SOCAPA SUMMER 2005 APPLICATION FORM

Please choose your program, location and dates. Sessions that do not have a selection box next to them are no longer available.

NEW YORK CITY [ hosted at Polytechnic - Brooklyn ] - HIGH SCHOOL ONLY [ages 14-18]
*Two Week Camp: June 26 - July 9 [ Tuition $1,950 ]  
  Filmmaking Acting Dance Photography Music Video
*Two Week Camp: July 17 - July 30 [ Tuition $1,950 ]  
  Filmmaking Acting Dance Photography Music Video
*Three Week Camp: June 26 - July 16 [ Tuition $2,950 ]  
  Filmmaking Acting Dance Photography Music Video
*Three Week Camp: July 17 - August 6 [ Tuition $2,950 ]  
  Filmmaking Acting Dance Photography Music Video
  Advanced Filmmaking Advanced Acting  
*Six Week Camp: June 26 - August 6 [ Tuition $5,400 ]  
  Filmmaking Acting Dance Music Video

 

HOLLYWOOD [ hosted at Occidental College in Los Angeles ] - HIGH SCHOOL ONLY [ages 14-18]
*Two Week Camp: June 26 - July 9 [ Tuition $1,950 ]  
  Filmmaking Acting for Film Dance Music Video
*Two Week Camp: July 17 - July 30 [ Tuition $1,950 ]  
  Filmmaking Acting for Film Dance Music Video
*Three Week Camp: June 26 - July 16 [ Tuition $2,950 ]  
  Filmmaking Acting for Film Dance Music Video
*Three Week Camp: July 17 - August 6 [ Tuition $2,950 ]  
  Filmmaking Acting for Film Dance Music Video
  Advanced Filmmaking Advanced Acting  
*Six Week Camp: June 26 - August 6 [ Tuition $5,400 ]  
  Filmmaking Acting for Film Dance Music Video

 

BERKSHIRES EAST, MA [ hosted at Smith College in Northampton ] YOUTH & HIGH SCHOOL  
*Two Week Camp: June 26 - July 9 [ Tuition $1,950 ]  
  *High School (14-18): Filmmaking Acting for Film  
  *Youth Camp (11-13): Filmmaking Focus Acting Focus Dance Focus
*Two Week Camp: July 17 - July 30 [ Tuition $1,950 ]  
  *High School (14-18): Filmmaking Acting for Film  
  *Youth Camp (11-13): Filmmaking Focus Acting Focus Dance Focus
*Three Week Camp: June 26 - July 16 [ Tuition $2,950 ]  
  *High School (14-18): Filmmaking Acting for Film  
  *Youth Camp (11-13): Filmmaking Focus Acting Focus Dance Focus
*Three Week Camp: July 17 - Aug 6 [ Tuition $2,950 ]  
  *High School (14-18): Filmmaking Acting for Film  
  *Youth Camp (11-13): Filmmaking Focus Acting Focus Dance Focus

 

APPLICANT INFORMATION:
First Name:
Last Name:
Email:
Phone:
Address:
(line one)
Address:
(line two)
City: 
State:
Zip: 
Country:
Date of Birth: 
Age you will be on 7/1/2005
Sex:
Male Female
Social Security or Passport #:
T-Shirt Size: 
Astrological Sign:
Favorite Rock Band or Musical Group:
Who is your favorite artist? Why do you admire this person?
(This can be an actor, filmmaker, dancer, photographer or anyone else involved in the arts - does not have to be within your intended discipline of study.)
How did you hear about us?
   
*ROOM & BOARD: Room and Board, including all nights and weekend activities and supervision, is an additional $495 per week for students in the residential program. Day students do not incur this fee.
  I would like SOCAPA to provide me with Room & Board [ $495/week ]
  I will be attending SOCAPA as a Day Student. I do not need Room & Board.

 

PARENT OR GUARDIAN INFORMATION:
Parent/Guardian Name: 
Best Daytime Phone #: 
Best Nighttime Phone #:
Best Email for Billing & Important Notices: 
Alternate Emergency Contact Name: 
Alternate Emergency Contact Phone: 
Alternate Emergency Contact Relationship: 
Does the applicant have any health problems that we should be aware of? Please specify.
Health Insurance Company:
Policy Number:
 
*Once you submit the application, you will be taken to a page explaining payment options and requesting that you submit a school transcript.