Tell Us Your Story
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1. Tell Us Your Story About Birmingham
Birmingham Museum & Art Gallery
We want to hear your thoughts and experiences of living in, working in or visiting Birmingham.
We will be publishing some of these stories on our website and in ‘Birmingham – A City in the Making’, the new history galleries which open at Birmingham Museum and Art Gallery in 2012.
1
. What people, places and events do you feel have been most important to Birmingham during your lifetime?
What people, places and events do you feel have been most important to Birmingham during your lifetime?
2
. Tell us your personal story about living in, working in or visiting Birmingham.
Perhaps you have a story to tell about Birmingham football, cinema, music, fashion, work, school, strikes, landmarks, hospitals, transport, migration, war…
Please write your story here.
Tell us your personal story about living in, working in or visiting Birmingham. Perhaps you have a story to tell about Birmingham football, cinema, music, fashion, work, school, strikes, landmarks, hospitals, transport, migration, war… Please write your story here.
3
. Do you have any personal photographs, documents or objects that relate to your story? What are they?
Do you have any personal photographs, documents or objects that relate to your story? What are they?
Please be aware that by submitting this form you are giving your permission for your story/extracts from your story to be published on the web and/or included in our new history galleries. Please note that, due to space constraints, we are not able to include all stories submitted to us.
4
. Do you want your story to be published anonymously?
Do you want your story to be published anonymously?
Yes
No
5
. We may wish to contact you to find out more about your experiences. Please click No if you do not want to be contacted.
We may wish to contact you to find out more about your experiences. Please click No if you do not want to be contacted.
No
*
6
. Please supply your name and address and contact details.
Please supply your name and address and contact details.
Name:
Address:
Address 2:
City/Town:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
The following questions are optional. You do not have to fill them in but it will help us if you do.
7
. Gender
Gender
Male
Female
8
. Age
Age
under 16
16-17
18-24
25-34
35-44
45-54
55-59
60-64
65-69
70+
9
. How would you describe your ethnic origin?
How would you describe your ethnic origin?
British
Irish
Any other white background
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
Indian
Pakistani
Bangladeshi
Any other Asian background
Caribbean
African
Any other Black background
Chinese
Any other background
Please note that all personal data is held in compliance with the Data Protection Act 1998 and is not passed on to any other organisations.
Thank you for sharing your thoughts and stories about Birmingham.
You can find out more about the plans for Birmingham's new History Galleries at:
http://www.bmag.org.uk/new-birmingham-history-galleries
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