HOME Project Registration Form

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HOME Project Registration Form

SECTION 1: Applicant Information

Your contact details

First name:

Last name:

Date of Birth:

Address 1

Address 2

Town/City

Post Code

Telephone

E-mail

School/College Name (if desired/applicable)

Can you participate in all the dates listed?

YES

If no, please specify which days you are unable to participate in:

SECTION 2: Supporting statements

Why do you want to take part in the project (please tell us about yourself and your interest in film)?

How do you feel you will benefit from taking part in this project?

Do you have any particular areas of interest in film or filmmaking? (select as many as you like from the list below)

Production Management Directing Music Wardrobe Make -Up Locations Press and Marketing Sound

Lighting Assistant Directing Grips Producing Camera work Editing Other If other please specify: _____________________

Not essential but if you like you can submit some work (a film/photograph/piece of writing/a website/an animation etc) that demonstrates your interest in film. Please provide a link and password (if required) below – e.g. to YouTube, Vimeo etc. If you don’t have a piece of work then please tell us a bit about your experience in film.

SECTION 3: Terms and Conditions

Your submission of this form to the Cinemagic will constitute your confirmation of the following declaration:

I hereby confirm that the information I have given in this application is true and correct
I confirm my availability for the Cinemagic project as per the dates given above
I agree that Cinemagic may, for administrative purposes only, make copies of any material submitted in support of my application.
I agree to Cinemagic processing personal data as part of the applications, registration, and learning support processes and accept that this information will be retained during and following my participation for administering my progress and for the provision of statistical returns.
By submitting this form, I give Cinemagic permission to store and process my data as described above in accordance with professional standards and the Data Protection Act 1998.

Signature (Parent/Guardian Signature for those aged under 18) _______________________________________________

Date:

Data Protection

Part or all of the information you give us will be held on computer and used for statistical purposes. It will also be used for the administration of applications and awards. We may provide copies of the information in confidence to individuals or organisations that are helping us monitor funding.

Equal opportunities monitoring form
Cinemagic wish to ensure that all aspects of our work reflect diversity and support equality of opportunity. Therefore, we would like to take this opportunity to ask you to complete an equality monitoring form. This monitoring information helps us to identify where there are gaps in our recruitment so that we can work to attract talented people from these groups and areas. It also helps us to ensure that there is no discrimination. Your cooperation in completing this form is greatly appreciated. Any information you provide us with is used for monitoring purposes only.

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