APPLICATION for ADMISSION

PROFESSIONAL COSTUME PROGRAM

Print out application

Submit with $20 application fee
and resume to:

Los Angeles City College
Theatre Academy 
855 N. Vermont Avenue 
Los Angeles, CA 90029-3588

For Office use only

Application received _____________

$20 application fee _____________
( applicable to 1st semester fees)  

Applying for Admission:

[] Spring , 200__ [] Fall , 200__

Note: Applicants must attach a current resume
Name________________________________________________________________

Mailing Address_________________________________________________________

City____________________________ State/Prov. ________ ZIP______________

Country_________________________________
Home phone
(_____) ________________		 Cell, Message or Work phone
(_____) _________________
fax (_____ ) ______________

e-mail_______________________________
Social Security Number
xxx xx _ _ _ _ last 4 digits only		 Present Occupation, if any: ____________________________________
 High Schools, Colleges, Universities and/or Professional Schools Attended:
 SCHOOL  MAJOR DATES ATTENDED   DEGREE
 _________________________  _______________  ______________  _________
 _________________________  _______________  ______________  _________
 _________________________  ________________  ______________  _________

From what source will you receive support while attending the Theatre Academy? ______________________________________________________________________________
Check all that apply:

[] CA Resident
(more than 1 year)

[] U.S. Citizen - State of Residence __________________

[] Will Require Student Visa

Country of Citizenship: ______________________

 In Case of Emergency, please contact:

Name___________________________________________________

Address _________________________________________________

______________________________________________________

phone # ______ _____________ phone # ______ _______________

Relationship ______________________________
Are there any medical and/or physical conditions that would prevent you from fully participating in all Academy activities?

[] Yes [] No If yes, please explain _____________________________________________________________________
Have you ever applied to the Theatre Academy before?
[] Yes [] No If yes, semester ____Year_____

Have you ever taken any theatre classes at L.A. City College?
[] Yes [] No If yes, which class(es) _______________________________________________________________________________
Previous Training: List all courses/experience in theatre, art, fashion, costume, computer or any other related areas.
 DESCRIPTION   LOCATION   DATES
  _____________________________________  ____________________  _________
  _____________________________________   ___________________  _________
  _____________________________________   ___________________  _________
  _____________________________________   ___________________  _________
  _____________________________________   ___________________  _________
Special Skills: (List all that relate to costume, visual or performing arts, makeup, hair,
computer or theatre)

_________________________________________________________________

______________________________________________________________________
How did you learn about the Theatre Academy at Los Angeles City College?

_______________________________________________________________
Check List

[] Completed Application
[] $20 application/review fee, made out to: LACC Theatre Academy
[] Resume
If you have any other questions before completing this application, please contact us at: 323.953.4000, x2987, or e-mail: siskodb@lacitycollege.edu Applicants will be contacted to arrange an interview/portfolio review.

Successful candidates must also apply to LACC Admissions, 855 N. Vermont, Los Angeles, CA 90029, 323.953.40005/18/07
(If there is additional information about yourself that you would like us to know, please send it with the application.)

FINAL NOTE: The Theatre Academy at Los Angeles City College is stimulating, broadening, exacting and intensive. Work days are long and free time is limited. Much of the work is, of necessity, repetitious and exhausting. Before applying, prospective students should consider their emotional, physical, intellectual and financial preparedness for such a commitment.