Graphic Design StudioWork PlacementQuestion Sheet

Please return this document to

Name:
Address:
Tel .
Number:
Email address:
DOB:
Preferred dates for placement:
College/
University (if applicable): / If you are a graduate please fill out the information for your most recent/relevant course completed and the date you graduated.
Course:
Course Leader Name:
Course leader contact number:
Course leader email address:
Why would you like to apply for a work placement in the Graphic Design Studio at the National Theatre?
What is your specific area of interestwithin Graphic Design and why?
What three questions would you ask someone working in that specific area of interest at the NT?
What skills do you have which you enjoy using most? How would you like to develop those skills in the work place? To what end?
Tell us about any experience that you have that would be relevant to your placement.
What would you like to get out of a work placement with the NT?

Equal Opportunities Form

Name:
Department Requested:

The National Theatre is committed to being an equal opportunities employer. We are asking you for the following information in order to better understand the diversity of our staff, and to monitor the effectiveness of our equal opportunities and diversity policies. Submission of this form indicates your explicit consent that your data may be processed in accordance with the provisions of the Data Protection Act 1998 and the National Theatre’s Data Protection Policy.

The more people who complete this form the better. However, you may feel that you do not wish to do so. If this is the case, please tick this box □ and return the form anyway. It would help us if you could explain your reasons in the comments section at the bottom of this page. Thank you for your help.

Please mark the box that you feel best describes your gender:

□Male□Female□Defined differently

Please mark the box that you feel best describes your ethnicity:

White:Black or Black British:

□British□Black – African

□Irish□Black – Caribbean

□Any other White background□Any other Black background

Asian or Asian British:Dual Heritage:

□Asian Bangladeshi□Asian and White

□Asian Indian□ Black African and White

□ Asian Pakistani□ Black Caribbean and White

□Any other Asian background□Chinese and White

□Any other background from

Chinese or Chinese British: more than oneethnic group

□Chinese

Any other ethnic group (please give details):

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Do you consider yourself to have a disability?Yes □No □

If yes, are there any reasonable adjustments that you would like the NT to make:

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Any other comments:

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Signature: ……………………………………………….Date: ……………………………………..