Title

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* 1. Title

First name

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* 2. First name

Last name

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* 3. Last name

Nationality

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* 4. Nationality

Email address

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* 5. Email address

Email address (confirmation)

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* 6. Email address (confirmation)

Mobile number

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* 7. Mobile number

Job title

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* 8. Job title

Department

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* 9. Department

Institution name

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* 10. Institution name

Institution address

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* 11. Institution address

Institution website

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* 12. Institution website

Course selection

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* 13. Course selection

Do you speak English as a first or second language?

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* 14. Do you speak English as a first or second language?

How many years have you worked in your current role?

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* 15. How many years have you worked in your current role?

How many years work experience in the arts/museum sector do you have?

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* 16. How many years work experience in the arts/museum sector do you have?

Please summarise your job role and responsibilities (200 words max)

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* 17. Please summarise your job role and responsibilities (200 words max)

Please describe why you have applied and what you hope to achieve after the course (200 words max)

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* 18. Please describe why you have applied and what you hope to achieve after the course (200 words max)

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