International Museum Academy: UK 2016

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* 1. Title

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* 2. First name

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* 3. Last name

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* 4. Nationality

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* 5. Email address

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* 6. Email address (confirmation)

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* 7. Mobile number

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* 8. Job title

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* 9. Department

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* 10. Institution name

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* 11. Institution address

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* 12. Institution website

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* 13. Course selection

Commercial Enterprise, 1-5 August 2016, Newcastle (£900)

Audience Engagement, 8-12 August 2016, Liverpool (£900)

Developing Digital Content, 15-19 August 2016, Brighton (£900)

Creating Contemporary Art Exhibitions, 22-26 August 2016, London (£900)

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* 14. Do you speak English as a first or second language?

First language

Second language

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* 15. How many years have you worked in your current role?

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* 16. How many years work experience in the arts/museum sector do you have?

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* 17. Please summarise your job role and responsibilities (200 words max)

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* 18. Please describe why you have applied and what you hope to achieve after the course (200 words max)