Audience plea for Scottish referendum debate programme

Union flag and saltire The future of Scotland has been the focus of an ongoing debate

BBC Scotland is appealing for members of the public to join an audience for the latest in a series of debates on the future of Scotland.

The television special will take place on Friday, 29 June.

Both the Scottish and UK governments have held consultations into the issues surrounding a referendum on Scottish independence.

SNP leader and First Minister Alex Salmond has named autumn 2014 as his preferred date to hold the vote.

The venue for the debate, featuring a panel of politicians and being hosted by political editor Brian Taylor, will be BBC Scotland's Glasgow headquarters at Pacific Quay.

The programme will be broadcast at 19:00 on Friday on BBC One Scotland.

When, where, time?

  • Friday, 29 June
  • BBC's Pacific Quay, Glasgow
  • Time - from 13:00 onwards

If you are interested in joining the audience, fill in the form below.

People wishing to take part will need to be available from 13:00 and for the rest of Friday afternoon.

Guidelines require the BBC to have a balanced audience for this event.

To help us do this, we will ask all members of the audience whether they are associated with a political party or if they already have a favoured view on whether Scotland should become independent or remain part of the UK.

1. Name and address

2. Your Contact Details

3. What is your occupation?

4. To help us ensure a broad range of views, we'd like to ask if you've decided how you might vote in next year's independence referendum.

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

Other (please state)

6. Are you a member of a political party?

If Yes which party

7. The audience for BBC Scotland Debates 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. Would you please confirm that you are keen to get involved and if selected will ask your question.

8. Briefly, what is your view of the monarchy?

9. What two questions would you like to ask?

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

Other (please specify)

11. Of what nationality do you consider yourself?

Other (please specify)

12. Do you consider yourself to have any disabilities?

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

14. Have you been on a BBC Scotland TV or Radio Debate before?

15. How old are you?

16. The information you provide will be collected by the BBC. Are you happy for your email details to be retained so that we may contact you about appearing in the audience for other BBC programmes?

* Required information

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