Application Form

Applications to our BTEC Diploma are now CLOSED...
Title
First Name *
Last Name *
Height (ft/in) *
Date of Birth *
Age at Start of Course *
Permanent Address
Address Line 1 *
Address Line 2
Town/City *
Postcode *
Correspondence Address
Address Line 1
Address Line 2
Town/City
Postcode
Contact Information
Telephone Number *
Mobile Number *
Email Address *
Contact Details of Parent/Guardian 1
Title
First Name
Last Name
Address Line 1
Address Line 2
Town/City
Postcode
Telephone Number
Mobile Number
Email Address
Occupation
Contact Details of Parent/Guardian 2
Title
First Name
Last Name
Address Line 1
Address Line 2
Town/City
Postcode
Telephone Number
Mobile Number
Email Address
Occupation
Education Details: Academic
Most Recent School/College
Address Line 1
Address Line 2
Town/City
Postcode
Examinations
Education Details: Performing Arts
Dance School
Address Line 1
Address Line 2
Town/City
Postcode
Training
Performing Experience
Experience
How did you hear about Wilkes Academy?
What do you hope to achieve on completion of training?
Photographs
Two Passport Size Photographs *
Maximum file size: 300 MB
Full Body Photograph *
Maximum file size: 300 MB
References (Optional)
If possible, a reference from your current dance teacher
Reference
Declaration
Applicant Confirmation *
Print Name of Applicant *
Date *

If the Applicant is under the age of 18:

Parent/Guardian Confirmation
Print Name of Parent/Guardian
Date