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Arts Academy Student Online Application & Evaluation Form
Arts Academy Student Application Form
Student Photo
*
Drop a file here or click to upload
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Maximum file size: 52.43MB
Students Name
*
First
Last
*
Last
Gender
*
Male
Female
Date of Birth
*
Current School:
*
Year Level:
*
School Address
*
School Address
School Address
School Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
School Phone Number:
*
Principal:
*
Current Class Teacher:
Parent/Guardian Name(s):
Parent/Guardian Address:
Parent/Guardian Address:
Parent/Guardian Address:
Parent/Guardian Address:
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Parent/Guardian Home Phone:
Parent/Guardian Mobile:
Parent/Guardian Email:
PLEASE NOTE: EMAIL ADDRESS MUST BE CURRENT AND CHECKED REGULARLY. THE COLLEGE WILL NOT BE RESPONSIBLE FOR ANY INFORMATION MISSED DUE TO INCORRECT DETAILS BEING PROVIDED.
I give permission for my son / daughter to participate in the application and selection procedures to enter the Mount Erin College Arts Academy Program.
*
Yes, permission granted
SECTION A
Leadership and/or academic achievements at primary school:
Hobbies/Interests:
I would describe myself as:
Do you currently take classes in music/art/drama/dance outside school? If so where and for how long? What is your skill level?
Describe any performances that you have taken part in and what role you played:
My ambition in life is to become:
SECTION B
Please rate yourself according to the following scale, selecting the 1,2,3,4,5 radio button on the line following each item:
1 Never
2 Rarely
3 About half the time
4 Usually
5 Always
1. I am outgoing and confident.
1
2
3
4
5
2. I know about art, drama and literature.
1
2
3
4
5
3. I am interested in school.
1
2
3
4
5
4. I am enthusiastic about being involved in a wide range of activities.
1
2
3
4
5
5. I am able to study well alone.
1
2
3
4
5
6. I get along well with other students
1
2
3
4
5
7. I am confident when performing in front of an audience.
1
2
3
4
5
8. I like to express myself through drawing and painting.
1
2
3
4
5
9. I am curious.
1
2
3
4
5
10. I enjoy working with others to create performance pieces.
1
2
3
4
5
11. I think of original ideas.
1
2
3
4
5
12. I think that I can identify my own strengths and weaknesses.
1
2
3
4
5
13. I am a leader.
1
2
3
4
5
SECTION C
Consider each of the following questions carefully. Answer by selecting the radio button which represents the best answer.
How long do you expect to go to school?
Only until I can quit
Until I finish secondary school
After some school beyond secondary school
Until I graduate from university
Don’t know
How fast do you learn new material in school, compared with others you notice in class?
Much faster than most
Just a little faster than most
About the same as most
Just a little slower than most
Do you work well with other students in group situations?
Yes, I enjoy working in groups
It depends on who is in the group
I prefer to work alone
How often do you participate in a creative activity or hobby?
Not very often
About once or twice a month
About once a week
A few times a week
Once a day or more
How much time do you spend in organised school activities (e.g. plays, bands, sport teams, Student Council)?
Most of my spare time
Quite a bit
Some
Very little
None
Do you like to practise to develop your talent or skill, in particular artistic or musical ability?
Yes
Sometimes
No
Not applicable
SECTION D
Please answer the following questions as best you can. All responses are completely confidential.
What occupation might you like to pursue in the future? Why do you think you would like to do this?
Are there any books, films, paintings or music that you think are very special? If so, what are they and what did/do you feel when you read/see/hear them?
What do you think is important about friendship? What do you expect from your friends? What do your friends expect from you?
Why do you feel that you would benefit from this program?
First Written Reference
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Maximum file size: 52.43MB
Second Written Reference
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Maximum file size: 52.43MB
Copy of Grade 5 NAPLAN Results
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Maximum file size: 52.43MB
Copy of Most Recent School Report
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Maximum file size: 52.43MB
If you are human, leave this field blank.
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