[] 1 REGISTRATION FORM 1.Full name of the applicant 2. Applicant’s genderMaleFemale 3. Date of the applicant’s birth 4. I am the member of the employee’s family working at:Pobuzhsky Ferronickel Plant DOO BucimDOOEL Borov DolCGNPronicoOther 5. Name(s), department and position of the relative(s) working at one of the facilities mentioned above 6. I am a student of an art, music, dance, theater studio at (please specify the location, type and name of the studio, the course you are taking and the name of your tutor)0 / 7. Name(s) of the applicant’s parent(s) or guardian(s) 8. Valid e-mail address 9. Postal address0 / 10. Phone number(including country code) Applicant’s language skills: 11. My mother tongue is 12. My English skills areI don't understand English at allI can read in EnglishI understand English speechI can read and write in EnglishI can read, write and speak in English fluently Applicant’s current skills in arts, music, dance or theater: I am currently taking classes in: a. ArtPainting, drawingApplicable arts, sculptureDigital designing, film animationMake upOther (please specify) b. Music I have played the following instrumentType of the instrument I have played this instrument for:How many years of practice?less than 1 year1 year2 years3 years4 years5 yearsover 5 yearsmore than 10 years The last time I performed the following piece: c. Singing I am singing:I am singing in ChorusI am taking individual lessons in Opera singing I have sung in the following chorusName of the chorus How many years of practice do you have?less than 1 year1 year2 years3 years4 years5 yearsover 5 yearsmore than 10 years The last time I performed the following piece: d. Dance I am dancing:Ballroom dancing (waltz, latino, rock-n-roll, tango etc.)BalletModern dance (street, jazz, r’n’b, belly, pole)Ethnic dance How many years of practice do you have?less than 1 year1 year2 years3 years4 years5 yearsover 5 yearsmore than 10 years e. Theater I have been taking theater studies for:less than 1 year1 year2 years3 years4 years5 yearsover 5 yearsmore than 10 years 13. I have participated in the following creative competitions:0 / 14. I have awards from the following creative competitions:0 / 15. I have previously participated in the following artistic camps:Please provide the name of the camp, location and year0 / 16. Please insert the link to your Instagram or TikTok profiles or your video submission on YouTube here: 17. Questions and remarks, if any:0 / 18. I hereby confirm, that I have read, understood and agree to the conditions of application for the fellowshipYES Terms and Conditions of the fellowship Submit Form Previous Next
