24 February 2012 Last updated at 05:45 ET

Join the Question Time audience

Thank you for your interest in taking part in Question Time.

To apply to join the audience for a recording of Question Time please fill in the form below.

Future programme venues

• 16 May - Ipswich
• 23 May - Belfast
• 30 May - London
• 6 June - Blackburn

• Suggest a venue

Your response will be completely confidential, but it will enable us to invite a balanced cross-section of people.

If your application is successful, you can expect to hear from us on the Monday, Tuesday or Wednesday before the programme.

We will contact as many applicants as possible prior to the programme but, due to the volume of requests received, we apologise that we are unable to call everyone.

If you hear nothing from us please assume that on this occasion your application has not been successful.

AUDIENCE APPLICATION FOR BBC QUESTION TIME

Continue reading the main story

1. Name and address

Full name: Your address: Your Postcode:

Your Phone number:

Daytime

Evening

Mobile

Email address:

2. Have you been on Question Time before?

Yes No

If yes, when?

3. How old are you?

16-24 25-34 35-44

45-54 55-64 65+ 

4. What is your occupation?

5. What two issues would you like to discuss in the current news?

6. What is your opinion of the situation in Afghanistan?

7. Are you pro-EU or sceptical?

8. During the series, we shall be visiting London and various cities and towns around the country.

Would you please name the venues most convenient for you.

9. If there were a General Election tomorrow, which political party would you be most likely to vote for?

Conservative

Labour

Liberal Democrats

Green

Scottish National

Plaid Cymru

Ulster Unionist

Democratic Unionist

Sinn Fein

Social Democrat & Labour

Alliance

UKIP

Would not vote

Undecided

Other (please state)

10. Do you fully support the leader of that party?

Yes No

11. Which of these groups do you consider yourself to belong to?

White

African-Caribbean

Indian

Pakistani

Chinese

African

Mixed Origin

Other (please specify)

12. Do you consider yourself to have any disabilities?

Yes No

13. If you are disabled, do you require wheelchair access?

Yes No

14. Are you a member of a political party?

Yes No

15. The audience for BBC Question Time is totally proactive and we wish to ensure that the opportunity to put forward questions and take part in the debates is given to those people wishing to participate. If chosen to attend you will be asked to put forward two questions, one by email and a further question on arrival at the venue, would you please confirm that you are keen to get involved and if selected will ask your question.

Yes No

16. Add any more relevant information.

We need to contact each applicant, so if applying with friends or family, please give the names and daytime telephone numbers of each member of your group.

17. The information you provide will be collected by the BBC. The BBC will share your information with Mentorn, producers of Question Time. Are you happy for your email details to be retained for up to 4 years on behalf of Mentorn, so that Mentorn may contact you about appearing in the audience for other BBC programmes?

Yes No

Your application will be sent over a secure link. You may receive a pop-up message as you leave the secure connection and are returned to the Question Time website.