Application Form 2016 entry

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1 UK/EU applicants Application Form 2016 entry Use this form to apply for the following courses only: BA (Honours): Acting; Community Drama; Music, Theatre and Entertainment Management and Sound Technology. Foundation Certificates: Commercial Dance; Popular Music and Sound Technology. Completing this form You can fill in this form by hand, sign, date it and return it to us with any supporting information by post to: Admissions, The Liverpool Institute for Performing Arts, Mount Street, Liverpool L1 9HF. Please complete section 1 in BLOCK CAPITALS and the rest in upper and lower case. Or You can download the form, type into it, then print it off, sign, date it and return it to us with any supporting information by post to: Admissions, The Liverpool Institute for Performing Arts, Mount Street, Liverpool L1 9HF. Or You can download the form, type in your details and type your name into the signature box and then submit it via with any supporting information to Section 1 Personal Details Please enter your name as it appears on your passport/birth certificate Forename(s) Surname Gender Male Female Date of birth (dd/mm/yyyy) / / I am able to attend an Yes No audition/interview in Liverpool I would like to start in September (Year) For office use only Admissions officer: Attribute one Attribute two Attribute three Attribute four Attribute five Attribute six Interview/audition: Yes No Postal audition: Yes No Outcome: Rec Uncon Cond Rej Res Conditions: Signed: Date: / / Page 1

2 Section 1 Personal Details (continued) Address Postcode Mobile phone number Telephone number (inc. dialling code) Section 2 The course you wish to apply to Please tick the programme to which you wish to apply for 2016 entry. You will need to complete a separate LIPA application form, if you wish to apply to more than one degree programme. Any UK/EU applicants for BA (Honours) Dance; BA (Honours) Music; BA (Honours) Theatre and Performance Design or BA (Honours) Theatre and Performance Technology should not complete this form. You just complete a UCAS form initially. Three year degree programmes BA (Honours) Acting. Please complete sections 4, 5, 6, 8 and 9 BA (Honours) Applied Theatre and Community Drama. Please complete sections 4, 5, 6, 8 and 9 BA (Honours) Music, Theatre and Entertainment Management. Please complete sections 4, 5, 6, 8 and 9 BA (Honours) Sound Technology (Do not send a CD). Please complete sections 4, 5, 6, 8 and 9 One year foundation certificate programmes LIPA Foundation Certificate in Commercial Dance. Please complete sections 4, 5, 6, 7, 8 and 9 LIPA Foundation Certificate in Popular Music and Sound Technology. Please complete sections 3, 4, 5, 6, 7, 8 and 9 Page 2

3 Section 3 For applicants to LIPA Foundation Certificate in Popular Music and Sound Technology ONLY Indicate 1 for your first interest and 2 for your second Production Performance Please list your instruments (including voice) with main instrument first. DVD To be submitted with your application. Please clearly label your DVD with your name and the course you are applying for. At the start of the DVD, please film yourself explaining in no more than three minutes your musical history, career aspirations and your reasons for wanting to study at LIPA. You should also include three tracks on the DVD. You should be filmed playing (or singing) on at least one of the tracks so we have visual evidence of your performance ability. You are welcome to play (or sing) either unaccompanied, with other musicians or to a backing track. The other two tracks can be audio files. Pick the tracks that you feel showcase your musical talent best and any other relevant skills (such as songwriting/arranging or production). Track 1 is titled My role on the track is Track 2 is titled My role on the track is Track 3 is titled My role on the track is Page 3 Please note that we are unable to return your DVD

4 Completing Sections 4 to 6 Before completing these sections, please refer to the entry requirements (pages in our 2016 Entry Prospectus). Section 4 Information about you that tells us about your knowledge, experience, commitment and spirit of enterprise Please describe the most important activities that you have undertaken which are relevant to the discipline you wish to study with us. These may be projects and performances (within or outside school) or work experiences (either paid or unpaid) or training or short courses. Don t be put off if you have less than six examples. If you have more than six examples, please continue on a separate sheet. For each activity that you list, please follow these steps: Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Tell us the dates or duration of the activity. Explain your role/responsibilities in the project/performance or work experience. Tell us who organised it. Tell us where it happened. Tick Yes if it was part of a school/college qualification or No if it was something that was either extra-curricular at school or college or undertaken entirely independently of school /college. If it was undertaken independently of school/college, please tick Yes if you were paid for undertaking this activity. If it was voluntary or you did not get paid, please tick No. Activity 1 Date/Duration of activity Description of activity, including your role/responsibility Who organised the activity? Where did it take place? Was this part of a school/college qualification? Yes No If No, did you Yes No get paid for this activity? Page 4

