D‑Punk: Disability and Punk - Application Form 2025-26

D‑PUNK: DISABILITY AND PUNK - APPLICATION FORM 2025-26

If you would like this form in an accessible format, please contact us through the website contact form: https://www.104projects.co.uk/contact-us
Section 1: Applicant Information
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Section 2: Supporting Statement
Please note it is likely there will be more applications than places and applicants will be selected based on their responses submitted through this application form.

Please use this section to tell us why you’re the right person to be accepted on this course.

We encourage you to save your supporting statements in a word processor and cut and paste them into the application form to avoid any loss of work, should you lose your internet connection
Please tell us your experience so far. if any, and why you want to take part in D‑Punk: Disability and Punk? (Max. 300 words)
Section 3: Terms and Conditions
D‑Punk: Disability and Punk is proudced by 104 Films. Your submission of this form to us will constitute your confirmation of the following declaration:
- I hereby confirm that the information I have given in this application is true and correct
- I confirm my availability for D‑Punk: Disability and Punk
- I agree that 104 Films may, for administrative purposes only, make copies of any material submitted in support of my application.
- By submitting this form, I understand that 104 films will store and process my data as described below in accordance with professional standards and data protection legislation.
- I confirm that I am over 16.
- If successful I agree to adhere to the 104 Films bullying and harrassment policy.
Clear
Data Protection
In order for you to be able to participate in D‑Punk: Disability and Punk, 104 Films needs to be able to process your personal data as part of the applications, registration, learning support, and awards processes.
- 104 Films may retain this information following your participation in D‑Punk: Disability and Punk for statistical purposes only, unless otherwise agreed.
Section 4: Diversity and Inclusion monitoring form
104 Projects CIC wish to ensure that all aspects of our work reflect diversity and support equality of opportunity. Therefore, we would like to take this opportunity to ask you to complete an equality monitoring form.

This monitoring information helps us to identify where there are gaps in our recruitment so that we can work to attract talented people from these groups and areas. It also helps us to ensure that there is no discrimination.

Your cooperation in completing this form is greatly appreciated.

Any information you provide us with will be processed separately to your application and used for equalities monitoring purposes only. We use this information to produce anonymised statistical data on equalities, which we may publish and share with the organisations providing our funding.

Please note you will need to return this form as part of your application, providing any of the information requested is optional.
Gender
MaleFemaleOtherPrefer not to say
Is the gender indicated the same as your gender at birth?
Ethnicity
Asian/ British - IndianAsian / British - PakistaniAsian/ British - BangladeshiAsian / British - ChineseAny other Asian OriginBlack / British - AfricanBlack / British - CaribbeanAny other Black OriginWhite - British (English/Welsh/Scottish or Northern Irish)White - IrishWhite - Gypsy or Irish TravellerAny other white backgroundMixed ethnic origin - White and Black CaribbeanMixed ethnic origin - White and Black AfricanMixed ethnic origin - White and AsianAny other mixed ethnic group
Disability: The Equal Act 2010

The Equality Act 2010 defines disability as a 'physical or mental impairment which has a substantial long term effect on a person's ability to carry out normal day to day activities'
YesNoNon-visible disabilityMental health issuesPrefer not to say
Socioeconomic Background
Yes, I am currently in careYes, I was previously in careNo, I have not been in carePrefer not to say
YesNoPrefer not to say
Thank you for completing this application form.

Please click submit and we will get back to you shortly
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D‑PUNK: DISABILITY AND PUNK - APPLICATION FORM 2025-26

Section 1: Applicant Information

Section 2: Supporting Statement

Section 3: Terms and Conditions

Data Protection

Section 4: Diversity and Inclusion monitoring form

Gender

Ethnicity

Disability: The Equal Act 2010

Socioeconomic Background