Raw Young Ambassadors Application Form
Identity
First Name
Last Name
Pronouns
Please choose a value
He/Him
She/Her
Them/They
Which name do you like to be known as?
Date Of Birth
Demographic
Gender
Please choose a value
Female
Male
Nonbinary
Female Transgender
Male Transgender
Prefer not to say
Cultural background
Please choose a value
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 choose a value
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