CANDOCO TEACHER TRAINING INTENSIVE: Wednesday 25 – Friday 27 October 2017

BOOKING FORM

Name:
Address:
Postcode:
Country:
Email: / Telephone:
Organisation:
Position:
Please describe your current teaching (e.g. schools, companies, training centres, community etc):
Please describe any previous movement and/or performance experience (e.g. companies, workshops, residencies):
Please describe what you hope to gain from the Candoco Teacher Training Intensive:
Would you consider yourself as having a disability?
Do you have any accessibility or support requirements?
(e.g. Sign Language Interpreter/ large print materials)

EQUAL OPPORTUNITIES MONITORING FORM

To assist with the implementation of our Equal Opportunities policy, please would you complete and return this form to Candoco. The purpose of any future processing of this data will be to monitor the effectiveness of our Equal Opportunities policy, in a manner that maintains anonymity.

This form will be separated when your form is submitted and kept anonymous.

Position/activity applied for TEACHER TRAINING INTENSIVE (TTI)

  1. How did you learn of this opportunity?

Top of Form

Bottom of Form

Candoco’s E list/ facebook □Candoco’s website □

Other (please specify) ______

  1. What gender are you?Female □Male□
  1. Please state your postcode:
  1. What is your ethnic group?

NB these categories are those used by Arts Council England and are recommended by the Commission for Racial Equality.

Choose ONE from section A to G, then tick the appropriate box to indicate your background.

AWHITE:British□

Irish□

Any other white background (please specify)

BASIAN OR ASIAN BRITISH:

Indian□

Pakistani□

Bangladeshi□

Any other Asian background (please specify) ______

C BLACK, BLACK BRITISH:

Caribbean□

African□

Any other Black background (please specify) ______

DCHINESE □

EMIXED OR DUAL HERITAGE:

White and Black Caribbean□

White and Black African□

White and Asian□

Any other mixed background (please specify) ______

FANY OTHER ETHNIC GROUP (PLEASE SPECIFY) ______

GPREFER NOT TO SAY □

  1. What age group are you in?

0-19 yrs □20-34 yrs □35-49 yrs □50-64 yrs □65+ yrs □

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

If yes, and you are applying for a vacancy or course, please describe any access requirements you may have:

Please describe ______

Thank you for completing this form.

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