Application form for Gallery management and Exhibition Studies course at London Miles

Stim.u.lus workshops
Gallery Management and Exhibition Studies
Application Form
London Miles Gallery and Stim.u.lus workshops will use the information you provide on this form to
process your application. This information may also be used for course administration.
Course Name: Gallery Management and Exhibition Studies / 3 weeks
Course Location: London Miles. Westbourne Studios. 242 Acklam Road. London. W10 5JJ. UK
Course Director: Tina Ziegler
Start date of course: Sunday April 3rd 2011 at 12:00pm
Applicant details: Please print clearly.
Surname:






First name:
Gender: Male

Female

Contact Details:
Address:






Post code:
Phone:







Mobile:
Email address:
How did you hear about the course:
Briefly describe your reasons for applying for this course and how you are hoping it will help you
develop.
Please select your current professional status.
Student
Recent graduate
Part time employment

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Full time employment
Stim.u.lus workshops created by London Miles Gallery
www.londonmiles.com / 242 Acklam Road. Westbourne Studios. London. W10 5JJ. UK

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Stim.u.lus workshops
Financial Information:
Please tick here to confirm your willingness to pay the full fee of this course:
If your application is to be successful, whom should we contact regarding the invoicing and
processing of the payment for your place on the course?
Name:
Address:
Phone:
Email:
Terms of payment: Payment must be made within five days of notice of a successful application.
No refund of fees will be made for absence due to illness or for withdrawal before or during the
course for any reason. Once payment is completed you are responsible to attend the course on your
own behalf.
Completing your application:
I confirm that in signing this application that I am commited to attend this course and pay the
full application fee. I understand that if my application is successful, my place in the course is
secured and I am responsible to attend the course. I understand and agree with the terms that no
refund of the course fee will be made due to absence for illness or for withdrawal before or during
the course for any reason.

I understand that the course will offer me valuable knowledge and experience in order to develop
in my career, however I am fully aware that I will not be granted a certificate or degree on comple-
tion.
I have read the above and agree with the courses terms.
Applicant Signature:
Date:
Please E-mail your completed application to: Stim.u.lus@live.com
With any questions relating to this application or the course please contact:
London Miles / Stim.u.lus workshops
Course director: Tina Ziegler
242 Acklam Road. Westbourne Studios. London. W10 5JJ. Uk
stim.u.lus@live.com
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(44) 020 317 08618
Stim.u.lus workshops created by London Miles Gallery
www.londonmiles.com / 242 Acklam Road. Westbourne Studios. London. W10 5JJ. UK

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