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Application form

Cultural Management Workshop at Co-Work Station IN Gorky Park

8-9 December 2012


PLEASE FILL IN THE APPLICATION FORM IN ENLGISH


1. Your personal details

Full name




Gender


M F

Date of birth




Please attach a recent full colour photograph here


Please confirm that we can use this photograph on the promotion needs







^ 2. Your contact details

Home town




Telephone number




Email




Facebook




Twitter




Live Journal




Other social media




^ 3. Your education

Qualification




University/School




How do you rate your English language skills?




^ 4. Your business (organisation) details

How long have you been working in cultural management sector?




Name of the organisation which you represent




Address of organisation




Telephone number




Website




Your position




^ Please describe your working experience in cultural management sector (300 words maximum)




Do you think you are a beginner or an advanced use of social media and other digital tools?

Could you, please, describe your experience in digital briefly?




^ Why would you like to participate in Cultural Management Workshop?




How you are going to use the skills received at the Cultural management workshop? How it will benefit you personally and your organisation?




^ Could you, please, describe the project that you would like to develop a digital campaign around during the workshop?

* This will be an obligatory part of the workshop on Day 2.




^ How did you hear about this Workshop?

 Media news article

 British Council website

 British Council bulletin/mailing list

 Trade association bulletin/mailing list, in which case please specify:

 Other organisation bulletin/mailing list, in which case please specify:

 E-flyer/email from British Council

 E-flyer/email from trade association/organisation, in which case please specify

 Word of mouth

 Search engine

 Other, in which case please specify:


10. Declaration

I confirm that the information given on this application form is true and accurate

Signature




Date






Please complete this form and e-mail it to evgenia.gerasimova@britishcouncil.ru by 18:00 on Friday, 30 November 2012. The selected applicants will be contacted by 3 December 2012.



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