Arts & Education Booking enquiry form
Please complete the following form with as much detail as possible to provide us with a comprehensive understanding of your school community and enquiry details.
We will get back to you within the working week with the outcome of this application.
Please feel free to contact the team at firstname.lastname@example.org if you have any questions.
Contact Teacher First Name
Contact Teacher Last Name
#### ### ###
Name of School
North Western Metro
North Western VIC
North Eastern Melbourne
North Eastern Metro
North Eastern VIC
Inner Easter Melbourne
Outer Easter Melbourne
South Eastern Metro
South Eastern VIC
South Western Metro
South Western VIC
Wimmera South West Area
School Phone Number
## #### ####
## #### ####
Enrolment Numbers (whole school)
Enrolled Year Levels (i.e. Foundation - 6, Foundation - 12, or Years 7 - 12)
On the Road Program (touring within certain dates)
Ardna (Monday 6 - Friday 17 June)
Junklandia (Monday 25 July - Friday 12 August)
On Call Programs - Available any time
Bigger Picture Animation
Chandralaya: Indian Classical Dance
Creating as an Ensemble: VCE Drama Units 1,2 & 3 by Impro Melbourne
Drama Impro Workshop by Impro Melbourne
Fairytale Cookbook Performance by Impro Melbourne
Fairytale Cookbook Workshop by Impro Melbourne
Improvaganza Performance by Impro Melbourne
Working Solo: VCE Drama Units 1,2 & 4 by Impro Melbourne
1st Date preference
2nd Date preference
3rd Date preference
Year level(s) attending in audience for each performance/workshop
Expected number of students attending each performance/workshop
Schools are assessed for subsidy support against four key criteria:
Remoteness, School enrolment, Socio-economic disadvantage, and special needs.
Please complete the following with as much detail as possible.
(if you are not a school, please complete as much info as possible about your school community)
Is your school located in a regional or remote area? Please describe including distance in kilometres from Melbourne:
Is your school enrolment below 130?
If so, how difficult is it for your school to cluster with others in the district? What attempts have you made to cluster with other schools in your area?
for example: What is your school’s ICSEA value (available on
)? Is your school eligible fo
r Student Family Occupation (SFO) Funding? Is so at what rate?
Have the students in your school been affected by factors such as high local unemployment, drought, bushfire, global displacement (e.g. refugees or new arrivals), and/or a high level of special needs students? Please describe.
How many PSD funded students do you have? (schools only)
What is your CALD level (%)
What is your level of Indigenous enrolment (%)
Please make any additional comments to help us make an informed decision (for example: special needs, location & access issues)
We will keep you updated on our Arts & Education programs and opportunities with our quarterly ENews!
Please check here if you
wish to stay informed