NEW YORK SHORT-TERM WORKSHOPS 212-674-4300

FILM ACADEMY APPLICATION www.nyfa.edu

GENERAL INFORMATION NON-REFUNDABLE

APPLICATION FEE
FAMILY NAME FIRST NAME $50 USD
CHECK ENCLOSED
WIRE TRANSFER
ADDRESS CITY STATE ZIP COUNTRY
MONEY ORDER
CREDIT CARD
PRIMARY TELEPHONE SECONDARY TELEPHONE FAX CASH

COUNTRY OF CITIZENSHIP
EMAIL MALE/FEMALE AGE (MUST BE COMPLETED)
UNITED STATES
CITIZENSHIP BIRTH DATE(Month /Day /Year) SOCIAL SECURITY NUMBER (All US applicants must provide) OTHER (SPECIFY)

EMERGENCY CONTACT RELATIONSHIP TELEPHONE

Have you served in the
EMERGENCY CONTACT2 RELATIONSHIP TELEPHONE United States Military?
YES NO

SCHOOL ATTENDED MAJOR Are you a former student of

New York Film Academy?
YES NO
COMPANY POSITION

FOR AFA, BFA, MFA, AND 1&2 YEAR PROGRAMS APPLICANTS: PLEASE FILL OUT SEPARATE APPLICATION

FILMMAKING ACTING FOR FILM 3D ANIMATION

8-Week Film & Hi-Def * 8-Week Acting for Film 4-Week 3D Animation
6-Week Film & Hi-Def 4-Week Acting for Film 3-Week 3D Animation
4-Week Filmmaking 3-Week Acting for Film
4-Week Hi-Def Filmmaking 1-Week Acting for Film SCREENWRITING
3-Week Filmmaking Discount Tuition Acting Workshop 8-Week Screenwriting
3-Week Hi-Def Filmmaking Online Screenwriting - Revisions Class
1-Week Hi-Def Filmmaking BROADCAST JOURNALISM Online Television Writing - Original TV Pilot
1-Week Music Video 8-Week Broadcast Journalism Online Television Writing-The Spec Script
Discounted Tuition Film Workshop 4-Week Broadcast Journalism
EVENING PROGRAMS & WORKSHOPS
PHOTOGRAPHY MUSICAL THEATRE 12-Week Evening Filmmaking
16-Week Sports Photography 4-Week Musical Theatre 12-Week Evening Hi-Def Filmmaking
8-Week Photography 12-Week Evening Acting for Film
4-Week Photography DIGITAL EDITING 12-Week Evening Comedy Program
4-Week Digital Editing 12-Week Evening Broadcast Journalism
PRODUCING Professional Editing with 12-Week Evening Producing
4-Week Producing Avid Media Composer 12-Week Evening Screenwriting
12-Week Evening Photography
12-Week Evening Digital Editing
*Students Applying to Florence, Australia, Abu Dhabi Campus will shoot with Hi-Def Only

IMPORTANT: PLEASE INDICATE START DATE AND LOCATION

New York City Harvard University Kyoto, Japan Beijing, China
START DATE (Month /Day /Year):
Los Angeles, CA Disney Studios, Florida Rio De Janeiro, Brazil Shanghai, China
Abu Dhabi, UAE Florence, Italy Mumbai, India Guangzhou, China
HOUSING NEEDED Queensland, Australia Paris, France Jakarta, Indonesia

HOW DID YOU LEARN ABOUT THE NEW YORK FILM ACADEMY?
Web Google Yahoo Ask msn bing Search for School Other
Social Media Facebook Twitter Google+ Blog Other
Ad Telephone Booth Subway Bus Mall Magazine TV Spot NYFA Caf Other
Friend NYFA Student Teacher, Agent, or Counselor Fair College Brochure Other

NEW YORK FILM ACADEMY OFFICE OF ADMISSIONS | 100 EAST 17TH STREET NEW YORK, NY 10003 | TEL: 212-674-4300 | FAX: 212-477-1414
 NEW YORK SHORT-TERM WORKSHOPS 212- 674- 4300
FILM ACADEMY APPLICATION www.nyfa.edu

PLEASE TELL US WHY YOU WOULD LIKE TO ATTEND THE NEW YORK FILM ACADEMY:

ANYTHING ELSE YOU WOULD LIKE TO TELL US?

IS THERE ANY HEALTH PROBLEM THAT NYFA SHOULD KNOW ABOUT? No Yes (Have your physician contact us)

HEALTH INSURANCE COMPANY GROUP/POLICY #

We strongly advise students to acquire health insurance coverage, please contact us for more information.

HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR, FELONY, OR OTHER CRIME? No Yes
If yes, please attach a separate sheet of paper that gives the approximate date(s) of the incident(s) and explains the circumstances.

ARE YOU HISPANIC/LATINO?

Yes, Hispanic or Latino (including Spain) No, not Hispanic or Latino

HOW WOULD YOU DESCRIBE YOURSELF?

To process your application, please submit a non-refundable fee of $50. Please make your check or money order, in US dollars, payable
to: THE NEW YORK FILM ACADEMY, LTD. In order to make a payment by credit card or wire transfer, please contact us.

All dates, locations, schedule, curriculum, and tuition are subject to change. The New York Film Academy

educational purpose. Our workshops are extremely intensive and comparable to an Outward Bound and Boot Camp

Students may request that their studies and course work be considered for a transfer or award of credit by the New York Film Academys west coast
headquarters at Universal Studios, California. To qualify, students must meet all admissions criteria, standards of course work, attendance, and the
course of study must have been deemed equivalent to an approved course at the New York Film Academy at Universal Studios, California.

The New York Film Academy reserves the right to dismiss students from programs for poor conduct, poor attendance, lack of preparation, if they
present a threat to themselves or others, or if they cause a disruption of any kind.

STUDENTS SIGNATURE DATE (Month /Day /Year)

Please return completed copy to the Director of Admissions or apply online at www.nyfa.edu.

NEW YORK FILM ACADEMY OFFICE OF ADMISSIONS | 100 EAST 17TH STREET NEW YORK, NY 10003 | TEL: 212-674-4300 | FAX: 212-477-1414