Please complete this application form as fully as possible. 

Applications close on Sunday 22nd June 2024.

Successful applicants will be notified by end July 2024.


 

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* 1. Please provide your full contact details

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* 2. Are you a personal or institutional GEM member

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* 3. If yes, please provide your membership number

Each applicant is invited to offer a maximum of 50 words for each question below:

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* 4. How will you benefit from this GEM programme?

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* 5. What will you bring to the programme?

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* 6. What stage of your career do you believe yourself to have reached?

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* 7. What job would you like to have in 10 years' time?

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* 8. How will your organisation benefit from your attendance of this programme?

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* 9. What topics are you particularly keen to study?

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* 10. If you have attended a leadership/management course before, please list names and dates here.

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* 11. On a scale of 1-10, where 10 is the high score, how confident do you feel in your leadership skills and techniques?

0 5 10
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i We adjusted the number you entered based on the slider’s scale.
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* 12. Can you attend all the workshops scheduled?

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* 13. Are there any potential barriers to your participation?

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* 14. Does this application have the backing of your organisation?

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* 15. If you require reasonable adjustments to support your application and/or to participate in the course as fully as possible, please tell us more.

This programme is funded by Arts Council England. Please complete the following short questionnaire.

The information provided below will only be used within reports to ACE in line with their funding requirements.

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* 16. I identify as 

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* 17. How would you describe your ethnicity?

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* 18. How old are you?

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* 19. Do you live and/or work in a Levelling Up for Culture area?

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