Inside Pictures 2016 / Application Form

INSTRUCTIONS FOR COMPLETING THIS FORM

You will not be able to submit this form unless you answer all of the questions bearing an *

You will not be timed out of this form.

If you require a copy of this form, please save a version on your system before submitting.

Once you click submit, a confirmation page will appear to advise that your form has been sent. You are advised to take a screenshot of this page for your records.

You will not be sent an automated email confirming submission. You may contact the programme if you are unsure whether your application has been received.

We anticipate contacting all applicants to advise on the status of their application between 18 and 25 March.

If you have any questions about this form or the programme, please contact Corinne Ranaraja, Director of Operations via email:

corinne@inside-pictures.com or cell: +44 7863 548 263

DEADLINE FOR APPLICATIONS: Sunday 13 March 2016, 18.00hrs GMT.

SECTION 1: YOUR DETAILS

1. About You

First name: *

Last name: *

Company: *

Title / Occupation: *

Nationality: *

Address: *

City: *

Postcode: *

Country: *

Primary Tel (please include country code): *

Mobile (please include country code): *

Email: *

2. How did you learn about Inside Pictures: *

3. Have you applied to Inside Pictures before? *

No

Yes (please state what year you last applied) Yes (please state what year you last applied)

SECTION 2: ATTENDANCE

1. The first round of interviews will be held in March via skype, and the second round of interviews will be held in London in April. Please confirm your availability for interview via skype in March by ticking the box below. If you are unavailable during this week, please explain in the box provided. *

I would be available for a skype interview during the week of 21 March

I would not be available for interview during the week of 21 March I would not be available for interview during the week of 21 March

2. Please confirm your availability for the second round of interviews in London in April by ticking all the statements that apply to you, and if you are unable to attend please explain in the box provided. *

I would be available for an interview on 13 April

I would be available for an interview on 14 April

I would not be available for interview on 13 or 14 April I would not be available for interview on 13 or 14 April

3. We strongly advise anyone invited to interview to make every effort to attend in person, if at all possible. Unfortunately, Inside Pictures cannot cover the cost of attending. Were you to be offered an interview, do you anticipate you would be able to attend in person? *

Yes, I anticipate I would attend in person

No, I would not be able to attend in person

4. It is a condition of the programme that you are able to attend full-time on ALL of the following dates. Please confirm you would be able to do this should you gain a place. *

Module 1: London, 13 – 17 June 2016

Module 2: Los Angeles, 18 – 23 September 2016

Module 3: London, 21 - 25 November 2016

Module 4: London, 11 & 12 January 2016

IMPORTANT: We cannot accept applications from people who cannot attend all of the modules.

5. Do you know of any reason that would prevent you from obtaining a visa for entry to the USA? If yes, please state the reason. *

No

Yes Yes

IMPORTANT: Attending module 2 of the programme in Los Angeles is a requirement of participation.

Obtaining a visa and/or appropriate passport to enter the USA will be the participants' responsibility, not the responsibility of the programme organisers.

SECTION 3: MORE ABOUT YOU

1. Please tell us why you wish to attend the programme (max 3500 characters) *

0/3500 characters

2. What are your career goals in the next five years and how do you see Inside Pictures impacting your development to achieve these goals? (max 3500 characters) *

0/3500 characters

3. Inside Pictures is committed to supporting the European film industry. Please explain and give evidence of how you are working in/with the European film industry and what benefits you bring to it (max 2100 characters) *

0/2100 characters

4. What would you like to get out of the LA module, and why will this be useful to your career at this point in time? (max 3500 characters) *

0/3500 characters

5. As part of the programme, we assign participants with mentors from our alumni network. We are unlikely to be able to assign participants their first choice mentor, however we do our best to understand your needs. Please state your thoughts as to:

• who might be a suitable mentor for you and why;

• what sector you would like your mentor to work in;

• what areas of your work or professional development you would like your mentor to help you with.

(max 3500 characters) *

0/3500 characters

6. Is there anything else you would like to us to take into account when considering your application? (max 2100 characters)

0/2100 characters

SECTION 4: FEES AND FINANCIAL SUPPORT

The Participation Fee for Inside Pictures is Euro 6,000 per person.

You are required to investigate how you would fund the fee before interview stage. Please ensure you have read the 'Bursaries and Scholarships' section of our website, and be aware of the difference between these two forms of financial assistance.

If you require finance from Inside Pictures Scholarships, the scholarship section of the form must be completed at this stage.

IMPORTANT: it is not possible to request a scholarship after application stage. If you believe there is the possibility you may require a scholarship, you are strongly advised to complete the scholarship application form now.

