Tyneside Cinema Graduate Residency 2017
In partnership with Northumbria University
APPLICATION FORM
Please complete all sections of the application form and return with an attached CV to
[email protected] by Friday 7 July 2017 (5pm)
PERSONAL DETAILS
Name:
Address:
Telephone number:
Email address:
Website address:
Date of birth:
Nationality:
ELIGIBILITY FOR NORTHUMBRIA UNIVERSITY GRADUATES:
Course title:
Level (BA/MA/PhD):
Graduation Year:
1
ABOUT YOUR PRACTICE
Tell us about your artistic practice - please relate this to your studies and current or on-going
projects (250 words maximum):
Please outline the proposal you would like to develop during the residency period. Please pay
particular attention to why this work is relevant to being developed in a Cinema context and how
you will benefit from this opportunity.
Please attach any supporting materials you feel may be relevant, such as sketches and diagrams
as a PDF file to your email submission (500 words maximum):
2
As part of the application process, we require examples of your previous work. Please add any
relevant links to past moving image work below from websites such as YouTube, Vimeo, Tumblr,
etc. (up to 3 links maximum):
Link 1:
Link 2:
Link 3:
Please provide details for one referee below:
REFEREE
Name and job title:
Telephone no:
Email address:
Relationship to referee:
How did you find out about the Residency opportunity?
3
Equality and Opportunity Monitoring
This residency is supported using public funds from Arts Council England. Arts Council England
and Tyneside Cinema are committed to equality and diversity. Therefore we request
applicants for any opportunity to complete this monitoring form.
Not completing any particular questions will not affect you being considered for the
residency. This form will not be seen by those undertaking the selection for the post. Nonspecific information will be used for statistical analysis.
All information will be treated in the strictest confidence and will be separated from your
application form.
Ethnicity Monitoring
How would you describe yourself? Choose ONE section from A to E, and then tick the appropriate
box.
A. Asian or Asian British
Bangladeshi
Indian
Pakistani
Any other Asian Background (please state)
B.Black or Black British
African
Caribbean
Any other Black Background (please state)
C.Chinese or other ethnic group
Chinese
Any other (please write state)
D.Mixed Heritage
White and Asian
White and Black African
White and Black Caribbean
Any other Mixed Background (please state)
4
E.White
British
English
Irish
Scottish
Welsh
Any other White Background (please state)
F. Prefer not to say
Disability Monitoring
1. Do you consider yourself to have a disability or a long-term health condition?
Yes
No
2. What is the effect or impact of your disability or health condition?
Describe:
Prefer not to say
Gender Monitoring
Would you describe yourself as:
Male
Female
Prefer not to say
5
Religion and Belief Monitoring
Would you describe yourself as:
Buddhist
Christian
Hindu
Jew
Muslim
Sikh
Other religion or belief (please state)
No religion
Prefer not to say
6