STTA Application Form (Old Version) Survey

Thank you for your interest in Space Time Tools Advice (STTA) at IOU. So that we can ensure we have all your details and are able to provide you with the resources that you require, please complete this form for our records.

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1. First Name

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2. Last Name

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3. Organisation Name (if applicable)

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4. Address

Line 1

Line 2

Town/ City

Post Code

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5. Age

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6. Phone number

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7. E-mail address

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8. Please list the dates that you require the STTA residency include day, month, year.

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9. What is the maximum number of people that will be using the space at any one time?

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10. Please list the nationalities in your group.

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11. Please give a description of the idea for your creative project (not more than 1000)

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12. Please give a description of how you think STTA will benefit your group (not more than 500 words)

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13. Please give a description of how and why your group came together (not more than 500 words)

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14. Please give description of the structure of your group and the roles within it (not more than 500 words)

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15. Please give details of the minimum size of space required.

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16. Please tick the function of space you require.

Meeting room

Rehearsal space

Making space

Blackout room

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17. Please tick the support you require.

Technical

Artistic Direction

Finance

Marketing

Other

Other (please specify)

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18. Please list the resources you require. Such as lighting, power, tables, chairs, tools

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19. How did you first find out that this STTA opportunity?

IOU Newsletter

IOU Website

Arts News

Arts Jobs

Social Media

Other

Other (please specify)

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20. Do you, or anyone in your group consider yourself to be disabled?

Yes

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21. Please let us know of any accessibility requirements.

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22. Please provide next of kin details just in case we need to contact them while you are on the premises.

Name

Relationship to you

Telephone number

E-mail address

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23. Please provide an althernative number of someone in your group just in case we need to contact them.

Alternative contact name

Role

Telephone

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1. First Name

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2. Last Name

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3. Organisation Name (if applicable)

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4. Address

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5. Age

Question Title

6. Phone number

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7. E-mail address

Question Title

8. Please list the dates that you require the STTA residency include day, month, year.

Question Title

9. What is the maximum number of people that will be using the space at any one time?

Question Title

10. Please list the nationalities in your group.

Question Title

11. Please give a description of the idea for your creative project (not more than 1000)

Question Title

12. Please give a description of how you think STTA will benefit your group (not more than 500 words)

Question Title

13. Please give a description of how and why your group came together (not more than 500 words)

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14. Please give description of the structure of your group and the roles within it (not more than 500 words)

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15. Please give details of the minimum size of space required.

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16. Please tick the function of space you require.

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17. Please tick the support you require.

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18. Please list the resources you require. Such as lighting, power, tables, chairs, tools

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19. How did you first find out that this STTA opportunity?

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20. Do you, or anyone in your group consider yourself to be disabled?

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21. Please let us know of any accessibility requirements.

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22. Please provide next of kin details just in case we need to contact them while you are on the premises.

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23. Please provide an althernative number of someone in your group just in case we need to contact them.

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24. Additional Information: Please use this space to ask any questions or provide any extra relevant information about yourself or your group.