Personal Information

First Name:*
Last Name:*
Date of Birth:
Place of Birth:
Country of Citizenship:
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Address:*
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Country:*
Province / State:*
Postal / ZipCode:*
Program of Interest:*
Expected Start Date:*
English Language Requirements:


Secondary Education

Name of High School:*
Location of High School:*
Graduation Date / Expected Graduation Date:*

Post-Secondary Education

Name of College / University attended (if applicable):
Location of College / University attended:
Area of study at College / University:
College / University Diploma or Degree obtained:

Other

Have you auditioned for us before? If so, when?
How did you hear about us?
Please Specify:

In Case of Emergency Contact

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Consent to Receive Commercial Electronic Messages

By submitting this form, I agree that Randolph Academy for the Performing Arts may call, text and/or email me about their educational services at the contact information provided, including a wireless number, using automated technology. Please note, this consent is not required to attend their institutions and you may unsubscribe at any time.