ACTT Scholarship Application Form

APPLICATIONS DUE BY 5.00PM THURSDAY 17 JANUARY 2013

National RTO ID: 90168 CRICOS ID: 01544D
ABN: 87 079 097 920
505 Pitt St Sydney NSW 2000
Tel (02) 9213 4500
Fax (02) 9281 3964 Web www.actt.edu.au

Email info@actt.edu.au

To apply for this scholarship you must:

- Have successfully passed an audition and enrolled into the rst year of the Professional Actor Program in 2013;
- Be an Australian Citizen;
- Not be in receipt of any other scholarship, trust fund or nancial aid for acting, drama or related industry training.

1. Personal Information
Title :

Miss

Ms

Mrs

Mr

Surname __________________________________________ First names ______________________________________________

Address ____________________________________________________________________________________________________
Postal Address (if different) ____________________________________________________________________________________
Phone no. (home) _____________________ (work) ____________________ (mob) ______________________________________
Email ______________________________________________________________________________________________________
Date of Birth _____________ Age __________

Sex M / F Occupation ______________________________________________

Are you an Australian Citizen or permanent resident?

Yes

No

Are you an Aboriginal or Torres Strait Islander?

Yes

No

How did you rst hear of the ACTT Scholarship? ____________________________________________________________________

2. Education & Experience

If you completed High School in 2012 please supply a letter of recommendation from your school with your application.
High School/Institution attended: _______________________________________________________________________________
Highest Level reached:

Year 10

Year 11

Year 12

Which Year study completed?_______________

ATAR/UAI or Equivalent:_______________________________________________________________________________________
Tertiary qualications achieved?_________________________________________________________________________________
Please list any relevant formal or informal training youve had:
Institution/ name of course/workshop

Qualification and/or Tutor

Date

Please list any practical experience you have had in lm / TV / stage / musical productions:
Event or show

Company

Role or position

Date

3. Personal Attributes
Please provide considered responses to the following questions :
1.

Choose a character, performer, historical gure or creative work that has had a profound inuence on you, or
inspired you in some way and explain that inuence. (500-1000 words - attach separately)

2.

Explain your desire to study the Professional Actor Program at ACTT, and how the training will t into your
expected career path? (500 - 1000 words- attach separately)

3.

How would the ACTT Scholarship assist you to achieve these aims? (if insufficient space attach response)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

4.

Why do you believe you would be an ideal ACTT Scholarship Ambassador for the college and
within the wider Australian industry? (500 - 1000 words-attach separately)
__________________________________________________________________________________________
__________________________________________________________________________________________

3.

__________________________________________________________________________________________
Please list any additional artistic, social or community achievements that may support your application:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

4.

Please source a letter of recommendation to support your application. If you are 2012 school leaver, please supply
two letters of recommendation - as above and one from your school.

Provide your responses on separate pages and attach supporting documentation to the completed form.

4. Application Details
Shortlisted applicants will be notied no later than Friday 18th January 2013 of their selection to attend the selection panel at ACTT
on Tuedsay 22nd January 2012.
Selection will take place following an interview with the selection panel and performance of a monologue from your original ACTT
audition.
Please ensure you are prepared to audition on Tuesday 22nd January as no exceptions will be made.
Decisions will be nal and the scholarship winner will be notied directly.

5. Application Checklist
Please ensure your application form is accompanied by the following:
A passport-sized photo
Your attached responses to Section 3. Personal Attributes
A letter of recommendation in support of your application. 2012 School Leavers must supply a second letter of
recommedation from School Principal/Head of Performing Arts/Careers Advisor
Additional documentation may be requested to verify educational/ industry experience.
Please ensure you meet the criterion:
I have been offered a place in the Professional Actor Program for 2013
I am an Australian Citizen
I am not in receipt of any other scholarship, trust fund or nancial aid for acting, drama or related industry training

6. Statement of Declaration
I declare that the information provided for consideration for the ACTT Scholarship Application is complete, true
and correct.
Signature_______________________________________________________

Date

Privacy
ACTT is committed to handling your personal information in accordance with the Privacy Act 1998 and Privacy Amendment (Private
Sector) Act 2000. ACTT only collects information about students to provide training and assessment services and management and
collection of monies payable or services recoverable under transactions contemplated between the student and ACTT. ACTT is committed to protecting the security of that information. For details, contact (02) 9213 4500 or visit www.actt.actt.edu.au

OFFICE USE: Date received______________

Approved_______________