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Undergraduate Audition Booking Form

Course of interest

Discipline

Please confirm your preferred campus

Title

First Name

Last Name

Preferred Name

Mobile Phone

Email Address

Confirm Email Address

Birth Date

Please Enter DOB in the format DD/MM/YYYY

Gender

Do you have disabilities?

Do you have a disability, specific learning difficulty, mental health condition or health issue that you wish to make us aware of so that we can support you during the audition/interview process?
(If yes, please provide details)

YesNo

If Yes, please provide details

Additional support for your interview/audition

You will be required to answer questions as part of your audition/interview. Would you like to make us aware of any additional support or reasonable adjustments that you may require with this aspect of your audition/interview.
(If yes, please provide details)

YesNo

If Yes, please provide details

Would you like a parent/guardian/chaperone to be present during your audition/interview?YesNo

Emergency Contact

First Name

Last Name

Emergency Contact Relationship to Applicant

Phone Number 1

Phone Number 2

Email Address

Certification

BIMM University is the Data Controller for the personal data you disclose via this form. Information you provide will be used to process your course application. Information will be shared with other entities within our company structure and where necessary with trusted third parties. For further information on how we use and protect your personal data please view our privacy notice at: https://www.bimm.ac.uk/privacy/ *

YesNo

By applying to BIMM University, you agree that we may pass your details to third party partners whom will contact you to assist in finalizing your application.

I confirm that the information provided on this form is accurate to the best of my knowledge. *

YesNo

Course Start Date

Error

An error occurred while processing your request.