Application Form
Name as you wish it to appear on certificates
First Name
Middle Name/Initial
Last Name
Preferred pronouns
She/Her
He/Him
They/Them
Other
Date of birth
-
Day
-
Month
Year
Phone Number
-
Area Code
Phone Number
Email
Address
Street Address
Street Address Line 2
City
County
Post Code
ISTD Pin number
ISTD membership number
Dance school/college history
eg 1996 - 99 London Studio Centre
Genres required
Classical Ballet
Classical Greek
Modern Theatre
Tap Dance
Highest level of qualifciation in each genre. Please state awarding body (ISTD, RAD) and result
Details of any other relevant qualifications
Please provide a short personal statement telling us about yourself and why you wish to train to be a dance teacher
Any injuries, allergies, medical conditions or learning difficulties ( eg dyslexia) that we need to be aware of..
Emergency contact
Name and relation
Phone number
I agree to being photographed or filmed, and for this to be published on the Dance2advance social media sites, website or in any media publications for promotional or marketing purposes
Yes
No
Instagram handle
I have read the Dance2advance privacy policy and agree to my personal data being collected and securely stored
Yes
No
We may wish to contact you in future with details of courses/workshops we provide. If you consent to this, please select below how you like to be contacted
Email
Phone
Private messaging
How did you hear about us?
Google, referral etc
Signature
Submit
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