This form is an application to the 2012 Summer Course.

Name:
Email Address:
Address:
Daytime Telephone:
Evening Telephone
Mobile Telephone:
Sex: Male
Female
Age:
Which Summer Course are you applying for?
If you have acted before please tell us what and where
Do you want to act professionally? Yes
No
Maybe
What is your job or profession?
Is English your first language?
The cost is £695. You are entitled to a discount of £100 if you have auditioned for the full time training or taken a 4 day course at The Poor School. Please tick the relevant option. I have taken the 4 day course
I have auditioned for the full time training
Would you like the school to arrange cheap, clean and secure accommodation, close to the school, for the period of your course? Yes
No
How did you hear about The Poor School?
If "other" please specify