DSS Application form - Knightswood Secondary School
DSS Application form - Knightswood Secondary School
DSS Application form - Knightswood Secondary School
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APPLICATION FORADMISSIONSESSION 2011-2012On completion, this application <strong>form</strong> should bereturned to:The Dance <strong>School</strong> of Scotland<strong>Knightswood</strong> <strong>Secondary</strong> <strong>School</strong>60 <strong>Knightswood</strong> RoadGlasgow G13 2XDTel; 0141 582 0160Closing Date for<strong>Application</strong>s:31 st January 2012
Please complete/tickCourse EntryS1 entry to Dance Course (<strong>DSS</strong>)S2-S6 entry to Dance Course (<strong>DSS</strong>)S3 entry to Preparatory Theatre Course (PTC)S5 entry to Musical Theatre Course (MTC)Please tickFor Dance applicants please enclose the following photographs with the application<strong>form</strong> (in leotard):1 Full length, front view, feet together, arms by side2 Full length, back view, feet together, arms by side3 Full length, demi plie in 1 st position, en face4 Full length, leg in 2 nd position en l’air, en face (for entry after S2 only)5 Full length, 1 st arabesque en l’air, de cote (for entry after S2 only)6 One passport sized photograph, head and shoulders.For PTC and MTC applicants please enclose the following photograph with theapplication <strong>form</strong>:1 One passport sized photograph, head and shouldersPERSONAL DETAILSFirst NameSurnameDate of BirthParents NameHome Address_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________PostcodeTelephone (home)Telephone (mobile)________________________________________________________________________________________________________________________________
APPLICANT’S PRESENT SCHOOL OR EQUIVALENTName of <strong>School</strong>ClassHead TeacherAddress of <strong>School</strong>_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________PostcodeTelephone Number______________________________________________________________________________________________Previous schoolswith dates:Scottish CandidateNumber:_______________________________________________________________________________________________APPLICANTS PRESENT DANCE/DRAMA/SINGINGTEACHER (if applicable)NameAddressPostcodeTelephone Number________________________________________________________________________________________________________________________________________________________________________________________Please give details of training to date and/or involvement in per<strong>form</strong>ances etc ifappropriate:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
MEDICAL INFORMATIONPresent DoctorAddress_________________________________________________________________________________________________________________________________Telephone Number___________________________________________Have you ever had or suffered from any of the following: (please tick)Any serious illness in the last three years eg glandular feverAny broken/fractured bonesAny eye/ear problemsAsthmaMigrainesAny major operationsAny injury or condition that has required treatment by aphysiotherapist or osteopathAny allergiesBlood conditions eg diabetes or anaemiaDo you wear glassesAny additional support needs eg dyslexia, dyspraxia, ADHDAny links to Psychological Services orSocial Work DepartmentYesNoIf you have answered yes to any of the above questions , please give further detailsbelow, including dates, treatment received and the name of the doctor whereapplicable:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DECLARATIONI/We the undersigned, make the above application on behalf of my/ourchild. I/We understand that a current Head Teacher’s report or a reportfrom another appropriate person will be requested and will be sent forcompletion when the application is received. Where it is not the HeadTeacher, then the designation of the person and their contact detailsshould be clearly indicated.Signature of ApplicantSignature of ParentDate__________________________________________________________________________________________________________________Details of the audition dates and processes will be sent to you in duecourse.
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