Creative Intensive Application Form

This form is no longer in use. Please return to the creative intensive page and follow the link there.

Please ensure you’ve read the details of the course first. To secure your place, a deposit of €50 is required by the deadline application. Deposit is refunded if unsuccessful. Accommodation and travel is extra, a payment schedule is available.

Personal Details

First Name *

Surname *

Email *

Phone (include international codes) *

Mailing Address *

Date of Birth *

Your age at the time of the course *
Age 16-18Over 18

Audition Video

Please show a video of a previous performance.

Video URL

Very brief description (and password if required)

Additional Materials - video or photos

Very brief description (and password if required)

Your CV

Please upload in PDF, MS Word, or Openoffice format

Focus of your Act

Is it a double/group act?
NoYes

Name of other performer(s)

Focus of your act. You may select more than one.
HoopRopeFabricTrapezeDance TrapezeVertical DanceHarness WorkOther Aerial Apparatus

Your Training

Please list the aerial dance training you have participated in so far.

Please tell us about the act that you propose to create

Please tell us what you personally would like to achieve in the three weeks of the course.

Please list any injuries or physical issues you are experiencing.

Reference

Please give us the contact details of a teacher, choreographer, director, coach or mentor that you have worked with.

Name

Relationship

Contact Information

Emergency Contact Information

Emergency Contact Name

Emergency Contact Number

Emergency Contact Relationship

Medical Details

Do you have private health insurance?
NoYes

Provider Name

Policy Number

When was your last tetanus vaccine?

What's your blood type?

Please describe any relevant medical conditions

Do you take any medications?
NoYes

Please list your medications and when you need to take them.

Do you carry any emergency kits or preventative measures?

Bursary

Would you like to apply for the bursary?
NoYes

Why do you feel the IACC should offer you this bursary?

Please attach a scan of your Irish Passport or proof of Irish address

Please note: You will receive a copy of your application by email. If you’re concerned that we might not have received your application, please check your mail. If you have a copy, we have it too!