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LIE Design School Application Form 16 – 19 July 2013 Part 1 Name ...

LIE Design School Application Form 16 – 19 July 2013 Part 1 Name ...

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L.I.E <strong>Design</strong> <strong>School</strong> <strong>Application</strong> <strong>Form</strong><br />

<strong>16</strong> – <strong>19</strong> <strong>July</strong> <strong>2013</strong><br />

<strong>Part</strong> 1<br />

<strong>Name</strong><br />

Address<br />

Telephone<br />

Email<br />

Website/blog<br />

Twitter<br />

Number of days (please tick either Tues – Fri OR the individual day/s you would like to book for)<br />

Tuesday – Friday<br />

(£100/50)<br />

Tuesday<br />

(£30)<br />

Wednesday<br />

(£30)<br />

Thursday<br />

(£30)<br />

Friday<br />

(£30)<br />

If you are booking for the full four days you can apply for a bursary to halve the cost.<br />

To apply for a bursary please complete <strong>Part</strong> 2 of this form.<br />

Write approx 100 words about your interest in working with design and artists books.<br />

Throughout <strong>Design</strong> <strong>School</strong> L.I.E and PAC will document the workshop. If you do not want<br />

photographs of yourself to be used for future L.I.E or PAC marketing please cross this box:<br />

Signature<br />

Date<br />

Please return your completed form to Programme Assistant, Vickie Fear before 5pm, 10 June.<br />

Vickie@plymouthartscentre.org or to Plymouth Arts Centre, 38 Looe Street, Plymouth, PL4 0EB.<br />

There are limited spaces for <strong>Design</strong> <strong>School</strong> participants. Submitting this completed form does<br />

not guarantee a place on <strong>Design</strong> <strong>School</strong>. Places will be confirmed by Monday 17 June.


<strong>Part</strong> 2-only complete if you are applying for the £50 bursary<br />

<strong>Name</strong><br />

Write 100-200 words on what you hope to gain from participating in <strong>Design</strong> <strong>School</strong><br />

eg. The skills to realise a particular project/ additional design knowledge to support your work.<br />

Write 50 - 100 words on why you feel you should be given the bursary to attend <strong>Design</strong> <strong>School</strong>.<br />

Do you live in Plymouth or will you be arranging accommodation in the city to attend <strong>Design</strong><br />

<strong>School</strong>?<br />

Please tick if you are either of the following:<br />

PAC Home member Full time Student <strong>Part</strong> time Student Unemployed Self-employed

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