Ballet Nights Young Choreographer Malaysia
Application Form
PERSONAL DETAILS
Student Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
Please Select
Male-identifying
Female-identifying
Prefer not to disclose
Are you a Malaysian Citizen?
*
Please Select
Yes, I hold citizenship & I am training
Yes, I hold citizenship & I am working
No, but training or living full time in Malaysia
Vocational/Dance School Student Currently Attends
*
If permission is required, please seek this from the Director/Principal of your school
Awards and Achievements
Please add as appropriate
PARENT/CARER DETAILS
Parent/Carer Full Name (If under 18)
First Name
Last Name
Parent/Carer Email (if under 18)
example@example.com
Parent/Carer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
SUBMISSION
UPLOAD CV
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit Video Link (NB: Video must be uploaded to YouTube, Vimeo or Google Drive with access available for our panel to review submissions)
*
Max 5 minutes in length Must feature original choreography (any style) Solo, duet, or small ensemble work accepted Clear, well-lit video (studio or stage setting)
Would you like to be added to the Ballet Nights Mailing list for exclusive access to show updates, behind-the-scenes insights, performer spotlights, and priority offers for Ballet Nights events in South East Asia?
*
Yes
No
PAYMENT
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Registration Fee
*
prev
next
( X )
Ballet Nights Young Choreographer Malaysia
Application Deadline, December 13th
100.00
MYR
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: