application form

application form

Name................................................................................................................................

Address.............................................................................................................................

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Post Code..................................................

Tel.................................................Email............................................................................

Signature..............................................................................................

Date of Birth................................

Please tell us about your interest in heritage and the sorts of issues which you would like to see highlighted

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What would you hope to gain through taking the course?

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Are you active in your local community or with a charitable or voluntary organisation?

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Do you have any heritage or media experience/training?

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Are you available each day Monday January 31st to Friday February 4th 10.00am - 5.00pm?

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(please do not apply if you are not available, the school is based around team work and it is essential that all participants attend all days)

Do you have any special requirements?

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(our facilities comply with the DDA)

Once completed please send this form to:
Northern Visions/NvTv,

23 Donegall Street,

Belfast,

BT1 2FF