Final THE BFI FILM ACADEMY Derry/Londonderry PARTICIPANT APPLICATION FORM 24/25

Please complete the following checklist to check whether you are eligible for the BFI Film Academy Short Course. You will need to check all the required questions below.
Nerve Centre BFI ACADEMY, Derry/Londonderry Participant Application Form
If yes, please tell us which Short Course you attended
Section 1: Applicant Information
Name

First NameLast Name
Preferred Pronouns

She/ HerHe/ HimThey/ ThemOther
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
If no, please state which dates you are able to make?
Email
example@example.com
Name of School/College attending (if applicable)
BFI Film Academy, Derry/Londonderry Course Schedule:

Interviews:

12 September 2024 | 17:00 - 20:00

Course Schedule:

Saturday 14 September | 10:00 - 17:00

Saturday 21 September | 10:00 - 17:00

Thursday 26 September | 17:00 - 20:00

Saturday 5 October | 10:00 - 17:00

Thursday 12 October | 17:00 - 20:00

Saturday 14 October | 10:00 - 17:00

Thursday 17 October | 17:00 - 20:00

Thursday 24 October | 17:00 - 20:00

Saturday 2 November | 10:00 - 17:00

Thursday 21 November | 17:00 - 20:00

Saturday 23 November | 10:00 - 17:00

Thursday 25 November | 17:00 - 20:00

Filming Dates:

Monday 28 October | 10:00 - 17:00

Tuesday 29 October | 10:00 - 17:00

Wednesday 30 October | 10:00 - 17:00
Can you attend all the dates listed above?

YesNo
How did you learn about the BFI Film Academy? This will help us tell people about the programme more effectively next year

School / CollegeA Film HubA Production CompanyThe BFISocial MediaFamily/ FriendNerve CentreCinemagicAmma CentreInto FilmNorthern Ireland Screen
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 the section to tell us why you’re the right candidate to be accepted on this course.

We strongly encourage you to save your supporting statements in a word document and cut and paste them into the application form to avoid losing your work.
Why do you want to take part the BFI Film Academy?
Please tell us about your experience and/or interest in Film. This could include your favourite film or television or a class that you have taken at school, for example. If you like, you can submit some work ( a film/photograph/piece of writing/ a website/ an animation etc.) to support your answer. Please provide these links and passwords (if required) below - e.g. to YouTube, Vimeo etc.
Please use this place to tell us if you have any particular areas of interest in film such as directing, programming, screenwriting, visual effects, sound design, etc.
Section 3: Terms and Conditions
The BFI Film Academy will be delivered by the course provider. 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 BFI Film Academy course provider 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 the Film Academy course provider 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
Data Protection
In order for you to be able to participate in the BFI Academy, the course provider 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 to the BFI Academy Partner 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.
Alumni Opportunities

The BFI and BFI Film Academy Partner would like to stay in touch and email you with news and information on events, courses and alumni opportunities which you may be interested in for example, Traineeship Programmes and Mentoring Schemes
If you would like to receive these updates please tick YES here.

YESNO
Clear
Date

MonthDayYear
Date
Section 4: Equal opportunities monitoring form
The British Film Institute wishes 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

Man (including trans men)Woman (including trans women)Non Binary / Gender QueerPrefer not to sayPrefer to self-identity
If you prefer to self-identify, please detail below:
Are you the same gender as assigned to you at birth?
Ethnic Background
Which option best describes your ethnic origin or background?

Asian / Asian British - IndianAsian / Asian British - PakistaniAsian/ Asian British - BangladeshiAsian / Asian British - ChineseAny other Asian/South Asian/East Asian/South East Asian backgroundsBlack / Black British - AfricanBlack / Black British - CaribbeanAny other Black/African/Caribbean backgroundsWhite - British/English/Welsh/Scottish or Northern IrishWhite - IrishWhite - RomaWhite - Gypsy or Irish TravellerAny other White backgroundsMixed/Multiple Ethnic Groups - Black Caribbean & WhiteMixed/Multiple Ethnic Groups - Black African & WhiteMixed/Multiple Ethnic Groups - Asian & WhiteAny other Mixed/Multiple Ethnic Group backgroundsOther Ethnic Group - ArabOther Ethnic Group - JewishOther Ethnic Group - Middle Eastern & North African HeritageOther Ethnic Group - West and Central Asian HeritageAny Other Ethnic Group backgroundsPrefer not to say
Socioeconomic Background
What was the occupation of your main household earner when you were aged about 14?

Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager.Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse.Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver.Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.Long-term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner.This question does not apply due to being care experiencedStudentPrefer not to sayDon't knowOther
If you selected other, please specify:
Have you ever been in care? That is, looked after by the state.

Yes, I am currently in careYes, I was previously in careNo, I have not been in carePrefer not to say
Have you ever been eligible for, or received, free school meals?

Yes - in the last yearYes - in the last three yearsYes - in the last five yearsNoDon't knowPrefer not to say
Disability
Do you relate to any of these statements? (You can choose more than one)

I am a disabled personI have a disabilityI have a long-term health conditionI have a mental health conditionI am DeafI am deaf, deafened, hard of hearing or hearing impairedI am dyslexic or dyspraxicI am autistic of neurodivergentI am sight impairedI have long-term difficulties with mobility which impact my regular day-to-day lifeNo, I don't relate to any of theseDon't knowPrefer not to sayOther
If you would prefer to self-identify, please detail below
Thank you for completing this application form.

Please click submit and we will get back to you shortly
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Nerve Centre BFI ACADEMY, Derry/Londonderry Participant Application Form

Section 1: Applicant Information

Section 2: Supporting Statement

Section 3: Terms and Conditions

Data Protection

Alumni Opportunities

Section 4: Equal opportunities monitoring form

Gender

Ethnic Background

Socioeconomic Background

Disability