5 Activity 2 Date/Duration of activity Description of activity, including your role/responsibility Who organised the activity? Where did it take place? Was this part of a school/college qualification? Yes No If No, did you Yes No get paid for this activity? Activity 3 Date/Duration of activity Description of activity, including your role/responsibility Who organised the activity? Where did it take place? Was this part of a school/college qualification? Yes No If No, did you Yes No get paid for this activity? Page 5

6 Activity 4 Date/Duration of activity Description of activity, including your role/responsibility Who organised the activity? Where did it take place? Was this part of a school/college qualification? Yes No If No, did you Yes No get paid for this activity? Activity 5 Date/Duration of activity Description of activity, including your role/responsibility Who organised the activity? Where did it take place? Was this part of a school/college qualification? Yes No If No, did you Yes No get paid for this activity? Page 6

7 Activity 6 Date/Duration of activity Description of activity, including your role/responsibility Who organised the activity? Where did it take place? Was this part of a school/college qualification? Yes No If No, did you Yes No get paid for this activity? Optional explanation text It may be that you have been unable to take part in any extra-curricular activities. If this applies to you, then you are welcome to fill in this aspect of the form. Leave it blank, if it does not apply to you. Please tell us why you have been unable to undertake extra-curricular activities (e.g. the area you live in) Page 7

8 Section 5 Information that tells us about how the discipline you are applying for will help you to grow and achieve your career aspirations Please state your career aims and aspirations Please identify four skills that you expect to develop with us to help you to achieve your career aspirations and explain why these are important to you Page 8

9 What was it about us that attracted you to apply here? What is the most memorable piece of advice you have followed so far and why was it helpful? Section 6 Information about you that tells us about your broad interest and engagement We want to prepare you for sustained work. We want to know that you have some understanding about the world of work that you will be entering, so we can develop this. Please name at least two Political, Economic, Social or Technological factors that might affect your work when you graduate and why. Page 9

10 Section 7 Education Please only complete this section if applying to the LIPA Foundation Certificates Qualifications - already completed Please list details of qualifications that you have completed at school, college or university starting with the most recent first. Name and address of school or college Subject Level of qualification Date you received result Grade/mark/ band awarded Qualifications you are currently undertaking - not yet completed Please list details of qualifications and examinations to be taken prior to September 2016 (if any/if appropriate). Name and address of school or college Subject Level of qualification Date you expect to receive your results Predicted grade/mark Page 10

11 Section 8 Declaration I understand that if I have knowingly supplied false information on this application that I am liable for immediate exclusion. (Please tick box) I confirm that to the best of my knowledge, the information on this form is correct and complete. (Please tick box) LIPA is registered under the Data Protection Act 1998 and information given on this form will only be used in accordance with the terms of LIPA s registration. I give my explicit consent to the processing of my data by LIPA. (Please tick box) I have read, understand and abide by the terms and conditions. (Please tick box) Signed: Date: / / Please send your completed application form with supporting information to: Admissions, The Liverpool Institute for Performing Arts, Mount Street, Liverpool L1 9HF. Or it with supporting information to Please remember to pay the correct postage! Page 11

