Thank you for your interest in Gallery 37.
We will use this form to see whether you are eligible to take part.
We’ll also use it to register your details.

PLEASE MAKE SURE YOU ANSWER EVERY QUESTION
Your first name
Your surname
Your full address
Your post code
   
We need to know how to get in touch with you, so please tell us:
 
Your daytime phone number
Your evening phone number
Your email address
 
To take part you must be no younger than 16, and no older than 24 when the project takes place. So please tell us:
   
Your date of birth

Your age in years and months
 
We need to be able to sort out the details for the payments you will receive, so please tell us:
   
Your National Insurance number

If we ask you to come for an interview we will need to see some proof of the above, so you will need to bring with you:

  • Proof of age (e.g. birth certificate, passport, medical card),
  • Proof of address
    (e.g, medical card, any official letter addressed to you),
  • Proof of National Insurance number (NI card or a letter from the DSS).
This project aims to help people offering the chance to gain qualifications, so we need to know if you have any qualifications, and if so what they are. Please tell us:
   
Do you have any qualifications?



If you have one or more qualifications please list them here. If you don't have any qualifications please go to the next question.
 
This project also aims to help people find the sort of work that they would like to do, so we need to know if you have had any work experience. Please tell us:
 
Have you had any PAID work experience?



   
If you have had PAID work experience please provide the details here. We’ve  given you space for you to tell us about your two most recent jobs.
Details of your most recent job
Was this most recent job full time or part time?



Did the company you worked for have more than 250 members of staff?



   
Details of your next most recent job
Was this next recent job full time or part time?



Did the company you worked for have more than 250 members of staff?



We need the details of a referee. This is someone who knows you well and can tell us whether they think this project is right for you. You could choose a teacher, or an employer, but it could be some one else. The person needs to be over 21 years old. It should not be a member of your family. Please ask the person that you name if they are willing to be your referee.
   
Your referee’s first name
Your referee’s surname
Your referee’s full address
Your referee’s post code
   
Your referee’s daytime phone number
Your referee’s evening phone number
What is your referee’s relationship to you?
We need to know whether Gallery 37 is right for you, so please tell us:

I f you have not been employed or in education, please say what you have been doing to occupy your time?
Please tell us why you would like to be involved in Gallery 37
Thank you for applying for Gallery 37.
To send us your form
please enter the text shown,
then click on the submit button below.


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