Young Arts Ambassadors
Application Form
Personal Details
Full Name
Age
Date of Birth
Address
Contact Telephone
Email
Are you:
Do you describe
yourself as:
At school
At college/university
Employed Full Time
Employed Part Time
On a training programme
Unemployed
Volunteer
Other (please specify)
Very passionate about
Arts
Occasionally involved in
the Arts
Don’t practise, but
appreciate the Arts
Prefer not to say
Personal Statement
! Please note this
information will be
treated as strictly
confidential.
Why do you think you would be a good Young Arts Ambassador?
Tell us about the skills and qualities you have. (150 words)
What skills and qualities would you like to develop? (150 words)
Why do you want to take part in the Young Arts Ambassador Programme?
(300 words)
References
1st Referee
Full Name
Relationship to You
Company/Organisation
Address
Telephone
2nd Referee
Full Name
Relationship to You
Company/Organisation
Address
Telephone
Do you have any additional support needs you would like to make us aware of?
Where did you hear about this opportunity?
 Please submit your application by Monday, 8th June 2015.
 We will be short listing applications and will be in touch by Friday, 12th June 2015.
Questions?
Email:
jodief@youngscot.org
Call:
0808 801 0338 (Open Monday-Friday, 10am-6pm)
Tweet :
@youngscot
Equality Monitoring
Young Scot is committed to equality of opportunity for all applicants. In order to ensure we are meeting our
aims, please answer the questions below and return this form with your application. This information is used
solely for monitoring purposes and will not inform the selection process in accordance with the Data Protection
Act 1998.
Gender
Please  (double-click on box to place check inside it)
Male
Female
Date of Birth
Date of Birth (dd/mm/yyyy):
Ethnic Origin
Please tick  a box from the list below which best describes the ethnic group to which you belong:
White
Scottish
English
Welsh
Northern Irish
British
Irish
Gypsy/Traveller
Polish
Any other white ethnic group:
Mixed Race or multiple ethnic groups
Any mixed or multiple ethnic groups please write in:
Asian, Asian Scottish or Asian British
Pakistani, Pakistani Scottish or Pakistani British
Indian, Indian Scottish or Indian British
Bangladeshi, Bangladeshi Scottish, Bangladeshi British
Chinese, Chinese Scottish or Chinese British
Other please write in:
African, Caribbean or Black
African, African Scottish or African British
Caribbean, Caribbean Scottish or Caribbean British
Black, Black Scottish or Black British
Other, please write in:
Other ethnic group
Arab
Other please write in:
I do not wish to identify my ethnic group at this stage
Disability
Do you consider yourself to have a disability?
Yes
No
As defined by the Equalities Act, 2010, a disability is:
“A physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal dayto-day activities”.
Thank you for providing this information.