The Creative Stage
Application form
Name
*
First Name
Last Name
Artist/Stage Name (if applicable)
Email
*
example@example.com
Phone Number
*
Date of Birth
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Where are you based?
*
Social media handle
Music links
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What genre(s) or style(s) of music do you make or perform?
*
What stage are you currently at in your musical journey?
*
Just starting out
Developing my skills
Regularly creating/releasing music
Performing regularly
More established
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Why would you like to take part in this workshop series?
*
What would you most like to learn or improve?
*
Lyric writing
Music production
Stage confidence
Live performance
Collaboration
Other
If other please specify
What are your goals as an artist over the next 6–12 months?
*
Are you able to attend all three workshop days? (7th 8th & 9th September) Evenings between 5-9
*
Are there any access requirements or additional support you would need to participate fully?
Is there anything you'd like the workshop facilitators to know before the programme begins?
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Gender identity
*
Male
Female
Non-binary
Prefer not to say
Other
If other please specify
Ethnic identity
*
Asian / Asian British
Black / Black British / African / Caribbean
Mixed / Multiple ethnic groups
White
Arab
Prefer not to say
Other
If other please specify
I agree to receive communications from Northern Roots/Generator
Agree
I agree to allow Northern Roots/Generator to store and process my personal data for the purpose of contacting me about this course
Agree
How did you hear about this workshop series
*
Instagram
Facebook
Newsletter
Word of mouth
Other
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