Young Theatre Technicians Course Application Form
Applications are welcome until September but apply as soon as you can to avoid disappointment.

Please note:
- The course will run for 10 weeks from 2nd March - 22nd May 2021.
- It will be held in the Marine Theatre, Lyme Regis, Monday evenings from 6-8 P.M.
- You must be aged 16-25 to take part in this programme.
Email Address: *
First Name: *
Surname: *
Address 1: *
Address 2:
Town/City: *
Postcode: *
Phone Number: *
Date of Birth *
School/College Details: *
How did you hear about this opportunity? *
Please indicate any dates you are not available from September - November 2020: *
Please give a brief outline of your secondary education and any qualifications:
Please give details about any other related activities (including any relevant hobbies or projects you have been involved in):
Why do you want to take part in this course? *
If any, please describe briefly what technical experience you have and where this was gained (e.g. school, local theatre, workshops, work experience etc):
Are there any specific areas in technical training that you are particularly interested in?
Do you identify as having a disability? *
Please describe any conditions that affect your involvement (e.g. mental health, asthma, dyslexia etc):
For applicants under 18, please provide us with the name of your parent/guardian/carer who is supporting your application:
Email Address of Parent/Carer/Guardian:
Phone Number of Parent/Carer/Guardian:
Please type your full name and the date to sign this application: *
Information on this form will be held digitally for the duration of the recruitment process.
The Marine Theatre is committed to providing equal opportunities irrespective of race, colour, ethnic or national origins, gender, marital status, sexual orientation, age, disability, religious or political beliefs, economic status, or class.

In order to help us ensure our policy is being carried out, it would help if you would complete the following details. Please be assured that any information that you provide will be treated as confidential.

Thank you.
How would you describe your Nationality? *
How would you describe your gender? *
What pronouns would you like to be referred by (e.g: She/He/They)? *
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