Cultivate: Inspiring Future Audiences Application Form 2016

Applicant Information

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* 1. Name

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* 2. Email Address

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* 3. Contact phone number

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* 4. Job Title

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* 5. Organisation Details

Organisation

Address

Address 2

City/Town

County

Post Code

Phone Number

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* 6. Organisation website

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* 7. Film Hub (if known)

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* 8. Cultivate 4 will be made of up two strands.

INTERMEDIATE (Wednesday 6 & Thursday 7 July 2016) - aimed at those with up to two years experience in film education in a supporting role.

ADVANCED (Thursday 7 & Friday 8 July 2016) - aimed at those with two or more years of experience in film education in a senior or leading role.

Please select the two-day course you think would be best suited to you.

Intermediate strand - Wednesday 6 and Thursday 7 July

Advanced strand - Thursday 7 and Friday 8 July