2015 Student Application Form 1 - Rainbow Academy

Nov 15, 2014 - The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000. Tel: +27 (0)21 426 4759 ... Company or School ... You are able to financially support yourself on the programme and pay monthly school fees. ✓ Acceptable ...
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Educate. Empower. Employ. www.rainbowacademy.co.za 85 St Georges Mall 7th Floor, Ned bank Building Cape Town 8000 P. O Box 975, Cape Town, 8000 Telephone: 021-4881160

2015 Student Application Form 1. PLEASE PRINT IN CAPITALS AND COMPLETE ALL SECTIONS IN FULL. THE SUPPLYING OF FALSE INFORMATION WILL INVALIDATE THIS APPLICATION. 2. A SIGNED COPY OF YOUR APPLICATION FORM MUST BE EMAILED TO [email protected] OR DROPPED OFF AT OUR OFFICES BETWEEN 10-2PM NO LATER THAN THE 15TH OF NOVEMBER 2014. 3. PLEASE CONTACT SHARMELA BHAGA OR DENAY WILLIE AT 021-4881160 FOR MORE INFORMATION OR ANY QUERIES.

A. Personal Information: Full Name and Surname

_________________________________________

Gender

Female

Age

___________

Date of Birth

Day __________ Month ___________________ Year ___________

Home Language

_______________________________________

Highest Grade Passed

______________________________________

Nationality

______________________________________

Passport or ID number

______________________________________

Male

B. Contact Details: Physical Address

______________________________________ _______________________________________ _______________________________________

Postal Code

_______________________________________

Home Telephone Number

_______________________________________

Cell Phone Number

_______________________________________

Email Address

_______________________________________

1 ___________________________________________________________________________________________________________________________________________________________ Honorary Chairman: Frank Gormley

Directors: Denay Willie (CEO)

Urs Lanz

Delecia Forbes

Simphiwe Mathebula

The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000 Tel: +27 (0)21 426 4759 Reg. #2010/019136/08

Educate. Empower. Employ. www.rainbowacademy.co.za 85 St Georges Mall 7th Floor, Ned bank Building Cape Town 8000 P. O Box 975, Cape Town, 8000 Telephone: 021-4881160

2015 Student Application Form C. Education Background: C. 1. High School: Name of High School

________________________________________

Address

________________________________________

Highest Grade Passed

________________________________________

Year _______________

C. 2. Any other qualifications or Performing Arts Certificates or Diploma completed: 2. a) Name of Institution

________________________________________

Qualification

________________________________________

2. b) Name of Institution

________________________________________

Qualification

________________________________________

Year _______________

Year _______________

D. Previous Work or Employment Record: Name of Institution

________________________________________

Position held

________________________________________

Part or Full time

________________________________________

Year _______________ Name of Supervisor and Contact Number ___________________________________

2 ___________________________________________________________________________________________________________________________________________________________ Honorary Chairman: Frank Gormley

Directors: Denay Willie (CEO)

Urs Lanz

Delecia Forbes

Simphiwe Mathebula

The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000 Tel: +27 (0)21 426 4759 Reg. #2010/019136/08

Educate. Empower. Employ. www.rainbowacademy.co.za 85 St Georges Mall 7th Floor, Ned bank Building Cape Town 8000 P. O Box 975, Cape Town, 8000 Telephone: 021-4881160

2015 Student Application Form E. Personal References: You need to provide us with at least 2 personal references such as your teacher or community leader. Parents and Family are excluded. 1. Full Name and Surname:

________________________________________

Relationship

________________________________________

Company or School

________________________________________

Telephone/Cell Number

________________________________________

2. Full Name and Surname:

________________________________________

Relationship

________________________________________

Company or School

________________________________________

Telephone/Cell Number

________________________________________

F. Please CHECK and Ensure you meet ALL the following the Criteria for Applying to study         

Youth 17-25 years Resident in disadvantaged communities You have a National Senior Certificate (Matric) Academic skills necessary for further studies (Literacy and Numeracy) Your Household income is less than R 60.000.00 per annum and Inability to access further education or employment You are able to study full-time You are able to financially support yourself on the programme and pay monthly school fees Acceptable level of performance training and ability; CV and Performance Resume Commitment to excel in work and performance and strongly motivated to pursue a career

