Scotland politics

TV referendum debate: Appeal for audience members

Saltire and union flag
Image caption The future of Scotland will be decided in September next year

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

The debate, featuring a panel of senior politicians and hosted by the BBC's Glenn Campbell, will take place at Culloden Academy in Inverness.

The programme will be on Wednesday, 18 September, exactly a year before the people of Scotland go to the polls and vote in the Scottish independence referendum.

The electorate will be asked the straight yes/no question: "Should Scotland be an independent country?"

The television special will be recorded and broadcast on BBC One Scotland.

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

People wishing to take part will need to be available from 17:00 until around 19:00.

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