1. Organization Name
|
2. Organization Details |
Address line 1
|
Address line 2
|
Town/City
|
Country
|
Postcode
|
Contact name
|
Position
|
Phone number
|
E-mail address
|
Website
|
3. Art Form used |
| Music |
| Dance |
| Film/Video |
| Multi-arts |
| Drama |
| Crafts |
|
Creative Writing |
| Photography |
| Visual arts |
Others (Please specity)
|
4. Please provide details of your orgnisations aims,
objectives and general activities |
Breif Outline
|
5. Please describe your client group |
| Children (7-14) |
| Juveniles (15-17) |
|
Young People (18-21) |
|
Young Adults (21-25) |
| Adults (25+) |
| Sex |
| Male |
| Female |
| UK & Ireland |
| North East |
| North West |
| Midlands |
| East |
| South East |
| London |
| Wales |
| Scotland |
|
Northern Ireland |
| Europe |
Specify country
|
| Elsewhere
|
Specify Country
|
7. In which sector do you usually work? |
Breif description
|
8. If you work within the Criminal justice System,
Please give details |
Institutions name
|
Location
|
| Male Prison |
| Female Prison |
| Young Offender Institution |
| Secure Units |
| Youth Offending Teams |
| Probation Service |
Other (please Specify)
|
9. Please give example(s) of Projects you have run
within prisons the last 12 month |
Date, Title, Brief Outline
|
Date, Title, Brief Outline
|
Date, Title, Brief Outline
|
10. Do you also run projects which use arts as a means
to prevent offending? (If not go to question 14) |
| Yes |
| No |
11. If so, how many of such programmes do you run per
year? |
| 1-5 |
| 6-20 |
| 20+ |
12. Please give example(s) of the above |
Date, Title, Brief Outline
|
Date, Title, Brief Outline
|
Date, Title, Brief Outline
|
13. Would you be happy to provide us with more detailed
information on a specific crime prevention programme you have run, using
the arts? |
| Yes |
| No |
14. Do you run arts projects which aim to explore and/or
address the following issues |
| Literay |
| Numeracy |
| Drugs |
| Alcohol |
| Prejudice/discrimination |
| Health |
| Sexual health |
| Anger management |
|
Offending behaviour |
|
Victime awareness |
| Bullying |
| Employment/preparation for work |
Other (please specify)
|
15. Are any of the above programmes accredited through
the OLSU/NOCN or other accreditation body? |
| Yes |
Please Specify in case of Yes
|
| No |
16. What IT facilities do you have access to at your
centre? |
| Intranet for
|
|
Tutors |
|
Students |
| Internet for |
|
Tutors |
|
Students |
| Computer |
|
Tutors |
|
Students |
| Photographic equipment |
|
Tutors |
|
Students |
17. Please tick the box(es) if you
authorize us to use
the provided information on the following website(s)? |
|
Anne Peaker Centre |
|
Prison Art Network (PAN) |
18. Further comments? |
Explain
|
|