APPLICATION FORM 2017/18

Applications should be returned with 2 sealed references for the attention of the Youth Arts Programme, National Youth Council of Ireland, 3 Montague St, Dublin 2. Please mark correspondence. ‘Certificate in Youth Arts Application’. The closing date for applications is Friday, 20th October 2017. Applications will be accepted on a rolling basis .

  1. PERSONAL CONTACT DETAILS:

NAME:

CONTACT ADDRESS:

TELEPHONE:

EMAIL:

  1. EDUCATIONAL DETAILS/TRAINING TO DATE:

OTHER RELEVANT TRAINING (Children Protection Training etc)

  1. PROFESSIONAL DETAILS/EXPERIENCE TO DATE:

OTHER RELEVANT EXPERIENCE (arts experience, volunteering etc):

  1. OUTLINE 2 youth arts projects in which you have been involved and detail your involvement:
  1. OUTLINE the ways in which you implement or use youth arts as part of your work
  1. OUTLINE the ways in which you feel this course will enable you to impact youth arts practice and policy in the non-formal education sector:
  1. Have you worked with young people in the non-formal education sectorfull time for 2 years or part timefor 4 years (working as a youth arts practitioner counts)

2 YRS FULL TIMEYES NO

4 YRS PART TIMEYESNO

PLEASE OUTLINE:

  1. OUTLINE any supports you may need to enable you to complete this course (learning, access, academic)
  1. OUTLINE your preferred artform and experience in same.
  1. The young people you work with: (please circle the relevant answer)

…are in the age range 5-10 10-15 15-20

…are in a rural or urban setting

…are mostly female/ mostly male / all female/ all male / an even mix of male and female

…based in the formal education system /based in the non formal/youth work sector / other

On average, how many young people do you work with a week? ______

  1. PLEASE INCLUDE 1sealed reference with your application.

The information I have provided above is true and accurate.

Signed______Date:______

Please tick:

Have you completed all parts of this application?

Are you available for group workshop on Friday, 27th October 2017 (2 hours, mid morning) in Dublin should you be called?

Have you enclosed a sealed reference?