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Collage Artspaces | Expression of Interest Form
Please fill out this form when making an enquiry about an available studio. Email jason@collage-arts, too.
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* Indicates required question
Email
*
Your email
First name
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Your answer
Last name
*
Your answer
Website address
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Your answer
Phone number
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Your answer
What do you do? Briefly, please tell us about your practice
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Your answer
What is your monthly budget approximately?
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Your answer
What are your space requirements?
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Your answer
Would you consider a sharing a workspace with other compatible practitioners?
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Your answer
Do you have any other requirements?
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Your answer
Do you have any access requirements?
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Your answer
Would you also like to be added to our mailing list?
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Yes
No
Equal Opportunities Monitoring
Optional but helpful!
How would you describe your ethnicity?
English, Welsh, Scottish, Northern Irish or British
Irish
Gypsy or Irish Traveller
Any other White background
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed or Multiple ethnic background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
African
Caribbean
Any other Black, African or Caribbean background
Arab
Any other ethnic group
Prefer not to say
Clear selection
How old are you?
Under 35
35-65
Over 65
Prefer not to say
Clear selection
How would you describe your gender?
Male
Female
Non-binary
Prefer not to say
Clear selection
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
Clear selection
If yes: does this disability require any specific support needs that would impact on the design of a studio?
Your answer
Do you identify as LGBTQI?
Yes
No
Prefer not to say
Clear selection
Is there any other way in which you would or expect your identity to be acknowledged?
Your answer
A copy of your responses will be emailed to the address you provided.
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