Applicationfor art facilitators

'HeArt of Heritage' exhibition

Room availableis the 4*6 meter ‘Garden Room’ at St Denys Historic Church, SO17 2ND.
12th – 19th September 2015.

Contact: Dr. Gil Dekel

Your details

Full Name:
Full Address:
Post Code:
Phone:
Email:

Short statement (50 words maximum) about:- the type of art workshop you wish to facilitate, - audiences (children, adults), - number of participants you will take, and - cost you will chargeparticipants

The date and time that you prefer to run your workshop (we will do our best to accommodate this)

Short biography (50 words maximum)

All facilitators must be members of Southampton Chamber of Arts. You can join on southamptonchamberofarts.org. Annual membership fee is only £12. The £12 membership fee is the total cost to you to facilitate the workshop (and it means you also becoming a member of Southampton Chamber of Arts).Sorry we cannot accept cancellations, and cannot refund. Type 'I ACCEPT' below.

List of materials and equipment you will bring. Please highlight any of the more “hazardous”materials and equipment that may pose a risk of injury/harm/fire.

Health and safety is a integral part of modern day life and we expect you to be aware of the health and safety of all participants at all times, to assess risks and take necessary precautions.

If anything you do, use or display as part of your art/exhibit/workshop pose a more significant risk of harm/injury please list below(this should be the more significant risks as opposed to the lesser more trivial risk things)

Place Here 2 photos from aprevious art workshop you facilitated, or attach the photosto your email.

Email your form with the subject heading ‘Art Facilitator application – HeArt 2015’

to:

The closing date is – 9am, 1stSep 2015.

Good luck; and we are looking forward to working with you!

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