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Campus of Performing Arts (PTY)

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<strong>Campus</strong> <strong>of</strong> <strong>Performing</strong> <strong>Arts</strong> (<strong>PTY</strong>) Ltd.<br />

The college collects information about you on this form to ensure that you are placed on the<br />

correct course. All information is treated as confidential and will not be disclosed to third<br />

parties.<br />

SECTION 1<br />

All applicants are required to complete the following:<br />

1.1 Details about you – please complete ALL sections.<br />

Surname: __________________________Forenames: ______________________<br />

Home address: ______________________________________________________<br />

________________________________________________Postcode: __________<br />

Home tel: ___________________________ Cell: ___________________________<br />

Email address: ______________________________________________________<br />

Age: __________ Date <strong>of</strong> birth: DD/MM/YY Gender: Male Female<br />

Highest grade achieved: ___________ Nationality: _____________________<br />

Country <strong>of</strong> birth: ______________________<br />

1.2 Year <strong>of</strong> Study (eg. 2011/2012): ______ <strong>Campus</strong>: JHB PTA CT KZN<br />

1.3 Previous music education: (Not required for students wishing to apply for NQF2)<br />

1st Instrument: ____________ Grade: 1 2 3 4 5 6 7 8 Awarding Body: ____________<br />

2nd Instrument*: ___________ Grade: 1 2 3 4 5 6 7 8 Awarding Body: ____________<br />

Music Theory: Grade* 1 2 3 4 5 6 7 8<br />

*if applicable<br />

Awarding Body: _____________<br />

1.4 Please supply any additional information about yourself that may support your application<br />

to study at COPA. (i.e. related experience in bands, song writing, studio recording and<br />

performance). Continue on a separate sheet if necessary.<br />

Drums<br />

3

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