Download the 2012 Application Form

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    PERFORMANCE STRANDApplicants will be advised of audition time

    TECHNICAL PRODUCTION STRANDApplicants will be advised of interview time

    THE CORECertificate III in Theatre & Screen Performance(91361NSW)

    1 year part time: February-December5 months full time: March-July *

    Certificate III in Live Production, Theatre & Events(Technical Operations) (CUE30203)

    February: 1 year full time *

    1 year part time:August-June

    5 months full time: September-January *

    Certificate IV in Music Theatre(91362NSW)

    March: 1 year full time *

    Certificate IV in Live Production, Theatre & Events(Technical Operations) (CUE40303)

    February: 1 year full time

    THE PROFESSIONAL ACTOR PROGRAM

    February: 3 years full time *

    Comprises:

    Diploma of Performance Practice (91381NSW)

    1st & 2nd Year

    Advanced Diploma of Arts in Stage & Screen Acting

    (91380NSW) 3rd Year

    Advanced Diploma of Stage Management

    (CUE60303)

    February: 1 year full time *

    NB: The above three qualifications are drawn from theendorsed National Entertainment Training Package.

    - This application must be accompanied by a passport sized photo and a non-refundable $55 application fee. Please fill out

    ALL SECTIONS and print clearly.

    - Documentation may be requested to verify educational/ industry experience, but does not need to be included with this application.

    - ACTT is committed to handling your personal information in accordance with the Privacy Act. For details, contact (02) 9213 4500 or

    visit www.actt.edu.au/policies-handbooks

    - ACTT has a refund policy for withdrawal or deferment which provides an equitable balance between the commitment the College

    makes when accepting applications and the obligations of the student when committing to a course.

    National RTO ID: 90168 CRICOS ID: 01544D

    ABN: 87 079 097 920

    505 Pitt St Sydney NSW 2000

    Tel (02) 9213 4500 Fax (02) 9281 3964

    www.actt.edu.au [email protected]

    Attach passport-sized

    photo here

    Application Form: Qualification Courses 2012

    Version 190811

    Indicate which course you are applying for by ticking the appropriate box.Please note, a separate application must be lodged for each course.

    Surname __________________________________ First names _______________________________________

    Address ______________________________________________________________________________________

    Postal Address (if different) ____________________________________________________________________

    Phone no. (home) _____________________ (work) ____________________ (mob) _____________________

    Email _________________________________________________________________________________________

    Date of Birth _____________ Age __________ Sex M / F Occupation ___________________________

    Do you speak a language other than English at home? Yes No

    If yes, please specify __________________________________________________________________________

    Do you need help with English? Yes No

    Personal Information

    * This course is approved by CRICOS for international students to apply for a student visaEntry to Advanced Diploma courses is open to applicants aged 20 and above, with a Diploma or equivalent

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    Have you completed the HSC or equivalent? yes / no Which year? __________________________Did you complete HSC drama? yes / noHave you completed any tertiary courses? yes / no If yes, please provide details:

    Year Completed Qualification Institution

    Please provide the contact details of your current employer (if applicable):

    Name ____________________________________ Company __________________________________________________

    Address ___________________________________________________ Phone no. __________________________________

    Briefly list your employment history:

    Employer Position f/time, p/time, cas? Period of employment

    Were you born in Australia? yes / no If no, specify country of birth________________________________

    Residency status (please circle)Are you: Australian Citizen New Zealand Citizen

    Australian Permanent Resident Australian Temporary Resident

    Other: ___________________________

    Visa Status (please circle)(If you are an Australian/New Zealand Citizen you do not need to answer the following question)Are you currently: Visitor Visa Holder Student Visa Holder

    Other: ___________________________ I do not have a visa

    Visa Type ______________________________________ Expiry date ____________________________________________

    Passport number ___________________________ Country of issue ____________________________________________

    Do you have English skills to the level of IELTS 6 or equivalent? Yes NoIf NO, please visit http://www.IELTS.org for more information

    How did you find out about ACTT? (please circle as many as applicable)

    Employment

    Residency & Visa Status

    Online :

    Facebook

    Other Social Media

    Google

    Other search engine

    Banner Ad

    Online news article

    Education Websitewebsite name:_______________________

    Word of Mouth:

    Current/ Past Student

    Friend referred you

    School/ College:

    School Teacher

    Careers Advisor

    Careers Expo

    Press:

    Local Paper or magazine article

    Advertising & Promotion:

    We mailed you

    You picked up a flyer

    You saw our signage - Pitt St.

    E-mail:

    From a friend

    The ACTT e-newsPress:

    Local Paper or magazine advert

    Version 190811

    Education

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    Previous training & experience

    Please list any relevant formal training youve had:

    Institution Qualification Date

    ACTT provides mutual recognition of relevant qualifications gained from other RTOs. Contact ACTT for more information.

    Please list any performing arts workshops or short courses you have attended:

    Name of course / workshop Tutor / institution / workshop leader Date

    Please list anypractical experience you have had in film / TV / stage / musical productions:

    Event or show Company Role or position Date

    Please describe any other experience or skills in related artistic fields such as art, music, dance,writing, production, etc:

    _______________________________________________________________________________________________

    ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    _____________________________________________________________________________________________________________________

    Version 190811

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    Please describe what you hope to achieve from this course:

    ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    (If this space is insufficient, please attach a separate page)______________________________________________________________________________________________________________________________________________________________________________

    Please make sure that you have answered the above questions completely before signing the

    form. Once ACTT has received your application, you will be contacted regarding the date andtime of your audition or interview.

    I declare that the information I have provided on this form is complete, true and correct.

    Signature ____________________________________ Date / /

    Payment of application fee:

    Please find enclosed a cheque / money order for $55 payable to ACTT

    OR Please debit my (circle one) Bankcard Master Card Visa

    Card no. ________ / ________ / ________ /________ Expiry date ________ / ________

    Cardholders name ______________________________ Cardholders Signature __________________________________________

    Please return this completed form with a passport photo and $55 application fee to:

    Actors College of Theatre & Television505 Pitt StSYDNEY NSW AUSTRALIA 2000

    (Interstate and Overseas students should also include their audition tape/DVD with this form)

    _______________________________________________________________________________________________

    Office Use Only

    Date received _____________________ Approved by (please sign) _______________________________

    Fee Paid ________________ Audition Date ___________________ Audition Time ____________________Version 190811