12 Section 9 Monitoring Information We are asking you for the following information because we want to welcome people from a wide range of backgrounds. UK law also says that we need to make sure we treat people fairly and equally. We need to know who is applying to ensure that they have a good experience from us and we know who else we need to encourage to join us. Information provided here is not used in any selection procedure and remains confidential to our administration team. Please tick the box which best describes your ethnic origin. Arab Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Black or Black British African Black or Black British Caribbean Chinese Gypsy or Traveller Irish Traveller Mixed White and Asian Mixed White and Black African Mixed White and Black Caribbean Other Asian Background Other Black Background Other Ethnic Background Other Mixed Background Other White Background White White Scottish Disability Please tick the box which best describes your status with respect to any disability and/or health condition expected to last 12 months or longer. No known disability A long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease or epilepsy A mental health condition, such as depression, schizophrenia or anxiety disorder A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches A specific learning difficulty such as dyslexia, dyspraxia or AD(H)D Autistic Spectrum Disorder A social/communication impairment such as Asperger s syndrome/other autistic spectrum disorder Blind or a serious visual impairment uncorrected by glasses Deaf or a serious hearing impairment Two or more impairments and/or disabling medical conditions A disability, impairment or medical condition that is not listed above How did you hear about LIPA? Please tick the two main reasons out of the following list which have helped to influence your decision to apply to LIPA: LIPA prospectus LIPA website UCAS website Coverage in the media Teacher/tutor Careers Adviser Advertisement Attendance at LIPA Open Day Facebook Twitter Attendance at CDET Careers Fair Attendance at Compose Your Future Attendance at Design Your Future Attendance at Musical Instruments and Technology Show (MITS) Attendance at Move It and Perform Attendance at another exhibition or careers fair The British Council Recommendation from another LIPA student/graduate Other Please detail: Thank you for completing this monitoring form. If you have any concerns about the information requested, please contact the Admissions Manager on +44(0) Page 12

13 Terms and Conditions We will use all reasonable endeavours to deliver courses in accordance with the descriptions set out in the prospectus. The course charts are indicative and may be subject to change. We are largely dependent on public funds that need to be managed in a way that is efficient and cost effective. We therefore reserve the right to make variations to the content of courses and/or method of delivery; to discontinue, merge or combine courses if we consider that such action is necessary in the context of our wider purpose. We also make changes to our programmes to reflect the changing needs of the arts and entertainment industries. In the rare event of us discontinuing a course we will use all reasonable endeavours to provide a suitable alternative, failing which, we shall give four weeks notice prior to the start date for the course and any fees paid will be refunded in full. We reserve the right to withdraw a subject or course up to four weeks after the published start date, where it is not considered viable and an alternative subject will be offered or a pro-rata refund of the course fee will be given. Abiding by our rules and regulations A condition of enrolment is that you abide by, and submit to, our rules and regulations as contained in our student handbook. These rules and regulations are subject to amendment from time to time. Extracts from the current Student Handbook can be obtained on request from the our Admissions Department. Payment of fees Tuition fees are, in general, due for payment in full by the student two weeks before enrolment. First year international degree course students and all Foundation Certificate course students are required to pay a deposit amounting to 25% of the first year s fee no later than 31 May. UK and EU students who do not take up their Student Loan entitlements are required to pay their fees in full two weeks before enrolment. Students in receipt of UK or overseas Government loans, US Federal Financial Aid, Professional and Career Development Loans, private loans or sponsorship from a recognised source, may pay their fees in accordance with the terms of the receipt of their funding arrangements. Written confirmation of this funding must be provided on or before enrolment. Other students who cannot or do not access the public funding sources available to them may pay their fees in two equal instalments only if they provide a letter of guarantee from a party acceptable to the Institute. The first instalment must be paid a full two weeks before enrolment. Fees are only payable online by debit or credit card. Withdrawals We reserve the right to retain up to 50% of any deposit paid where a withdrawal of acceptance of an offer is received after 31 July in the year of entry. Students who are receiving US Federal Financial Aid will be refunded as per US Department of Education R2T4 regulations. First year and Foundation Certificate students are allowed a four week cooling off period from the date of enrolment in which to decide if they wish to continue with their studies or withdraw from their course. In the event of a student withdrawing within the first four weeks they will be charged only an administration fee which is currently 100. Full-time undergraduate and Foundation Certificate students withdrawing after the cooling off period will be charged an administration fee, currently 100 plus a proportion of the fee payable by the student calculated on a pro-rata basis on the number of weeks of study undertaken, commencing from the date of enrolment. For students in receipt of a SLC tuition fee loan we will restrict the amount we require you to pay to us to the amount the SLC will loan you. Students from outside the European Economic Area who require a student visa, should note that the Institute is obliged to notify UKVI if a student has multiple unauthorised absences, fails to enrol on their course or terminates their studies. Please retain a copy of these terms and conditions for your records. Page 13

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