Educate. Empower. Employ. www.rainbowacademy.co.za

Educate. Empower. Employ.
www.rainbowacademy.co.za
85 St Georges Mall
7th Floor, Ned bank Building
Cape Town
8000
P. O Box 975, Cape Town, 8000
Telephone: 021-4881160
2015 Student Application Form
1. PLEASE PRINT IN CAPITALS AND COMPLETE ALL SECTIONS IN FULL. THE SUPPLYING OF FALSE INFORMATION WILL
INVALIDATE THIS APPLICATION.
2. A SIGNED COPY OF YOUR APPLICATION FORM MUST BE EMAILED TO INFO@RAINBOWACADEMY.CO.ZA OR DROPPED OFF
AT OUR OFFICES BETWEEN 10-2PM NO LATER THAN THE 15TH OF NOVEMBER 2014.
3. PLEASE CONTACT SHARMELA BHAGA OR DENAY WILLIE AT 021-4881160 FOR MORE INFORMATION OR ANY QUERIES.
A. Personal Information:
Full Name and Surname
_________________________________________
Gender
Female
Age
___________
Date of Birth
Day __________ Month ___________________ Year ___________
Home Language
_______________________________________
Highest Grade Passed
______________________________________
Nationality
______________________________________
Passport or ID number
______________________________________
Male
B. Contact Details:
Physical Address
______________________________________
_______________________________________
_______________________________________
Postal Code
_______________________________________
Home Telephone Number
_______________________________________
Cell Phone Number
_______________________________________
Email Address
_______________________________________
1
___________________________________________________________________________________________________________________________________________________________
Honorary Chairman:
Frank Gormley
Directors:
Denay Willie (CEO)
Urs Lanz
Delecia Forbes
Simphiwe Mathebula
The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000
Tel: +27 (0)21 426 4759
Reg. #2010/019136/08
Educate. Empower. Employ.
www.rainbowacademy.co.za
85 St Georges Mall
7th Floor, Ned bank Building
Cape Town
8000
P. O Box 975, Cape Town, 8000
Telephone: 021-4881160
2015 Student Application Form
C. Education Background:
C. 1. High School:
Name of High School
________________________________________
Address
________________________________________
Highest Grade Passed
________________________________________
Year _______________
C. 2. Any other qualifications or Performing Arts Certificates or Diploma completed:
2. a) Name of Institution
________________________________________
Qualification
________________________________________
2. b) Name of Institution
________________________________________
Qualification
________________________________________
Year _______________
Year _______________
D. Previous Work or Employment Record:
Name of Institution
________________________________________
Position held
________________________________________
Part or Full time
________________________________________
Year _______________
Name of Supervisor and Contact Number ___________________________________
2
___________________________________________________________________________________________________________________________________________________________
Honorary Chairman:
Frank Gormley
Directors:
Denay Willie (CEO)
Urs Lanz
Delecia Forbes
Simphiwe Mathebula
The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000
Tel: +27 (0)21 426 4759
Reg. #2010/019136/08
Educate. Empower. Employ.
www.rainbowacademy.co.za
85 St Georges Mall
7th Floor, Ned bank Building
Cape Town
8000
P. O Box 975, Cape Town, 8000
Telephone: 021-4881160
2015 Student Application Form
E. Personal References: You need to provide us with at least 2 personal references such as your teacher or
community leader. Parents and Family are excluded.
1. Full Name and Surname:
________________________________________
Relationship
________________________________________
Company or School
________________________________________
Telephone/Cell Number
________________________________________
2. Full Name and Surname:
________________________________________
Relationship
________________________________________
Company or School
________________________________________
Telephone/Cell Number
________________________________________
F. Please CHECK and Ensure you meet ALL the following the Criteria for Applying to study
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Youth 17-25 years
Resident in disadvantaged communities
You have a National Senior Certificate (Matric)
Academic skills necessary for further studies (Literacy and Numeracy)
Your Household income is less than R 60.000.00 per annum and Inability to access further education or employment
You are able to study full-time
You are able to financially support yourself on the programme and pay monthly school fees
Acceptable level of performance training and ability; CV and Performance Resume
Commitment to excel in work and performance and strongly motivated to pursue a career
G. PLEASE INDICATE THE WHICH OF THE FOLLOWING PERFORMING ARTS DISCIPLINE YOU WILL BE AUDITIONING FOR TO
STUDY AT THE RAINBOW ACADEMY. YOU MUST CHOOSE A MINIMUM OF 2 CATEGORIES FOR YOUR AUDITION. [MARK WITH
AN X]
MUSIC: SINGING
MUSIC:
INTSRUMENT(S)
DRAMA
DANCE
OTHER
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___________________________________________________________________________________________________________________________________________________________
Honorary Chairman:
Frank Gormley
Directors:
Denay Willie (CEO)
Urs Lanz
Delecia Forbes
Simphiwe Mathebula
The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000
Tel: +27 (0)21 426 4759
Reg. #2010/019136/08
Educate. Empower. Employ.
