Youth Exchange 21/22 Application Form
Before completing the application form please ensure you have read the information on the call out/webpage with the programme outline and dates. The applicant would need to be able to commit fully to this schedule to participate in the programme. If applicant is under 18 please complete with parent/guardian, consent is required at the end of the application.
Covid-19 Regulations - LFT required
Please note all audition attendees will be required to wear a mask when moving around the Scottish Ballet building, and will need to present a negative lateral flow test result completed that day to gain access.
Which open call audition will you be attending?
Thursday 23 September, 6.30-8.30pm
Applicant's full name
*
First Name
Last Name
Preferred name
Pronouns
*
Date of birth (applicants should be between 14-24). Please note order is MMDDYYY
*
-
Month
-
Day
Year
Date
School/College/Affiliation (if applicable, not required)
Phone number
*
-
Area code
Phone number
E-mail
*
Term-time address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Home address
Street Address
Street Address Line 2
City
State / Province
Post Code
Health information
Please detail anything that might be important for us to know while you participate in Youth Exchange - medications you are taking, a recent injury etc.
Please specify below any relevant medical conditions, allergies or medication we should be aware of:
Emergency contact name
*
First name
Last name
Emergency contact phone number
*
-
Area code
Phone number
Relation of emergency contact to participant
*
Have you received a Covid-19 vaccination?
*
Yes - 2 doses
Yes - 1 dose
No
Accessibility
Scottish Ballet's Youth Exchange is committed to inclusivity and welcomes applications from disabled and non disabled dancers. We also aim to ensure this opportunity is open to dancers from all backgrounds.
Please do let us know how we can best support you during any Youth Exchange experience:
Fees for Youth Exchange 2021-22 will be £100, and fundraising will be an element of the programme. Please indicate if you think you may require financial assistance. This will not affect your application.
Tell us about yourself...
We'd like to get to know you, as a person and as a dancer!
Tell us a bit about your interests, both in relation to dance and generally?
*
Tell us about your current and previous dance experience, for example if you are currently part of a youth group, if you attend a dance school/college which one?
*
Why do you want to take part in Youth Exchange?
*
Consent declarations
If you are under 18 you must get permission from your parent/guardian for all information submitted in this form by completing the information below. Please ensure you complete this form with a responsible adult, provide their contact details and a signature of consent.
Can you give the full commitment required to be part of the Youth Exchange? Please provide details of any issues that may impact your attendance.
Please thoroughly read the call out/website to see how much commitment we need from you before submitting!
I consider that I (or my young person) am in good health and capable of taking part in this activity.
*
Yes
No
In the event of an emergency I consent to any emergency medical / dental treatment to include the use of anesthetics, I (or my young person) may require prior to my arrival.
*
Yes
No
I give my permission for photographs and/or footage of me (or my young person) to be taken during the Youth Exchange project. I understand that these may be used in publicity material for Scottish Ballet and any partner organizations including media and website for marketing purposes, for education and to let people know about Youth Exchange in the future. Platforms include social media, our website, and media/press communication.
*
Yes
No
Parent/Guardian's name (if required)
First Name
Last Name
Parent/Guardian's e-mail (if required)
example@example.com
SIGNATURE OF APPLICANT or PARENT / LEGAL GUARDIAN (IF 18 YEARS OR UNDER)
*
Submit Form
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