Please tell us a little bit about your interests and your contact details so that we can get back to you. We store this information securely and do not share it with anyone else.

First Name

Last Name

Email Address

Contact Number

Address

Post code

Date Of Birth

Date of Referal

National Insurance Number

*Providing your NI number means that we can offer you free accredited courses and qualifications*

In a few words, tell us about your interests

Referring Organisation

Referring Organisation's Address

Referring Organisation's Post Code

Referring Organisation's Contact Number

Referring Organisation's Email Address

Name of Referee/ Officer

Referee's Position

Participant’s employment status including any current benefits received (if interested in Creative Sparks Programme)

Background Information - is there anything else we need to know: medical information, convictions, support needs?

I confirm that i have been supporting the above-named person

Agree

For Creative Sparks Projects: To the best of my knowledge i can confirm they are Long-Term Unemployed/ Economically Inactive and not engaged in full time education or training

Agree

Print Name ( Referee Print)

Date Signed (Referee)

I consent for TAPE to store my details and to send me information about their events

Agree

Your details will be stored securely. You can withdraw your consent for us to store your information, or ask us to amend or delete your details at any time, by emailing info@tapemusicandfilm.co.uk

For Creative Sparks Projects: To the best of my knowledge i can confirm I am Long-Term Unemployed/ Economically Inactive and not engaged in full time education or training

Agree

Print Name

Date

Image and Artwork
Release Form.

Agreement for the Use of Photographic, Audio Visual, and Artwork

I give permission for TAPE to take photographs
and/or audio-visual footage of myself.

If I consent, I understand that this material may be used for
documentation and promotional purposes by the above named
organization as well as project partners and funders, and may
therefore be used on websites, blogs, exhibitions, print material, etc.

I also grant to TAPE and project partners, whilst retaining any
copyright which I own, the right and license in any media in perpetuity
to:

(a) exhibit, reproduce or screen (including online) any artwork,
film or audio content, I have been a part of creating, whilst working
with TAPE.
(b) use content from the project for promotional purposes.

I have read and understood the conditions of use.

Conditions of use:
We will not use personal details (including e-mail or postal address, telephone
or fax numbers) or surnames of any person in aphotograph used for project,
documentation, or promotional purposes.

Thank you for your interest in joining TAPE.

Someone will be in contact with you soon. .

Creative Inclusion Since 2008

Your Details

Please tell us a little bit about your interests and your contact details so that we can get back to you. We store this information securely and do not share it with anyone else.

Referee's Details If Applicable

For Referees

For You

Image and Artwork
Release Form.

Conditions of use:
We will not use personal details (including e-mail or postal address, telephone
or fax numbers) or surnames of any person in aphotograph used for project,
documentation, or promotional purposes.

Thank you for your interest in joining TAPE.

Someone will be in contact with you soon. .

Information Summary