B:Music Jazzlines Rise-Up Application 2022
Name of Applicant
First Name
Last Name
Contact Email
*
example@example.com
Equal Opportunities
B:Music is an equal opportunities organisation, and it is our policy that all participants receive equal treatment regardless of sex, ethnicity, disability, sexual orientation, religion or belief, age, marital status or civil partnership, pregnancy/maternity or gender reassignment, where any of these cannot be shown to be a requirement of the opportunity concerned. To assist us in monitoring the operation of our equal opportunity policy and to allow us to report accurately to our funders please provide us with the following information.
Date of Birth
-
Month
-
Day
Year
Date
What is your gender? (Optional)
Male (Inc Trans Man)
Female (Inc Trans Woman)
Non-Binary
Other
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your ethnic group?
White
Mixed or Multiple ethnic groups
Asian or Asian British
Black, African, Caribbean or Black British
Prefer not to say
Other
Which of the following best describes your White background?
English
Welsh
Scottish
Northern Irish or British
Irish
Gypsy or Irish Traveller
Prefer not to say
Other
Which of the following best describes your Mixed or Multiple ethnic groups background?
White and Black Caribbean
White and Black African
White and Asian
Prefer not to say
Other
Which of the following best describes your Asian or Asian British background?
Indian
Pakistani
Bangladeshi
Chinese
Prefer not to say
Other
Which of the following best describes your Black, African, Caribbean or Black British background?
African
Caribbean
Prefer not to say
Other
Which of the following best describes your background?
Arab
Prefer not to say
Other
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
If YES, please give brief details of the disability and any adjustments which would need to be made to enable you to participate in Rise-Up?
Applicant Details
Please answer all questions
Do you currently attend School, College or University?
Yes
No
If you currently attend School, College or University, please tell us where you study
0/150
How did you find out about the Rise-Up
B:Music website
School
Teacher
Online
Word of Mouth
Local music ensemble or establishment, eg MYJO, BCMG, CBSO Youth
Other
What instrument(s) do you play and what is your first study if you play more than one?
If you have any music qualifications please state them here, including ABRSM, Trinity Laban, Diplomas etc
What previous experience do you have of playing jazz? (150 words max)
0/300
Why do you want to take part in Rise-Up and what do you hope to achieve? (350 words max)
Have you applied to the Rise-Up programme before?
Yes
No
If you have applied to Rise-Up before, why are you applying again?
What are your most memorable musical experiences ? (300 words max)
0/300
Please add a link to a recording or video of you playing, can be YouTube, Spotify, Facebook, GDrive, Dropbox etc
Submit
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