Higher/ National 5 Drama RED Application Form Higher/ National 5 Drama Personal Details Mr Miss Mrs Ms Other: Scottish Candidate Number (if known): Surname or Family Name: First name(s) : Date of Birth: Address: Postcode: Telephone (Home); Mobile: Email: Nationality: Do you live in supported accommodation i.e. Foster Care/Hostel/Residential Care? YES NO Current or last school attended:

Support at RED RED welcomes applications from people with disabilities and considers them on the same academic grounds as those from other candidates. It is helpful to know about your disability in advance so that we can arrange support if you require it. The information you provide will be treated confidentially. Do you need our help with any of the following? Learning difficulty YES NO Dyslexia YES NO Autism spectrum disorder YES NO Visual impairment YES NO Hearing impairment YES NO Other specific special need(s), please specify: If you have given us information about a disability or learning difficulty, we will contact you to discuss your needs in more detail. This information will be passed on to those who will be teaching you. Do you need any other support not shown on this form to help you study? Please Specify:

Ethnicity and gender The following question is used only to monitor our equal opportunities policy to ensure it is affective. Your co-operation in completing this question is appreciated as it is used to check that all groups are treated fairly in order for us to make sure our courses and services meet your needs. Circle the most appropriate answer Asian or Asian British Bangladeshi Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - any other Asian background Black or Black British - African Black or Black British - Caribbean Black or Black British - any other Black background Mixed – White and Asian Mixed - White and Black African Mixed - White and Black Caribbean White British White Irish White - European White - Non-European White - Other mixed background Afghan Arab other Chinese Iranian Iraqi (Please see other page for more options)

Latin/South/Central America Vietnamese Any other ethnic background Japanese Latin/South/Central America Vietnamese Any other ethnic background Prefer not to disclose Is English your first language? YES NO If no, which languages do you speak? Gender: MALE FEMALE What we do with the information on this form? Data collected about learners will be used for educational administration, guidance, statistical research and health and safety purposes. Processing the data provided will enable RED to operate effectively and to plan future provision. Please be aware that signing this form gives consent for RED to hold and use the information about you as stated. We may also use your details to contact you about news and events. If you would prefer not to be contacted for this purpose please tick this box. Signature: Date: