University of Toronto International Summer English & Theatre Program

Student Application From

Choose your area of specialization. *

Name *

First

Last

Preferred Name

Date of Birth *

Gender *

Nationality *

This is the country of your passport.

Place of Birth

First Language *

Other languages

Email Address *

Home Address *

Home Phone Number *

Mobile Phone Number

Emergency Contact Information

We will contact this person (usually a parent or guardian) if an emergency occurs.

Name of Emergency Contact *

First

Last

Relation to Emergency Contact *

Emergency Contact Email Address *

Emergency Contact Home Phone Number *

Emergency Contact Mobile Phone Number *

Emergency Contact Home Address *

Education and Experience

High School Name and Address *

What grade are you currently in?

Do you have any experience or special interest in acting or digital media/sound design that you would like to share with us?

Health Information

Do you have special dietary needs? *

If you selected yes, please detail your dietary needs below.

Do you take or carry any medication? *

If you answered yes, please specify type of medication below.

Are you a smoker?

Are you vaccinated for Covid-19? *

Which Covid-19 vaccinations have you received? (Check all that apply.)

First shot Second shot Booster Other

What was the date of your most recent vaccination?

Which vaccination types did you receive? (If you mix and matched, please select all types that you received.) *

AstraZeneca/COVISHIELD (ChAdOx1-S, Vaxzevria, AZD1222) Bharat Biotech (Covaxin, BBV152 A, B, C) Janssen/Johnson & Johnson Moderna (mRNA-1273) Pfizer-BioNTech (Comirnaty, tozinameran, BNT162b2) Sinopharm BIBP (BBIBP-CorV) Sinovac (CoronaVac, PiCoVacc) Other I did not receive any vaccinations for Covid-19.

Other Information or Comments

If you have other information that you would like to share, please write it here.

Personal Essay

Please write a 300-500 word personal essay about why you want to join our program. Essays must be emailed to summer.drama@utoronto.ca and include your name in the subject line.

Did you submit your personal essay by email? *

Please note your application will not be considered complete until your personal essay is received.

DECLARATION

By writing your name below and clicking the submit button, you are agreeing to apply to University College Summer Drama for International Students for the Summer 2022 session. In addition, you are also acknowledging that you have read all the information and have provided truthful and accurate information.

Please write "I agree" along with your full name. *

If the applicant is under 19 years of age, a parent or legal guardian must write "I agree" followed by their full name.