Accessible Acting Program Application Form_20 Week

Accessible Acting Program 2025 (Sydney)

Application Form
The Accessible Acting Program was developed through a collaboration between award-winning inclusive filmmaking organisation Bus Stop Films and Actors Centre Australia (ACA).

This 20-week acting program for adults (17+) with disability has been co-designed with leading industry professionals and actors, including those with disability.

As a participant you will have the ability and avenue to share your own stories that represent your life. We believe that through this program you can act to educate and encourage understanding from the wider public while also changing industry perceptions and show the true power of authentic representation.

Please ensure ALL fields are completed correctly.

Requirements:

• 1 x Headshot/photo (does not need to be professional image, just a clear photo from your shoulders up)

• 1 x $300 application fee
Contact Details
Name*
Date of Birth*

DayMonthYear
Gender*

FemaleMaleNon-BinaryOther
Age*
Address*
Phone Number*
Please enter a valid phone number.
Email*
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
What is the nature of your disability?*
Medication Requirements?*
Safety Issues/ Access Needs?*
Doctor's Details*

Doctors NamePractice Name
Doctor's Phone Number*
Please enter a valid phone number.

NDIS

National Disability Insurance Scheme section
Will you be paying for this program via NDIS?*

YesNo
NDIS reference number
Are you self managed or plan managed?
Plan Managed? Please let us know the plan manager details.

You

Please send us your favourite photo or selfie :)
Attach image here. This does not need to be a professional image, just a clear photo of you. *

Cancelof

Payment

Application Fee $300.00*

AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Application Terms & Conditions

By completing this application form you agree to the following terms and conditions. Applicants must be 17 years or over by commencement of course.
I First Name* Last Name* agree and consent to the terms and conditions outlined in this form and I have satisfactorily completed ALL fields within this form.
Signature*

Clear
Today's Date*

DayMonthYear
To finalise and submit your entry, please click SUBMIT below.

Please note: submitting this application does not guarantee enrolment in the Accessible Acting Program for April 2025.

You will receive a receipt confirmation email within five business days of submitting your entry. We will be in touch for an interview and assessment before confirming your enrolment.
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