22-23 BFI FILM ACADEMY APPLICATION FORM

Please complete the following checklist to check whether you are eligible for the Film Academy Course. You will need to check all the required questions below.
BFI FILM ACADEMY APPLICATION FORM 2022

Nerve Centre Derry-Londonderry
Section 1: Applicant Information
Name

First Name Last Name
Date of Birth

Month Day Year
Date
Age
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Name of School/FE College you are currently attending:
Contact Number
FILM ACADEMY DATES:

22/09/2022
5pm-8pm

24/09/2022
10am - 4pm

29/09/2022
5pm-8pm

01/10/2022
10am - 4pm

06/10/2022
5pm - 8pm

08/10/2022
10am - 4pm

13/10/2022
5pm-8pm

20/10/2022
5pm-8pm

24/10/2022
5pm-8pm

25/10/2022
5pm - 8pm

26/10/2022
5pm - 8pm

27/10/2022
5pm - 8pm

29/10/2022
10am - 6pm

30/10/2022
10am - 6pm

03/11/2022
5pm - 8pm

05/11/2022
10am - 4pm

10/11/2022
5pm - 8pm

17/11/2022
5pm-8pm

19/11/2022
3pm - 5pm

26/11/2022
10am - 4pm

01/12/2022
5pm - 8pm

09/12/2022
6pm - 8pm

SHOWCASE
Can you attend all the dates and times listed above?

Yes No
If no, please state which dates you are unable to make?
How did you learn about the programme? This will help us tell people about the programme more effectively next year

From School/College BFI Social Media Nerve Centre Social Media Family/Friend Previous Participant
Do you wish to be added to the Nerve Centre mailing list to hear about similar opportunities?

Yes No
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 and material 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 strongly 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 why you want to take part in the BFI Film Academy (Max 150 words)
Please tell us about yourself and what difference you hope the BFI Film Academy will make to you (Max 150 words)
Please tell us about your experience and/or interest in Film. You can submit some work such as a Film, photograph, piece of writing, link to a website or an animation Please use this space to support your answer
Please use this place to tell us if you have any particular areas of interest in film such as directing, programming, script-writing, visual effects, sound design, e.t.c.
Section 3: Terms and Conditions
The BFI Film Academy will be provided by the Nerve Centre. 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 the BFI Film Academy as per the dates given above
- I agree that the Nerve Centre and/or the BFI may, for administrative purposes only, make copies of any material submitted in support of my application.
- By submitting this form, I understand that Nerve Centre, BFI Future Film and the BFI will store and process my data as described below in accordance with professional standards and data protection legislation.
- If under 18 I confirm that my parent or guardian has given me permission to apply to the BFI Film Academy
- If under 18 I confirm that my parent or guardian has given me permission to participate in BFI online delivered through digital platforms such as Google Classroom, Zoom and Slack.
Clear
Data Protection
In order for you to be able to participate in the BFI Academy, the Nerve Centre needs to be able to process your personal data as part of the applications, registration, learning support, and awards processes.
- Part or all of the information you give the Nerve Centre will be provided to the BFI.
- The BFI will retain this information following your participation in the Film Academy for statistical purposes only, unless otherwise agreed.
- The BFI may share your name and contact details with a company who helps evaluate the BFI Film Academy. They may contact you to invite you to participate in a survey evaluating the course.
- The BFI and the Nerve Centre would like to stay in touch and email you with news and information on events, courses and training opportunities which the BFI and the Nerve Centre thinks you may be interested in (for example, nearby events or courses in your area of interest).
If you would like to receive these updates please tick YES here.

YES NO
Section 4: Diversity and Inclusion monitoring form
The British Film Institute 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 to the BFI Film Academy 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 government departments 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
Please state your gender

Male Female Other Prefer not to say
Is the gender indicated the same as your gender at birth?
Ethnicity
Please tell us your ethnic origin

Asian/ British - Indian Asian / British - Pakistani Asian/ British - Bangladeshi Asian / British - Chinese Any other Asian Origin Black / British - African Black / British - Caribbean Any other Black Origin White - British (English/Welsh/Scottish or Northern Irish) White - Irish White - Gypsy or Irish Traveller Any other white background Mixed ethnic origin - White and Black Caribbean Mixed ethnic origin - White and Black African Mixed ethnic origin - White and Asian Any 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'
Do you consider yourself to have a disability?

Yes No Prefer not to say
Socioeconomic Background
Have you ever been in care? That is, looked after by the state.

Yes, I am currently in care Yes, I was previously in care No, I have not been in care Prefer not to say
Have you been in receipt of Free School Meals during the last 3 years?

Yes No Prefer Not to Say
Do you belong to any of these under-represented groups in this sector?

Women Disabled Ethnically Diverse LGBTQ+ Experiencing Socio-Economic Disadvantage
Thank you for completing this application form.

Please click submit and we will get back to you shortly
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BFI FILM ACADEMY APPLICATION FORM 2022

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