Radio Lab sign up – Lewisham Music

I am applying for

Participant details

Full name

Date of birth

What gender do you identify as?

Instagram handle (if applicable)

Home address

Postcode

Contact details

Your email address

Your telephone number

Emergency contact name (must not be same as above)

Emergency contact number

Alternative emergency contact name (must not be same as above)

Alternative emergency contact number

Participant's interests and experience

What do you hope to gain from taking part in Radio Lab?

Why are you interested in taking part in this radio course?

Do you have any previous experience with radio, music, media, or performing? (No experience is necessary – we just want to learn more about you!)

Are you available to attend all sessions on 4, 5, 11, 12, 18, 19 February and the showcase on 21 February? YesNo

Tell us about an idea for a radio show you’d love to host - it can be anything from music to storytelling to interviews.

Do you have any access needs or anything else you'd like us to know? (we aim to make this space inclusive and supportive.)

Inclusion and Diversity

Which statement best describes your current situation?

Do you have any special needs, medical conditions, allergies or access requirements? YesNo

If YES, please give details below:

Are you part of any underrepresented communities or groups, such as LGBTQ+ or differently-abled individuals?

How would you describe your ethnicity?

Do you identify with any specific cultural or ethnic groups?

Confirmation

At times during projects/courses we may take photos and/or video footage in which you could appear. We may feature these in Lewisham Music online publicity, including our website and social media pages, and general print publicity. Do you give consent? YesNo

How did you find out about this course?

Would you like to be added to Lewisham Music's general mailing list and receive updates? YesNo

Please note that by submitting this form you are agreeing to be added to the Creative Futures mailing list so we can keep you updated about this course and future opportunities.