom Other None
Training received
Highest Grade Achieved
 

Drama


 GCSE
Btech 1st etc 		BTEC ND / Gnvq
A/S; A etc 		LAMDA
Other 		None
Training received
Highest Grade Achieved  

Singing

  School / Private tuition Qualifications- Examination Body None
Training received
Highest Grade
      Achieved 		 

Show Experience

     
Role Show Title
 

4.Questionnaire

LTS works with the individual student to develop their particular talents and we will be as flexible as possible to accommodate those with particular access requirements. Previous / current impairments, illnesses and /or learning difficulties, need to be identified to assist this process. Failure to supply accurate details may compromise your place at LTS at a future date

Name of student                    Date of birth  

History
Do you have any record of the following Please tick / complete relevant box
  Yes No Dates Other comments you wish to declare
Bones broken
Muscle or ligament problems
Spinal injuries
Diseases - Polio, Rheumatic fever, Glandular fever
Blood disorders- Diabetes
Heart condition
Hay fever, Eczema, Allergies or Skin condition
Eye or Hearing problems
Migraine, Blackouts, Epilepsy or Asthma
Previous operations
Any other medical issues that need to be identified
Learning Difficulties- please specify
 

5. Equal Opportunities application monitoring

Will candidates please complete the following to assist equal opportunities monitoring. This information is used for monitoring only and is not used for any other purpose

Ethnic Origin: Please tick one of the following

Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian of Asian British – Pakistani
Asian or Asian British – any other background
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – any other Black background
Chinese
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
White – British
White – Irish
White – Any other White background
Any other
Not known / not provided