Raw Young Ambassadors Application Form
Identity
First Name
Last Name
Pronouns
Please Select
He/Him
She/Her
Them/They
Which name do you like to be known as?
Date Of Birth
Day
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
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27th
28th
29th
30th
31st
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
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2005
2004
2003
2002
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1931
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1929
1928
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1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
Demographic
Gender
Please choose a value
Female
Male
Nonbinary
Female Transgender
Male Transgender
Prefer not to say
Cultural background
Please Select
Asian/Asian British
Black/African/Caribbean/Black British
Prefer not to say
White
White and Black African
White and Black Caribbean
Mixed Race
White/Asian
Address
Address1
Address2
Town
Post Code
Contact
Email
Mobile
Emergency Contact
Full Name
Relationship to Participant
Mobile
Email
Medical/Dietary needs
Do you have any special medical or dietary needs we should know
Content Consent
I give my consent / permission for my artistic content created during Raw Material sessions, to be used if required on Raw Materials social media and website
Please choose a value
Yes
No
Prefer not to say
Media Consent
I give my consent / permission for photos and videos to be taken during the project, to be used if required on Raw Materials social media and website
Please Select
Yes
No
Prefer not to say
Programme
How did you hear about Raw Material?
Are you able to commit to a regular Ambassadors' meeting, once per month, at the Raw Material building? (You will receive 20 for your participation).
Do you intend to submit a video response to the questions below? (If yes, feel free to leave blank.)
Why would you like to participate in the Young Ambassadors programme?
What skills do you think you can bring to the role?
Have you participated in a Young Creatives programme at Raw Material before? If so, which one(s)?
Submit