Admissions Application Request

is Required

First Name
Middle Name
Last Name
Nickname/Stage Name
Email Address
Date of Birth
Gender
Hispanic
Racial Background

White

Black or African American

Asian

American Indian or Alaska Native

Hawaiian or Other Pacific Islander
Citizenship Status

is Required

Address
Country
Street
Street 2
City
State
Zip Code
Province
Postal Code
Home Phone Ext:
International Phone Number Ext:
Mobile Phone Ext:
International Mobile Phone Ext:
Employer Information
Current Employer/School
Current Job Title or Study
Work Number Ext:

is Required

In Case of Emergency, notify:
Relationship to Applicant
First Name
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Country

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This application is for new applicants to the Stella Adler Studio of Acting interested in applying to either the 1-Week Black Arts Theater Winter Immersion or 5-Week Summer Black Arts Theater Intensive! These programs are presented in partnership with the Billie Holiday Theatre, Inc.

After submitting this application form, applicants will need to log into their ADLERnet account to upload their photo and resume. Steps to complete this process will be emailed to the applicant upon submission of the application.

Details can be found at: https://stellaadler.com/classes/black-arts-theater

is Required

College Graduation Year (if applicable)
High School/GED Graduation Year
High School Attended
College Attending or Attended
College Attending or Attended
Please Read Carefully

REFUND/CREDIT POLICY
In order to be considered ?registered,? the prospective student must be interviewed and/or auditioned for whatever program or workshop(s) he/she is interested in and must pay the complete tuition cost for that program. Checks returned due to non-payment are subject to a twenty-five dollar fee.

REFUNDS
Students who wish to withdraw from the Stella Adler Studio for any reason must submit a written notice to the Artistic Director. The official date of withdrawal will be the date the Artistic Director receives the notice. Students dismissed from the Studio receive the appropriate refund or credit corresponding to the date of dismissal. Please note that application fees ($25-$65) and deposits (conservatory- $500, programs- $250, workshops- $200) are non-refundable.

CONSERVATORY PROGRAMS
Withdrawal before classes commence: 100% refund less deposit
During the first week of classes: 75% refund less deposit
During the second week of classes: 50% refund less deposit
During the third week of classes: 25% refund less deposit
There are no refunds after the third week of classes.

WORKSHOPS 6-10 WEEKS
There are no cash refunds after classes commence. Any student who withdraws after this time will be issued a transferable credit good for up to one year.
Withdrawal before classes commence 100% refund less deposit
During the first week of classes 75% credit less deposit
During the second week of classes 50% credit less deposit
There are no credits after the second week of classes.

WORKSHOPS 5 WEEKS or LESS:
Workshops lasting five weeks or less must be paid in full at the time of registration. Any student who withdraws before classes commence is entitled to a class deferral good for up to one year. Once classes commence there are no refunds or deferrals issued.

No student can participate in the Weekend Introductory Program, Evening Introductory Program, or any workshop if he or she will not be in attendance during the first week of classes. ANY student missing more than 1 week of classes will be dismissed from the program or workshop he or she has registered for.
Anticipated Starting Semester

is Required

Please list any additional programs or classes you would also like to be considered for:
Please select Audition Location. If location not listed, please submit in the box below.
Other Audition Location:
E-Signature/Date: Please Type in Full Name & Today's Date
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Major / Field of Study
If your ethnic preference is not represented in the above options, please feel free to future describe your ethnicity here (optional):
Other Gender (Optional)
Please describe your reason for and interest in attending the Stella Adler Studio of Acting:
How did you hear about the Stella Adler Studio of Acting?
Please list any Theatrical or Film Training/Experience
By clicking Submit, you verify that the refund/credit policies are accepted & understood.

Stella Adler Studio of Acting | 31 West 27th Street, Floor 3, New York, NY 10001 | 212-689-0087 | classes@stellaadler.com

Black Arts Theater Programs Application

Address

Employer Information

In Case of Emergency, notify:

Please Read Carefully