APPLICATION FORM

Choose the East 15 course you wish to apply for: (Please tick)

PLEASE COMPLETE THIS FORM
IN BLOCK CAPITALS

ACTING SCHOOL

Your details
Last name:________________________________________________

PLEASE AFFIX

First name:________________________________________________

YOUR COLOUR

Address:__________________________________________________

PASSPORT SIZED

________________________________________________________

PHOTOGRAPH

________________________________________________________

HERE

___________________________Post code:_____________________

E-mail:___________________________________________________
Female:

(Please tick as appropriate)

Stage Combat (1 week)
Course: SC2 w/c 2nd August 2010
Course Fee: £300
(includes BADC examination fee)

Introduction to Acting (3 weeks) 
Course: I2A3 w/c 19th July 2010

Course Fee: £675

Theatre Directing (1 week)
Course: TD w/c 26th July 2010
Course Fee: £325

Acting for International Students (1 week) 
Course: AIS1 w/c 19th July 2010
Course Fee: £290

Contemporary Theatre (2 weeks)
Course: CT w/c 19th July 2010
Course Fee: £495

Acting and Performing Shakespeare (1 week) 
Course: APS1 w/c 26th July 2010
Course Fee: £290

Introduction to Acting on Camera (1 week)
Course: I1AOC1 w/c 19th July 2010

Course Fee: £325

Formal learning: (Please tick as appropriate)
GCSE/O-Levels: 

Introduction to Acting (1 week) 
Course: I1A11 w/c 19th July 2010 
Course: I2A13 w/c 2nd August 2010

Course Fee: £290

Audition Technique (1 week)
Course: AT1 w/c 19th July 2010
Course: AT2 w/c 26th July 2010
Course: AT3 w/c 2nd August 2010

Course Fee: £290

Date of birth: _ _______________ Nationality:_____________________

No formal qualifications:

Loughton

African Theatre and Drumming (1 week)
Course: ATD1 w/c 26th July 2010

Course Fee: £290

Tel:______________________________________________________

Male:

L At

A-Levels:

First Degree:

Postgraduate Degree:

Previous training/experience: (Continue on a separate sheet if necessary)

Introduction to Technical Theatre (1 week)
Course: ITT1 w/c July 19th
Course Fee: £275 

S

At Southend

Introduction to Acting (1 week)
Course: I2A12 w/c 26th July 2010
Course Fee: £290
Stage Combat (1 week)
Course: SC1 w/c 26th July 2010
Course Fee: £300 (includes BADC examination fee)
Physical Theatre (1 week)
Course: PTAC1 w/c 26th July 2010

Course Fee: £290
Circus Skills (1 week)
Course: CS1 w/c 26th July 2010
Course Fee: £290

1. Training________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
2. Other relevant experience:__________________________________________________________________

I wish to attend the above course/courses and
enclose my £100 deposit.

Date:_ _____________________________________
Signature of Parent/Guardian
if applicant is under 18 years of age

Contact in case of emergency:________________________________Tel:_______________________________
Do you have any medical problems or special needs?
If YES please give details on a separate sheet

YES:

NO:

I enclose a cheque made payable to the
University of Essex (E15 Summer Schools)

Signature: __________________________________

________________________________________________________________________________________
________________________________________________________________________________________

Payment details

Overseas Payments
For overseas bank transfers please e-mail
east15@essex.ac.uk for details
Please tick if you wish to pay by bank transfer

__________________________________________
Please return this form with your deposit to
East 15 Acting School “Summer Courses” Hatfields, Rectory Lane, Loughton, Essex IG10 3RY
For payment enquiries, please contact
East 15 on +44(0)20 8508 5983 or e-mail east15@essex.ac.uk

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