LUX, 3rd Floor, 18 Shacklewell Lane, London, E8 2EZ, UK

INTERNSHIP APPLICATION FORM

We will use the information you give us on this form to decide whether you are selected for interview.  To do this we will look at how you demonstrate in the application form that you meet our requirements.  We will not make assumptions about your achievements and abilities.  You must therefore be clear on the form about exactly how you feel they match our requirements.  Consider any employment, paid or unpaid, that you have already had, and any work experience gained in the community or through voluntary, leisure or college activities. 
Please attach a CV if possible. 


Please complete in black ink or type

		








	




	


Please indicate which internship area(s) you are interested in and why.  
Please try and be specific as possible.



















In setting up internships it is important to establish a regular commitment with clear goals to make sure both you and LUX get the maximum benefit. Please state the period when you would be available and for how many days per week. 










Please tell us about your interest in contemporary art and any particular interest you have in artists' moving image work. 
























Please state what you hope to gain from an internship with LUX.















Please give details of any special skills you may be able to offer, for example, office skills, research or technical skills.


















	Is there any other information which you believe would be relevant to your application?








Equal Opportunities Monitoring Form
Data Protection Act 1998: Equal opportunities information will be used only for monitoring the performance of the organisation and not for selection purposes.

1. Please look at the descriptions of race and ethnic origin listed
below and circle the one that most accurately describes you.

Black or Black
British
Caribbean 
African 
Other 

Asian or Asian
British
Indian 
Pakistani
Bangladeshi 
Other 

Mixed
White & 
Black Caribbean
White & Black
African 
White & Asian 
Other 

White
British 
Irish 
Other 

Chinese 

Other Ethnic 
Group (please state)

2. Gender:

Female 	Male 

3. Do you have a disability?

The Disability Discrimination Act 1995 defines disability as a physical or mental impairment which has a substantial and long term (for more than 12 months) adverse effect on a person's ability to do normal daily activities. You may still be considered to have a disability if you are not currently adversely affected but the impairment is likely to recur.

No  	Yes