Collage Artspaces | Expression of Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form when making an enquiry about an available studio. Email jason@collage-arts, too.

Email *

First name *

Last name *

Website address *

Phone number *

What do you do? Briefly, please tell us about your practice *

What is your monthly budget approximately? *

What are your space requirements? *

Would you consider a sharing a workspace with other compatible practitioners? *

Do you have any other requirements? *

Do you have any access requirements? *

Would you also like to be added to our mailing list? *

Yes

Equal Opportunities Monitoring

Optional but helpful!

How would you describe your ethnicity?

English, Welsh, Scottish, Northern Irish or British

Irish

Gypsy or Irish Traveller

Any other White background

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or Multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

African

Caribbean

Any other Black, African or Caribbean background

Arab

Any other ethnic group

Prefer not to say

Clear selection

How old are you?

Under 35

35-65

Over 65

Prefer not to say

Clear selection

How would you describe your gender?

Male

Female

Non-binary

Prefer not to say

Clear selection

Do you consider yourself to have a disability?

Yes

Prefer not to say

Clear selection

If yes: does this disability require any specific support needs that would impact on the design of a studio?

Do you identify as LGBTQI?

Yes

Prefer not to say

Clear selection

Is there any other way in which you would or expect your identity to be acknowledged?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms