Addiction and Recovery Workshop Application
Which date(s) are you available to attend?
First Name
Last Name
Mobile Phone
Email
How did you hear about course/bursary?
Age range
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18 - 19
20 - 24
25 – 29
30 – 34
35 – 39
40 – 44
45 – 49
50 – 54
55 - 59
60 - 64
65 – 69
70+
Region
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East Midlands
East of England
Greater London
North East
Northern Ireland
North West
Republic of Ireland
Scotland
South East
South West
West Midlands
Yorkshire and the Humber
Other
Employment Status
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Self-employed Freelancer
Employee (PAYE)
Job title/role
Sector category
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MUSICIANS, COMPOSERS, SONGWRITERS AND LYRICISTS
MUSIC REPRESENTATIVES
MUSIC PRODUCERS, RECORDING STUDIOS AND STAFF
RECORDED MUSIC
LIVE MUSIC
MUSIC PUBLISHING
MUSIC EDUCATION
LIVE EVENTS (other)
Years worked in music and/or live events
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0 - 2 years
3 - 5 years
6 - 10 years
11-20 years
20+ years
Does your usual role involve oversight of other? (e.g. line management or supervisory responsibility)
Please select...
Yes
No
Tell us why you would like to complete this course? (in no more than 200 words)
I consent to Music Support sharing my personal information including but not limited to my name,
contact details, and relevant booking information with third parties for the purpose of arranging, administering and delivering programmes on behalf of Music Support. I understand that these third parties are acting on behalf of Music Support and will use my data only for programme administration and associated requirements, such as issuing certificates, registration etc.
Music Support will only handle your data in accordance with applicable data protection laws. You can withdraw your consent at any time; however, this may affect your ability to participate in the programme.
Please check box if you are happy to remain on our e-mailing list to receive information about other Music Support training, news, events and fundraising. Music Support will not share your details with any third parties.
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