www.rainbowacademy.co.za
85 St Georges Mall
7th Floor, Ned bank Building
Cape Town
8000
P. O Box 975, Cape Town, 8000
Telephone: 021-4881160
2015 Student Application Form
Please answer the following background questions on your previous Performing Arts Training and Studies:
1.
Do you have formal training or exams completed in any of these disciplines? Mark with an X
Yes
No
2.
Did you complete music; drama or dance as a formal subject at High School? If yes, please provide full details of your
studies; highest examination and grades passed and any awards. Also indicate the year.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
3.
List any other training, exams, awards, achievements and certificates completed in music, drama or dance. Also indicate
the year.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
4.
Please list any school, church or community shows and productions you were involved in. Also indicate the year.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
5.
Are you involved in any community service and volunteer work? Please describe:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
6.
Please describe in your own words why you would like to study at The Rainbow Academy and what you hope to achieve.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
4
___________________________________________________________________________________________________________________________________________________________
Honorary Chairman:
Frank Gormley
Directors:
Denay Willie (CEO)
Urs Lanz
Delecia Forbes
Simphiwe Mathebula
The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000
Tel: +27 (0)21 426 4759
Reg. #2010/019136/08
Educate. Empower. Employ.
www.rainbowacademy.co.za
85 St Georges Mall
7th Floor, Ned bank Building
Cape Town
8000
P. O Box 975, Cape Town, 8000
Telephone: 021-4881160
2015 Student Application Form
H. Final Audition Dates:
AUDITION DATES: Should your application be successful, you will be contacted by the 15th of November 2014 for a final
audition at The Rainbow Academy. Audition dates are the 21st and 22nd of November, the 28th of November and the 5th and
6th of December.
DOCUMENTS: You will also be required to bring a copy of ALL the following documents/ records to your audition as part of
the qualification process. It is compulsory you check the list and ensure a copy of all the documents are brought with you.
NO
DOCUMENT:
(OFFICE CHECK)
1.
A COPY OF IDENTITY BOOK
2.
A COPY OF YOUR BANKING DETAILS
3.
A COPY OF PROOF OF RESIDENCE
4.
PROOF OF FINANCIAL ASSISTANCE AND HOUSEHOLD
INCOME LESS THAN R60.000 A YEAR
5.
A COPY OF YOUR NATIONAL SENIOR CERTIFICATE
(MATRIC CERTIFICATE)
6.
A COPY OF YOUR CV AND PERFORMANCE RESUME
7.
COPIES OF ANY CERTIFICATES AND AWARDS
8.
A COPY OF X2 RECOMMENDATION LETTERS FROM YOUR
HIGH SCHOOL, TEACHER OR COMMUNITY LEADER. THIS
IS COMPULSORY.
9.
A LETTER FROM YOU MOTIVATING WHY YOU WOULD
LIKE TO STUDY AT THE RAINBOW ACADEMY
10.
PROOF OF FINANCIAL SUPPORT
I, ____________________________ (FULL NAME AND SURNAME), HEREBY DECLARE THAT ALL INFORMATION PROVIDED IN
THIS APPLICATION FORM IS VALID AND TRUE AND I HAVE READ AND UNDERSTOOD ALL THE TERMS AND CONDITIONS
ENCLOSED.
APPLICANT SIGNATURE __________________________________
DATE ______/______/_____________
5
___________________________________________________________________________________________________________________________________________________________
Honorary Chairman:
Frank Gormley
Directors:
Denay Willie (CEO)
Urs Lanz
Delecia Forbes
Simphiwe Mathebula
The Rainbow Academy, 85 St. Georges Mall, Cape Town, 8000
Tel: +27 (0)21 426 4759
Reg. #2010/019136/08