Sg2 Audition Application Form

Please complete the Application Form and the Equal Opportunities Monitoring Form below and return them to by 5pm on 29th March 2018.

If you would prefer to submit your answers as a video or in any alternative format, please also send this by the deadline to the email address as above.

Name:

Address:

Tel:

Email:

Access requirements:

Emergency contact details:

If you wish to nominate a representative to support you with communication please provide their details below

Please list your dance experience/training to date

What are future goals and ambitions (max 200 words)?

Please provide your personal statement, explaining why you want to train with Stopgap Dance Company to become a professional dancer (max 600 words)

Please also attach a link to a video of you dancing; this might be in a performance, in class or by yourself in a studio

Equal Opportunities Monitoring Form

Stopgap Dance Company is a keen advocate of Equal Opportunities in all aspects of our work. In order to analyse how well the company is reaching out to candidates with a wide range of backgrounds, it would be hugely useful to receive the below information.

All the information provided here will be kept strictly confidential and it will only be used for monitoring purposes and kept separate from your files. The monitoring form is not a mandatory part of the job application.

Position applied for:Sg2 Audition

Please state how you found out about the job:

1

Gender Identity

Female (Including MtF trans women) Male (Including FtM tans men

Non- Binary Prefer not to say

1

Age

1

0-19

20 – 34

35 – 49

50 - 64

65+

1

Sexual Orientation

1

Heterosexual/Straight

Homosexual/Gay man

Homosexual/Gay woman

Bisexual

Other

Prefer not to say

1

Do you consider yourself to have a disability?

No Yes – How would you describe your disability?

1

Visual impairment

Hearing impairment/ deaf

Physical disabilities

Cognitive or learning disabilities

Mental Health Condition

Invisible disabilities

Other long term/chronic disabilities

Prefer not to say

1

Do you have dependents?

(Dependents might include children, the elderly, or other people who rely on you for care)

1

Yes

N0

1

Ethnicity

Please tick the ethnic category that best represents you. As you make your decision, please think about what ethnic group means to you, that is, how you see yourself. Your ethnic category is a mixture of culture, religion, skin colour, language and the origins of yourself and your family. It is not the same as nationality.

White

British Irish

Any other white background, please state______

Asian or Asian British

Asian Bangladeshi Asian Indian Asian Pakistani

Any other Asian background, please state______

Black or Black British

Black African Black Caribbean

Any other Black background, please state ______

Chinese or Other ethnic group

Chinese Any other, please state______

Mixed

White and Asian White and Black African White and Black Caribbean

White and Chinese

Any other mixed / multiple ethnic background, please state______

1

1