Write to Play, Year Five

Application Form

Write to Play, Year Five

Graeae, the Bush Theatre, Soho Theatre, Ovalhouse, Talawa and Tamasha.

This programme is for BAME D/deaf and disabled playwrights and is open to writers based across the UK.

Please read the information about the Write to Play programme on our web site carefully before submitting your application.

Please answer all questions on this form clearly in type or black/blue ink. We also welcome applications in other formats, e.g. BSL video or Braille.

Please also complete the Equal Opportunities Monitoring Form included in this document.

Should you need any assistance filling in the application or have any enquiries please contact Amy Bethan Evans, Literary Assistant, / 020 7613 6900.

Applications must be completed in full, and sent to by 12pm on Monday 2 October 2017.

Please fill out the below personal information

First Name:Surname:

Date of Birth:

Full Address:

Tel: (Home) (Mobile)

Email:

Please specify your preferred means of communication:

Telephone Email Skype SMS/Text

Other (please specify)

1. Statement of interest

In no more than 400 words, please tell us a bit about yourself and why this opportunity interests you. This might include a summary of your writing experience to date, your specific interests, what you feel you might gain from being a writer on the programme, etc.

2. A sample of your work

In a separate document, please send us a sample of your writing. Your sample must be intended for live performance. We do not accept TV/film scripts or prose. Please send us no more than 10 pages if you are working in written English.

3. Tell us a story

Please tell us a story in no more than 200 words. This can take any form (dialogue, poetry, prose, spoken word, etc) and be about anything you wish. What story are you burning to tell, and how might you communicate that story in such a short form? Be as creative as you wish.

Interviews

Interviews will take place at Graeae, Bradbury Studios, 138 Kingsland Road, London E2 8DY and are likely to take place week commencing 30 November 2017. We will contact you via your preferred method of communication if you are shortlisted for interview.

You will be contacted if you are not shortlisted for interview. Unfortunately, we cannot offer feedback on unsuccessful applications.

Access

Graeae’s building is fully accessible and we can provide BSL interpreters and access support workers across all interviews. Access Audit Forms will be sent in advance to shortlisted writers to collect details of access requirements.

If you are offered a position on the Write to Play programme we will continue to support any access requirements.

Declaration
I confirm that all information I have supplied on this form is correct.
Signed:
Date:

Please return this form to: Amy Bethan Evans, Graeae Theatre Company, Bradbury Studios, 138 Kingsland Road, London E2 8DY or email

Forms received after 12pm on Monday 2 October will not be considered.

Please tick this box if you wish to be added to Graeae’s mailing list and receive news about future new writing opportunities.

Write to Play Y5 - Equal Opportunities Monitoring Form

Graeae is an Equal Opportunities employer. This means that everyone who works for us is treated equally, whatever their race, colour, ethnic or national region, sex, marital status, responsibility for children or dependents, disability, sexual orientation, religion or political beliefs.

To ensure this policy is effective we request you complete this form and return it with your application. This monitoring form is for statistical purposes only and will be kept separate from the information used in the selection process.

1. Gender

MaleFemale

2. Age

18 - 2545 - 55

25 - 3555 - 65

35 - 45Over 65

3. Cultural Diversity

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______

Dual Heritage

Dual Asian & White

Dual Black African & White

Dual Black Caribbean & White

Dual Chinese & White

Any other background, please state______

4. Disability

Do you consider yourself to be:

DisabledNot disabled