RiteTrax x National Lottery Covid-19 Response Music Provision Signup
This form is for ALL participants/beneficiaries, support staff, volunteers, facilitators and others working on the National Lottery funded RiteTrax/Plot 22 response to covid-19, specifically the music-related activities including but not limited to music production, instrument tuition, DJing, music making and lyric writing.

This information is for RiteTrax and will only be shared with potential funders as evidence of our social impact.

The fund is for RiteTrax to deliver targeted music activities to vulnerable adults, specifically those in recovery from drug or alcohol addiction and trauma, ex-offenders, ex-prisoners as well as others at risk of offending or struggling with mental health problems or other complex issues.

The project aims to provide regular weekly creative provision until March 31st 2021 and will document outcomes through visuals including photography and video, as well as through recording of mixtapes, original music and performances. We aim to broadcast as many people as possible through our livestreams, record label and radio shows.

We are currently seeking funding to continue our provision beyond March 31st and are hopeful about the future of the project. Your involvement and support will help us to keep doing this work!
First name *
Surname *
Email address *
Phone number *
Age *
Do any of the following apply? *
Required
What gender do you identify with? *
What sexual orientation do you identify with? *
What ethnic group do you identify with? *
Required
Please specify your ethnicity in more detail below (for example 'Black British' or 'Mixed British and Indian' )
Do you struggle with any of the following? *
Required
Are you currently in work or training? *
Required
What are your main areas of interest in this project? *
Required
What days / times are best for you to come in? (please tick all that apply) *
Required
What is your current involvement in the project? *
Required
What would you like your future involvement in the project to be? *
Required
Are you registered with support services for any of the following? *
Required
How did you come into contact with RiteTrax? *
What are your individual aspirations? *
Required
Is there anything else you'd like support with that's not been mentioned here?
Do you give us permission to hold onto these answers (and share them only with potential funders as evidence of our social impact)? *
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