Escalator Live Art 2013 / 4

Application Form

Please read through the Guidelines before filling in this form. It can be downloaded from http://www.colchesterartscentre.com and contains detailed notes on how to approach the application.

Personal Information:
Contact Name / Position:
Organisation name:
Contact number:
Email:
Website:
Postal address:
Please provide name(s), organisation and role of any collaborators:
Please provide name(s), organisation and role of key partners in the Eastern region:
Your and Your Work (200 words)
A brief introduction to you and your work
Brief overview work and creative practice (200 words)
A brief resume of recent projects / work / ideas / shows

You can also include supporting information: CV, testimony, DVD’s, reviews, links etc.

Escalator Live Art Proposal: (500 words)
An outline of what you would like to do.
You can include links / dvds / supporting documentation
Audience: (150 words)
How audiences might benefit in the short / long term from this project
Evaluation: (150 words)
How you imagine the work can be evaluated at its conclusion

Please return completed forms (including the monitoring form at end of this document) and any supporting materials by email to:

Anthony Roberts

Director, Colchester Arts Centre, Church Street, Colchester CO1 1NF

Deadline: Monday 1ith November (12 noon)

Escalator Performing Arts Equal Opportunities Monitoring

Confidential

Escalator is working towards best practice in its Equal Opportunities policy and considers applicants on the strength of their proposal regardless of gender, age, race or disability. To assist us in monitoring and for this purpose only, please provide the details requested below. This information will not be used by those involved in selection procedures, and will be kept separate on receipt and treated as confidential. If you do not know some of the information or prefer not to provide it, please mark x next to ‘Prefer not to answer’ box.

PLEASE ENTER “X” NEXT TO THE MOST APPROPRIATE ANSWER

How would you describe your ethnic origin?

Prefer not to answer

White

British

Irish

Any other white background

Black or Black British

Black

African

Black Caribbean

Any other Black background

Asian or Asian British

Asian Bangladeshi

Asian Indian

Asian Pakistani

Asian background

Chinese

Any other ethnic group

Asian and white

Black African and white

Black Caribbean and white Chinese and white

Any other background from more than one ethnic group

Please tell us how you would like to describe yourself if none of the above is suitable

Do you consider yourself to be disabled?

Prefer not to answer

Yes

No

Gender

Prefer not to answer

Male

Female

How did you hear about the scheme?