Sir John Soane's Museum Workshop - February 15th + 16th 2023

Sir John Soane Museum Workshop - 23 + 24 August 2023

STUDENT APPLICATION FORM
1. About You
Name*

First NameLast Name
What are your preferred pronouns?*

she/her/hershe/him/histhey/them/theirs
Home Address*

Street Address

Street Address Line 2

Street Address Line 3Borough

Post Code
Email*
example@example.com
2. Education
Which school do you attend?*
Please give the name of your school
Which year are you in at school?*
eg: Year 10 or Year 11
Are you taking a creative subject for GCSE? If so, which one/s?
eg: Art, Drama, 3D, Product Design etc
3. Parent or guardian contact details
Parent/Guardian Contact Details

Please ask your parent or guardian to complete this section to give their consent for your participation.

NOTE: Each student’s parents or legal guardians must give permission for the student to participate in the programme. The course will run from 10am-4pm on both Monday 15th and Tuesday 16th February 2023.
Name of parent/guardian*
Relationship to student*
Parent/guardian phone number
Mobile or landline
Parent/guardian email*
example@example.com
Parent/guardian primary occupation
Do you consent for inclusion in photography during the event and in subsequent media?

YesNo
Do you have any health issues that we should be aware of?
4. Eligibility Criteria - Widening Participation (WP) Criteria

We would be delighted to consider you for a free bursary place if you meet any of the following criteria. Please note that all information received on the student’s background will be confidential.
Eligibility

I live in social housingI am currently living in careI qualify for English as an Additional Language (EAL) supportI attend a school where 30% or more students are eligible for free school mealsI have been eligible for free school meals at any point during my secondary school years.
Which group do you identify with?*

BangladeshiIndianPakistaniChineseAsian & WhiteAny other Asian backgroundBlack African & WhiteBlack Caribbean & WhiteAfricanCaribbeanLatinAny other black backgroundWhite backgroundOther
Thank you for taking the time to fill out this form. We will be in touch soon.
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Sir John Soane Museum Workshop - 23 + 24 August 2023

1. About You

2. Education

3. Parent or guardian contact details

4. Eligibility Criteria - Widening Participation (WP) Criteria