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    Student Name (required)

    Date of Birth (required)

    Age (required)

    Postal address (required)

    Email address (required)

    Telephone number (required)

    Emergency contact number (required)

    Which class are you applying for? (required)

    Please tell us about any relevant training or experience that you have.

    Do you have any medical conditions?


    If under 18, please provide the name and contact number of a parent or guardian, if different from the details above.


    Contact number:

    Northern Ireland Studio of Television Arts Radio and Screen