June 2017 Call: Application Form
Personal Details
Name:Organisation name:
Address (inc Postcode):
Your local authority area:
Date of Birth:
Email:
Phone:
National Insurance Number
Your Business Idea
If you have a creative business, or proposed new business what is it called?Are you applying as an individual or as a group?
Twitter: / Website:
What creative sector
£ Advertising £ Animation £ Architecture £ Crafts £ Dance £ Design £ Digital Media & Web
£ Fashion £ Film £ Games £ Literature £ Music £ Photography £ Publishing £ Radio
£ Software & Apps £ Theatre £ TV £ Visual Arts £ Writing
Other (Please State)
How can we help drive your career? (200 words)
Why do want to join The Mighty Creatives Emerge Creative Enterprise programme? (200 words)
In a video pitch (maximum 3-minutes) please tell us your creative business idea you would like help to start up. Please provide a link to this film (for example, a closed YouTube/Vimeo account).
How did you hear about the programme and The Mighty Creatives? (50 words) []
Qualifications – Please tick all that apply and provide details below:
£ GCSE £ A-level £ Degree £ BTec £ HND £ Apprenticeship
Employment Status
£ Employed Full Time £ Employed Part Time (16 hours or under) £ Self Employed £ Unemployed
Other (Please Specify)
Eligible to work in the UK
£ Yes £ No
Hours you work in your current employment
£ Under 6 weeks £ 7-12 weeks £ 13-26 weeks £ 26-52 weeks £ Over 52 weeks
Are you in receipt of benefits?
£ Yes £ No
Do you consider yourself to have a disability, health problem or learning difficulties that you would like to share with us?
£ Yes (Please provide more details below) £ No
Do you have any access requirements for activities?
£ Yes (please provide details below) £ No
I confirm that in applying to this programme I have:
Ø Read the Guidance and information Prospectus on the programme expectations and eligibility to apply
Ø Submitted my Pitch Video (by DropBox detailed in the guidance document) marked with my name detailed in Question One on this application
Ø Available to attend the Starter for 24 two-day compulsory programme on dates detailed in the Guidance and Information Prospectus
Please accept my application for consideration:
Signed (please type your name) []
Date and time (please enter the date and time) []
We want to stay in touch…
We like to keep in contact with the individuals and organisations we connect with, this helps us grow as a charity and improve our work for children and young people.
Our marketing is predominantly informative and not excessive, however, should you wish to adjust the frequency of our contact with you, you can do so at any time.
The data you provide will be retained by The Mighty Creatives (the ‘data holders’) in accordance with the provisions of the Data Protection Act 1998 and related legislation. By providing your data to us, you are consenting to the data holders making contact with you in the future by telephone, email or other means. Your data will not be sold and will not be given to anyone not connected to The Mighty Creatives.
If you would like more information about our data protection policy, please visit our terms and conditions pages on our website.
⃝ I give permission for The Mighty Creatives to contact me with future details and opportunities
(Name)……………………………………………………………………………….(Date)………………………………………………..
Once complete please email your application to by 5 p.m. on 3 July 201y.
Equal Opportunities Form
The Mighty Creatives intends to use the information provided to inform future recruitment strategies and to assess the effectiveness of our Equal Opportunities Policy. It will not be used in any other way and will be treated in confidence. This form will be detached from your application prior to shortlisting. If you would prefer not to disclose any of this information, please select the ‘prefer not to disclose’ options.