Please note, this opportunity is open to artists based in the South West. Please do not apply if you are based outside the region.

Questions 6 to 12 are included purely for monitoring purposes and will not have any bearing on the outcome of the application. If you would prefer not to answer them please feel free to select the 'prefer not to say' option.

Question Title

* 1. Name

Question Title

* 2. Date of birth

Question Title

* 3. Email address
This is the address we will send any correspondence about the application process, so make sure it is one that you use/check regularly!

Question Title

* 4. Why would you like to be a Leverhulme Scholar?
Please use this space to tell us about yourself and why you think this is the right opportunity for you. We'd like to know a little bit about your experience to date, but most of all your ambitions for the future and what this opportunity could do for your practice. (max 4000 characters)

Question Title

* 5. If you are submitting a video response to the question above, please post the link below.

Question Title

* 6. How would you describe your gender?

Question Title

* 7. How would you describe yourself?
You can mark more than one option, and please feel free to use the other section to describe your background if you do not find it listed here.

Question Title

* 8. How would you describe your sexual orientation?

Question Title

* 9. Do you consider yourself to have a disability or long-term health condition?

Question Title

* 10. If you answered yes to Question 9, do you have any access requirements?

Question Title

* 11. Do you have care responsibilities for any of the following?

Question Title

* 12. If you told us you have care responsibilities in Question 11, please detail any challenges or barriers that you feel you face in taking part in the Leverhulme Scholarship year as a result of these responsibilities?

Question Title

Image

T