MA Collaborative Theatre

MA Collaborative Theatre

First Name: *

Last Name: *

Preferred Name (if applicable):

Date of birth: *

Gender: *-- Select --FemaleMalePrefer to Self-DescribePrefer not to say

Preferred Pronouns: *-- Select --He/HimShe/HerThey/ThemHe/TheyShe/TheyPrefer not to say

Nationality: *

Ethnicity: *-- Select --ArabAsian or Asian British: IndianAsian or Asian British: PakistanAsian or Asian British: BangladeshAsian or Asian British: ChineseAsian or Asian British: OtherBlack or Black British: AfricanBlack or Black British: CaribbeanBlack or Black British: OtherMixed: White & Black: AfricanMixed: White & Black: CaribbeanMixed: White & AsianMixed: OtherWhite: BritishWhite: IrishWhite: OtherOther Ethnic GroupPrefer not to Say

Email: *

Mobile: *

Address: *

Post Code: *

Personal Statement: *

Please provide a short biography giving an insight into your background and why you would like to train with Fourth Monkey. We invite you to use the space to creatively to give us insight into who you are as a performer and creative.

In no more than 250 words, please tell us a little about yourself:

Do you have any known disabilities or health conditions?*-- Select --NoneLearning Needs or DisabilitySocial or Communications ImpairmentLong-term Health Condition or IllnessMental Health ConditionPhysical or Mobility ImpairmentHearing ImpairmentVisual ImpairmentOther

Do you have any special requirements or needs to complete your audition and interview?:*-- Select --YesNo

If yes, enter Audition Access Information

Full Name: *

Relationship: *

Contact Number: *

Contact Email: *