CREATE Music Development Program Registration Form

CREATE Music Development Program Registration Form

BIPOC ARTS AUSTRALIA
Welcome to the registration form for BIPOC Arts Australia's CREATE Music Development Program in partnership with the City of Gold Coast. The program dates are as follows:

27th July: Yarning Circle

3rd August: Yarning Circle

10th August: Workshop

17th August: Workshop

24th August: Workshop

31st August: Workshop

7th September: Shhowcase

NOTE: You must be available for all of these dates to participate in the program. If you foresee any issues, please mention them in the form below.

If you have any questions or need support with this form, please contact us via email on connect@bipocarts.com.au
Full Name*

First NameLast Name
Pronouns
Phone Number*
E-mail
example@example.com
Are you based on the Gold Coast or Brisbane? Please note: Gold Coast applicants will be given priority:

Gold CoastBrisbane
How did you hear about the program?*
Tell us a bit about where you are from? Please note: This program is for Aboriginal and Torres Strait Islander participants only:
Tell us a little bit about your career:
What would you like to gain from this development program?
Are you available for all of the dates? Please list any conflicts you may have that may impact your attendance:
Do you play any instruments?
Do you have an accessibility requirements?
Please let us know any areas where you feel you may need extra support:
Do you have a valid back account? Please note: We do not pay stipend’s in cash.

YESNO
BIPOC Arts will be taking images and video for use on social media and website. Do you consent to your image being used on our social media and website?

YesNo
Please list any specific workshops topics you would like to see in this program or anything specific skills you feel you would like to improve most:
Thank you for registering! Our team will be in touch with you for next steps. Please do not hesitate to reach out for support.
Should be Empty: