Young Arts Ambassadors

Young Arts Ambassadors Application Form

Personal Details

Full Name Age Date of Birth Address

Contact Telephone Email

At school At college/university Employed Full Time Employed Part Time On a training progra mme Unemployed Volunteer Other (please specif y)

Are you:

Very passionate about Arts Occasionally involved in the Arts Don’t practise, but appreciate the Arts

Prefer not to say

Do you describe yourself as: ! Please note this information will be treated as strictly confidential.

Personal Statement

Why do you think you would be a good Young Arts Ambassador? Tell us about the skills and qualities you have. (150 words)

What skills and qualities would you like to develop? (150 words)

Why do you want to take part in the Young Arts Ambassador Programme? (300 words)

References

1st Referee

Full Name Relationship to Yo u Company/Organisa tion Address

Telephone

2nd Referee

Full Name Relationship to Yo u Company/Organisa tion Address

Telephone Do you have any additional support needs you would like to make us aware of?

Where did you hear about this opportunity?

. Please submit your application by Monday, 8th June 2015.

. We will be short listing applications and will be in touch by Friday, 12th June 2015.

Questions?

Email: [email protected]

Call: 0808 801 0338 (Open Monday-Friday, 10am-6pm)

Tweet : @youngscot

Equality Monitoring

Young Scot is committed to equality of opportunity for all applicants. In order to ensure we are meeting our aims, please answer the questions below and return this form with your application. This information is used solely for monitoring purposes and will not inform the selection process in accordance with the Data Protection Act 1998.

Gender

Please  (double-click on box to place check inside it) Male Female

Date of Birth Date of Birth (dd/mm/yyyy):

Ethnic Origin

Please tick  a box from the list below which best describes the ethnic group to which you belong:

White Scottish English Welsh Northern Irish British

Irish Gypsy/Traveller Polish

Any other white ethnic group:

Mixed Race or multiple ethnic Any mixed or multiple ethnic groups please groups write in:

Asian, Asian Scottish or Asian Pakistani, Pakistani Scottish or Pakistani British British

Indian, Indian Scottish or Indian British

Bangladeshi, Bangladeshi Scottish, Bangladeshi British

Chinese, Chinese Scottish or Chinese British

Other please write in:

African, Caribbean or Black African, African Scottish or African British Caribbean, Caribbean Scottish or Caribbean British

Black, Black Scottish or Black British

Other, please write in:

Other ethnic group Arab

Other please write in:

I do not wish to identify my ethnic group at this stage

Disability

Do you consider yourself to have a disability? Yes No

As defined by the Equalities Act, 2010, a disability is:

“ A physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities”.

Thank you for providing this information.