Top of Formeventapplication for RSA Fellowship

Top of FormEventApplication for RSA Fellowship

(Royal Society for the encouragement of Arts, Manufactures and Commerce)

Please fill in this form if you want to apply for the chance to be awarded a Fellowship from the RSA. Please complete all 3 sections of the form and send it back to:

SCLD,

5th Floor, Suite 5.2,

Stock Exchange Court,

77 Nelson Mandela Place,

Glasgow,

G2 1QY

Section 1. About You

What is your name?

When is your birthday? (date, month and year)

Are you ?(please tick)

I am male

I am female

I am transgender

Job title (if you are applying on behalf of your organisation)

Organisation name (if you are applying on behalf of your organisation)

What is your Address? (put the organisation address if you are applying on behalf on an organisation)

What is your Phone Number?

What is your Email address?

Which of these fits with the idea you want to apply for a fellowship to support? (you can tick as many as you think fit)

Arts, culture and media.

Business and money

Education and skills

People and society

Politics, law and environment

Science and technology

Section 2. Personal Statement

Please answer these questions, in your own words. You can write or film yourself speaking your answers to this section. If you do this please send a copy of this along with this form with the other sections completed. You must answer all of the questions.

Why do you want to be awarded an RSA fellowship? (200 words maximum)

Tell us your idea. What will you do if you are successful? (200 words maximum)

Tell us about a time when you have done something creative? (50 words maximum)

Tell us about a time when you showed that you include people? (50 words maximum)

Tell us about a time when you acted responsibly? (50 words maximum)

Section 4. References

Please tell us about two people who can tell us more about you.

Person 1.

What is their name?

Job title

Organisation name

What is their Address?

What is their Phone Number?

What is their Email address?

How do they know you?

Person 2.