Outreach Workshop Application Form

Royal Academy of Arts

Outreach Workshop Application Form

About the school

Name of school

School address

Address Line 1

Address Line 2

City

Post Code Country

Local travel details

(nearest tube station, nearest mainline train station, etc.)

School telephone number

plus extension where applicable

Type of School (Primary/Secondary)

Age of participating students

Level of participating students

About the teacher

Name of contact teacher

First Name Surname

Out of hours telephone number

E-mail

About the workshop

What type of workshop are you interested in?

Life drawing Portraiture

Preference re: gender of model

(subject to availability)

Preference re: day, date, week, term

(subject to availability)

Any additional comments