STUDIO WAITING LIST REGISTRATION FORM
SURNAME:
FORENAME:
ADDRESS:
POSTCODE:
BOROUGH:
PHONE:
MOBILE:
EMAIL:
NATURE OF WORK
Which category most closely describes your practice (you may select more than one)?
Painting
Sculpture/Installation
Printmaking
Photography
Film/Video
Live Art/Time-based
Digital/Multi-media
Other—please specify:
STUDIO REQUIREMENTS
Are any of the following essential?
Ground floor
Lift access
Natural light
Self-contained
Ventilation
Heating
Close to public transport
Do you consider yourself to be disabled?
Yes
No
If you answered ‘yes’ to the question above, do you have any access requirements you
would like to tell us about? - please describe below:
STUDIO WAITING LIST (CONTINUED)
PRICE RANGE
Please indicate the price range of studio you are seeking (per calendar month):
£100 to £150*
£300 to £350
£150 to £200
£350 to £400
£200 to £250
£400 to £500+
£250 to £300
*Studios in this range are likely to be sub-divided or shared
WOULD YOU SHARE A STUDIO?
Yes
No
WOULD YOU TAKE A PARTITIONED STUDIO?
Yes
No
WOULD YOU TAKE A TEMPORARY STUDIO?
Yes
No
If yes, do you have any one in mind?
(i.e. for six to 12 months)
LOCATION OF STUDIO
Below is a list of Acme Studios locations in London. Please see ‘Studio Information Leaflet’ for
detailed information on each location. Please tick any location you would consider (you may
select more than one). *As these studio buildings are the most popular you could be waiting
many years for a long-term space in one of them.
Carlew House, East Place, West
Norwood, SE27 9JW
40 Leven Road, Poplar, E14 0GZ
165 Childers Street, Deptford, SE8 5JR
The Old Stable Block, Oaks Park,
Croydon Road, SM7 3BA
*42/44 Copperfield Road, Bow, E3 4RR
*11-31 Orsman Road, Hackney, N1 5RA
The Fire Station, 30 Gillender Street,
Poplar, E14 6RH
*15 Robinson Road, Bethnal Green,
E2 9LX
The Galleria, Pennack Road, Peckham,
SE15 6PW
1 & 3 Rowse Close, Stratford,
E15 2HX
733 Harrow Road, Kensal Green,
NW10 5QB
Matchmakers Wharf, Homerton,
E9 5GP
High House Artists Studios, Purfleet,
Thurrock, RM19 1RJ
Warton House, 150 Stratford High
Street, Newham, E15 2NE
Glassyard, 76 Oak Square,
Off Stockwell Green, SW9 9AW
DATE RECEIVED:
DATE ACKNOWLEDGED:
MONITORING FORM
Please provide the following information which will be used for purposes of analysis only.
The form will be detached from your application and remain anonymous
 MALE  FEMALE  Prefer not to say
AGE  18-24  25-29  30-34  35-39  40-44  45-49  50-54  55-59  60-64  65+
 Prefer not to say.
NATIONALITY:
 UK National
 European Union/European Economic Area
 International (Non EU/EEA)
Please specify ……………………..
 Prefer not to say
ETHNIC ORIGIN Choose ONE section from A to E, then tick the appropriate box to
indicate your background:
A white
 White British  White Irish  White Other
Please specify ………………
B Mixed
 White & Black Caribbean  White & Black African  White & Asian
 Any other Mixed background
Please specify……………
C Asian or Asian British
 Indian  Pakistani  Bangladeshi  Chinese
 Any other Asian background
Please specify……………
D Black, Black British
 Caribbean  African
 Any other Black background
Please specify……
E Any other Background
Please specify………
 Prefer not to say
Do you consider yourself to be disabled?
 Yes  No  Prefer not to say
Do you have any formal fine art qualifications?
 NVQ  BTEC/HND/BND  BA  MA  Other
Please specify……………………..
Prefer not to say
Do you have any other formal qualifications?
 NVQ  BTEC/HND/BND  BA  MA  Other
Please specify……………………..
Prefer not to say
Have you undertaken any other relevant training?
 Yes  No
Prefer not to say
If Yes, please specify………………………….
How did you hear about Acme?
 Advertisement in magazine
 Advertisement in e-mail listing
 Website
 Other
 Word of mouth
Prefer not to say
Please specify……………………..
Please specify……………………..
Please specify……………………..
Please specify……………………..