Do you want to apply for an Inside Pictures Scholarship? *

Yes

No

Inside Pictures Scholarship Application Form

Please complete this form if you want to be considered for an Inside Pictures scholarship to attend the programme, should your application be successful. Please ensure you have read the 'Bursaries and Scholarships' section of our website.

You have stated you would like to apply for an Inside Pictures Scholarship. How much, in Euros, do you require from Inside Pictures Scholarships? *

1. Employment status:

a) Are you currently employed? *

Yes

No

b) If you are currently employed, what is your role / title? *

c) Are you currently freelance? *

Yes

No

d) Are you currently self-employed / company owner? *

Yes

No

2. Training

What professional training programmes have you attended previously?

(please include any formal trainings provided internally by your employer)

	Training Body	Year	Course completed
No. 1	Training Body	Year	Course completed
No. 2	Training Body	Year	Course completed
No. 3	Training Body	Year	Course completed
No. 4	Training Body	Year	Course completed
No. 5	Training Body	Year	Course completed

3. Statement of support for Inside Pictures Scholarship application: Please outline why you feel you need financial assistance to attend the programme, should your application be successful. (max 2200 characters) *

0/2200 characters

SECTION 5: REFERENCES

Please provide the contact details of two creative industries referees. Please note that referees for all interviewees will be contacted prior to interview.

When choosing a referee, please note the following guidelines. The most useful referees are those who:

works or has worked with you in a professional context during the last year;
is be able to attest as to your performance and character;
is an international executive or producer of some stature;
has some knowledge of what Inside Pictures is, and what it requires from participants;
will be available to respond to our request for a reference some time between 16 March and 8 April 2016.

1st Referee:

Name: *

Title: *

Company: *

Office Tel (please include country code): *

Mobile (please include country code):

Email: *

2nd Referee:

Name: *

Title: *

Company: *

Office Tel (please include country code): *

Mobile (please include country code):

Email: *

SECTION 6: EQUAL OPPORTUNITIES MONITORING FORM

Inside Pictures encourages applications from and gives equal access to all sections of the community. To help us monitor this, please provide us with the following information. (The information you provide in this form will be treated as strictly confidential and will be used for monitoring purposes only.)

1. Please state whether you identify yourself as:

2. Please provide your date of birth: +

3. Tell us where you live?

3a. If you live in the UK, which of the following regions of the country do you live in?

4. Do you speak Welsh?

Skillset's Film Skills Fund is one of the supporters of Inside Pictures. As part of Skillset's Welsh Language Scheme, they are committed to actively researching and reacting to bilingual need and have asked us to collect this information to help them in their work.

5. Do you consider yourself to have a disability?

6. Please select the box that most closely fits your ethnic origin?

SECTION 7: STATEMENT / SUBMISSION*

Statement - please agree to the following statements before submitting.

Data Protection:

Part or all of the information you provide us will be held on computer and used for statistical purposes. It will also be used for the administration of applications and scholarships.
We may provide copies of the information in confidence to individuals or organisations that are helping us assess applications or monitor funding.
Should your application be successful and you gain a place on the course, your name, title, company and email address will be added to the closed IP Network, which can be viewed by Inside Pictures alumni only.

By uploading my photograph with this application, I hereby give Inside Pictures permission to use my image for promotion of the programme online and in print materials, should my application be successful and I gain a place on the programme.

I confirm that all the statements and information on this form are correct and true. Any materials I have sent in support of my application are also correct and true. I am happy for you to provide copies of this form and any supporting material to any person or organisation you wish to consult about my application.

I am over eighteen years of age and I am not an undischarged bankrupt.

Should my application be successful and I accept the offer of a place, I undertake to comply with all the terms of the participation contract I will be required to sign. This includes undertaking to pay the course fees payable by me, no later than 14 days before the start of the course in June.

*

Agree

UPLOADS

1. Photograph (this will be used on Inside Pictures external communications with speakers and may be used for promotional purposes by Inside Pictures) *

Max. file size: 1MB

2. CV (Inside Pictures will only accept Curriculum Vitaes, not biographies) *

Max. file size: 5MB

THANK YOU

Thank you for taking the time to complete this form.

Please submit this application by 18.00 (GMT) on Sunday 13 March 2016.

If you have any questions about this form or the programme, please contact: Corinne Ranaraja, Director of Operations, via email:

corinne@inside-pictures.com , or cell: +44 7863 548 263

DEADLINE FOR APPLICATIONS: Sunday 13 March 2016, 18.00 GMT