G. PLEASE INDICATE THE WHICH OF THE FOLLOWING PERFORMING ARTS DISCIPLINE YOU WILL BE AUDITIONING FOR TO STUDY AT THE RAINBOW ACADEMY. YOU MUST CHOOSE A MINIMUM OF 2 CATEGORIES FOR YOUR AUDITION. [MARK WITH AN X] MUSIC: SINGING

MUSIC: INTSRUMENT(S)

DRAMA

DANCE

OTHER

3 ___________________________________________________________________________________________________________________________________________________________ Honorary Chairman: Frank Gormley

Directors: Denay Willie (CEO)

Urs Lanz

Delecia Forbes

Simphiwe Mathebula

The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000 Tel: +27 (0)21 426 4759 Reg. #2010/019136/08

Educate. Empower. Employ. www.rainbowacademy.co.za 85 St Georges Mall 7th Floor, Ned bank Building Cape Town 8000 P. O Box 975, Cape Town, 8000 Telephone: 021-4881160

2015 Student Application Form Please answer the following background questions on your previous Performing Arts Training and Studies: 1.

Do you have formal training or exams completed in any of these disciplines? Mark with an X Yes

No

2.

Did you complete music; drama or dance as a formal subject at High School? If yes, please provide full details of your studies; highest examination and grades passed and any awards. Also indicate the year. _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

3.

List any other training, exams, awards, achievements and certificates completed in music, drama or dance. Also indicate the year. _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

4.

Please list any school, church or community shows and productions you were involved in. Also indicate the year. _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

5.

Are you involved in any community service and volunteer work? Please describe: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

6.

Please describe in your own words why you would like to study at The Rainbow Academy and what you hope to achieve. _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

4 ___________________________________________________________________________________________________________________________________________________________ Honorary Chairman: Frank Gormley

Directors: Denay Willie (CEO)

Urs Lanz

Delecia Forbes

Simphiwe Mathebula

The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000 Tel: +27 (0)21 426 4759 Reg. #2010/019136/08

Educate. Empower. Employ. www.rainbowacademy.co.za 85 St Georges Mall 7th Floor, Ned bank Building Cape Town 8000 P. O Box 975, Cape Town, 8000 Telephone: 021-4881160

2015 Student Application Form H. Final Audition Dates:

AUDITION DATES: Should your application be successful, you will be contacted by the 15th of November 2014 for a final audition at The Rainbow Academy. Audition dates are the 21st and 22nd of November, the 28th of November and the 5th and 6th of December. DOCUMENTS: You will also be required to bring a copy of ALL the following documents/ records to your audition as part of the qualification process. It is compulsory you check the list and ensure a copy of all the documents are brought with you. NO

DOCUMENT:

(OFFICE CHECK)

1.

A COPY OF IDENTITY BOOK

2.

A COPY OF YOUR BANKING DETAILS

3.

A COPY OF PROOF OF RESIDENCE

4.

PROOF OF FINANCIAL ASSISTANCE AND HOUSEHOLD INCOME LESS THAN R60.000 A YEAR

5.

A COPY OF YOUR NATIONAL SENIOR CERTIFICATE (MATRIC CERTIFICATE)

6.

A COPY OF YOUR CV AND PERFORMANCE RESUME

7.

COPIES OF ANY CERTIFICATES AND AWARDS

8.

A COPY OF X2 RECOMMENDATION LETTERS FROM YOUR HIGH SCHOOL, TEACHER OR COMMUNITY LEADER. THIS IS COMPULSORY.

9.

A LETTER FROM YOU MOTIVATING WHY YOU WOULD LIKE TO STUDY AT THE RAINBOW ACADEMY

10.

PROOF OF FINANCIAL SUPPORT

I, ____________________________ (FULL NAME AND SURNAME), HEREBY DECLARE THAT ALL INFORMATION PROVIDED IN THIS APPLICATION FORM IS VALID AND TRUE AND I HAVE READ AND UNDERSTOOD ALL THE TERMS AND CONDITIONS ENCLOSED.

APPLICANT SIGNATURE __________________________________

DATE ______/______/_____________

5 ___________________________________________________________________________________________________________________________________________________________ Honorary Chairman: Frank Gormley

Directors: Denay Willie (CEO)

Urs Lanz

Delecia Forbes

Simphiwe Mathebula

The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000 Tel: +27 (0)21 426 4759 Reg. #2010/019136/08