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LEFTCOAST EXPRESS Round 5 Your Name Address Phone Email Website Tell us about you and your current creative practice (150 word limit)? *CV’s can be attached. Tell us about what you think would help you to build your capacity as a more confident artist or cultural producer? What’s currently stopping you from doing it? (300 word limit) Tell us about your LeftCoast Express plan. What are the key areas of research you wish to explore? Do you have an idea of an itinerary of places you might like to visit; is there anyone you’d like to visit /meet or engage as a mentor; are there any courses, conferences, events you’d like to go on & why? We can help you with planning this in advance of your application – so do get in touch if you need support. We also may suggest changes if you’re successful, so please see this as a suggested list and not a definite itinerary (500 word limit) What impact do you expect undertaking a LeftCoast Express programme will have on you & your future career? (300 word limit) Have you been awarded funding from LeftCoast, Arts Council England or other funding bodies before? If so please specify what it was for and when. REFEREES &MONITORING Please provide details for two people who could act as referees for you… Reference One Reference Two How did you find out about this opportunity?

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Page 1:   · Web viewTell us about what you think would help you to build your capacity as a more confident artist or cultural producer? What’s currently stopping you from doing it? (300

LEFTCOAST EXPRESSRound 5

Your Name

Address

Phone

Email

Website

Tell us about you and your current creative practice (150 word limit)? *CV’s can be attached.

Tell us about what you think would help you to build your capacity as a more confident artist or cultural producer? What’s currently stopping you from doing it? (300 word limit)

Tell us about your LeftCoast Express plan. What are the key areas of research you wish to explore? Do you have an idea of an itinerary of places you might like to visit; is there anyone you’d like to visit /meet or engage as a mentor; are there any courses, conferences, events you’d like to go on & why? We can help you with planning this in advance of your application – so do get in touch if you need support. We also may suggest changes if you’re successful, so please see this as a suggested list and not a definite itinerary (500 word limit)

What impact do you expect undertaking a LeftCoast Express programme will have on you & your future career? (300 word limit)

Have you been awarded funding from LeftCoast, Arts Council England or other funding bodies before? If so please specify what it was for and when.

REFEREES &MONITORING

Please provide details for two people who could act as referees for you…

Reference One Reference Two

How did you find out about this opportunity?

DECLARATION

At the time of submission I confirm that all information included on this application form is correct.

Signed: Date:

Please return this application form to LeftCoast by 5pm June 21st 2017. By email to – [email protected] Post – LeftCoast, FYCreatives, 154 - 158 Church St, Blackpool, FY1 3PS.