Lamda Scholarship Form

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    PatronHRH Princess Alexandra,The Hon Lady Ogilvy GCVO

    PrincipalJoanna Read

    155 Talgarth RoadBarons CourtLondon W14 9DA

    Tel.: 020 8834 0500Fax: 020 8834 0501

    Email:[email protected]

    Website:

    www.lamda.org.uk

    THE LONDON

    ACADEMY OF

    MUSIC AND

    DRAMATIC ART

    Audition Application FormEntry 2012

    Please note you can apply on-line www.lamda.org.uk

    Please enclose an audition fee (non-returnable) see attached sheet

    Complete form fully and clearly in black ink and block letters. Please tick ()relevant boxes.

    Deadline for applications: 1st March 2012. Applications cannot be received after this date underany circumstances.

    Note: Current UK Border Agency regulations do not grant visas to attend the Foundation Course see LAMDA websitefor info.

    Course(s) applied for

    Three Year Acting Two Year Acting One Year Classical Acting One Year Foundation

    Preferred Audition Centre tick ONE

    UK & EU Venues: Non London Audition dates may change

    BirminghamFebruary

    BristolFebruary

    CardiffFebruary

    DublinFebruary

    EdinburghMarch

    LeicesterApril

    LiverpoolApril

    LondonNov-June

    ManchesterJanuary

    NewcastleMarch

    NorwichMarch

    YorkMarch

    ParisMay

    Non EU Venues:

    ChicagoJanuary

    LosAngelesFebruary

    MinneapolisFebruary

    New YorkJan/March

    SanFranciscoFebruary

    SeattleFebruary

    TorontoJanuary

    New Delhi

    Applicant Details

    Please writeclearly in the boxes below1. Name

    2. Permanent Address

    3. Telephone numberPlease write 1 number

    in each box4. Email address.This is necessary as itis how we will contactyou. Please write 1character in each box

    Office Use OnlyDaterec.Recno.

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    5. CorrespondenceAddressIf different from above

    6. Correspondence Tel.Please write 1 numberin each box

    7. CorrespondenceEmail

    8. Date of Birth(applicants must be18 at coursecommencement)Date/Month/Year

    9. Nationality andUsual Country ofResidence

    10. Will you apply for aVisa to attend thecourse?

    Yes No

    11. How would you liketo receive youraudition result?

    By email By post / mail

    Education and Training

    12. Education Pre Age18

    Date of leaving(month/year)

    DetailsName of schools/colleges/examinations passed etc

    13. Education Post Age18

    Date of leaving(month/year)

    Your Age atleaving

    DetailsName of schools/colleges/university/examinations passed etc

    14. Dramatic Training

    List schools, teachers,dates & briefdescription of thetraining.

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    15. Acting ExperienceList roles, where playedprofessional or non-

    Continue on another sheet Ifnecessary

    Financial PositionEligible UK/EU students on the Three and Two Year Acting courses qualify for a fees-funded place.

    For further information on funding, refer to www.education.gov.uk/support

    16. How do you intendto fund your course? Fees-Funded Place(UK/EU students only) Loans Private Finances Sponsorship/Charities

    17. Give details of anyfunding, loans

    scholarships etc youmay apply for

    18. Scholarships/bursaries

    (UK/EU students only)

    I wish to be considered for financial assistance* Any UK/EU students wishing to be

    considered for a financial assistance need to make a separate application to

    Student Loans Company).

    *Please note this option is only available to students from the UK/EU who are applying

    to study on the 3 Year / 2 Year Acting or 2 Year SMTT courses.Disability

    19. Please list anydisability ofwhich you wish theauditionpanel to be madeaware andreasonableadjustment made

    Attach further information ifnecessaryHow did you hear about our courses?

    Internet Search Teacher/Careers Advisor Visit to LAMDA LAMDA Exams

    CDS/NCDT LAMDA Graduate Current LAMDA Student

    Advertisement in magazine etc (please state which) Other (please state)

    Signature of applicant Date

    Signature of parent/guardianIf applicant is under the age of18 on date of application

    Date

    ANY SUBMISSION OF FRAUDULENT INFORMATION ON THIS FORM WILL RESULT IN IMMEDIATECANCELLATION OF THE APPLICATION.

    LAMDA Ltd Registered in England No 364456 a non-profit distributing company Affiliate of the Conservatoire for Dance and DramaRegistered Charity No 312821NCDT Accredited Member of the Conference of Drama Schools Validated by the University of Kent at Canterbury Registered Office: 155Talgarth Road, London W14 9DA

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    Equal Opportunities

    LAMDA welcomes applications from all sections of the community The information you give in this section is used forstatistical and monitoring purposes only and does not form any part of the selection or admissions process.

    Course(s) Applied For

    Gender

    Male Female

    Age

    Under 18 18-20 21-25 25+

    DisabilityThe information you give below will be used for statistical purposes only. There is a separate section on thisapplication form which invites you to tell us of a specific learning difficulty or other impairment or condition so thatwe can arrange support for you at your audition / interview and if successful, during the course.

    Which of the followingstatements about disability ismost appropriate to you?Please tick appropriatebox(es)

    No Known Disability Blind / Partially Sighted Deaf/Hearing Impairment Wheelchair User/Mobility Difficulties Personal Care Support Mental Health Difficulties An Unseen Disability, e.g. Diabetes, Epilepsy,Asthma. Multiple Disabilities Autistic Spectrum Disorder A Specific Learning Difficulty e.g Dyslexia

    A Disability Not Listed Above. I Do Not Wish To Give This Information

    Ethnicity

    Please tick the box(es)which best describe yourethnic origin or culturalbackground.

    White Black or Black British - Caribbean Black or Black British African Other Black Background Asian or Asian British Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi

    Chinese Other Asian Background Mixed White and Black Caribbean Mixed White and Black African Mixed White and Asian Other Mixed Background Other Ethnic Background I do not wish to give this information

    Please return this sheet with your application to LAMDA Admissions, 155 Talgarth Road, London W14 9DA, UK.

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    Audition / Interview/ Application Fees 2011/12& How to Pay

    Please Note:

    Cheques payable to LAMDA Ltd.

    Cheques can only be accepted in sterling, drawn on a UK bank account.

    Money Orders cannot be accepted in any currency.

    Payment cannot be made in dollars or in any other currency apart from

    sterling.

    Payment for audition / interview / application fees cannot be made by banktransfer.

    Payment for hard copy paper applications cannot be made by credit or debit card.

    Audition / interview / application fees are non-returnable.

    Method ofapplication

    Method ofpayment

    Audition /Interview fee for

    Birmingham Bristol Cardiff Dublin Edinburgh Leicester Liverpool London Manchester

    Newcastle Norwich Paris York

    Audition /Interview fee for

    All NorthAmericanvenues

    New Delhi

    Interview fee for

    StageManagement

    &TechnicalTheatrecourse

    Application feefor

    Summer &Eastercourses

    Singlesemestercourses

    On-line Credit &Debit card

    44.00 72.00 26.00 21.00

    Paperapplication(not on-line)

    Cheque 58.00 82.00 37.00 32.00

    On-line Cheque 58.00 82.00 37.00 32.00