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Year 12 Visual Arts: Unseen Works & Study Tips Application Form

Year 12 Visual Arts: Unseen Works & Study Tips
9am - 1pm, Saturday 18 August, 2018

Cost: Free
Students: Year 12 Visual Arts

Applications Due:
5pm, Monday 13 August, 2018

Do you have any questions?
Feel free to contact Edwina Hill, Education Officer either over the phone, email or face to face, for more information or to discuss different ways to apply.

Edwina Hill
Education Officer
(02) 4645 4298
0419 213 872
Edwina.hill@campbelltown.nsw.gov.au

Process

  1. Please fill in the online application form by Monday 13 August, 2018.
  2. C-A-C will select up to 30 students to participate.
  3. C-A-C will contact you and your parent/carer by Wednesday 15 August to let you know whether you have been selected for this program.
Student Details
Name:*
School:
Grade:
I identify my gender as:
Do you identify as Aboriginal or Torres Strait Islander?
What is your cultural background?
Suburb:
Phone:
-
E-mail:*
Please include any medical requirements, allergies or access needs that might affect your participation in the program. This information is for planning purposes only.
Dietary requirements
How did you hear about this program? (include teacher’s name if applicable)
Parent/Carer to Complete
Name: *
Phone: *
-
E-mail:

Emergency Contact Details

Name: *
Phone: *
-

Photo Permission
I  do hereby grant permission to Campbelltown City Council c/- Campbelltown Arts Centre to use the image and likeness of my child as outlined below:

  • Recordings and images from this program may be edited and used to publicise and promote Campbelltown Arts Centre, or as part of reporting requirements for funding.
  • Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of participants (including Your Child) for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Campbelltown City Council and Campbelltown Arts Centre website.
  • This permission applies to workshops, performances and other activities conducted by C-A-C. I acknowledge that if at any stage I no longer wish for My Child’s images to be used, I will notify the Arts Centre in writing via email to artscentre@campbelltown.nsw.gov.au
*
Student Application Questions
Why would you like to join the Saturday intensive, for Year 12 Visual Arts students at Campbelltown Arts Centre? *
Is there anything you’d like us to cover in the course?
How would you like to use your creative arts skills in future? (e.g. career, study, projects you’d like to undertake) **

DISCLAIMER:
The personal information provided on this application form will be used and disclosed by Campbelltown Arts Centre for general administration and communication, or for any purpose required or permitted by law. This information will be held securely and disposed of when no longer needed.

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