JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The Ruined Theatre - 2023 Creative Access Mentorship Course
July - August 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Ethnicity
*
Your answer
Do you consider yourself to have a disability or any additional needs?
*
Yes
No
If yes, please provide any information that will enable us to support
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
I confirm that I am available on the given dates specified in the Course Outline (please use 'Other' box to state when you are not available)
*
Yes
No
Other:
Required
Which menteeship Pathway are you interested in?
Focused Pathway (choose one focus areas to learn about)
Taster Pathway (explore aspects of all of the creative roles)
Clear selection
What would you like to achieve out of undertaking the Creative Access Mentorship Scheme? (100 words max)
Your answer
If you have selected the FOCUSED PATHWAY which focus area are you interested in?
Directing
Acting
Stage Management
Costume & Set Design
Producing
Do you have an up to date DBS? (This is not a requirement.)
Yes
No
Clear selection
Thank you
All information will be kept confidential and dealt with sensitively.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Ruined Theatre.
Report Abuse
Forms
