Please indicate in no more than 250 words how you
think the applicant will benefit from the residency. (You may use
a separate sheet providing you keep to 250 words and it is enclosed
with the application).
Declaration by Independent Referee
I have read the completed application form and consider the answers
given by the application to be true to the best of my knowledge.
I have also read the criteria for eligibility and selection and
consider that the applicant meets them all. I am happy to be contacted
to discuss the application.
Signature ___________________________ Date___________________
Criminal Records Disclosures
Certain posts within the Council are subject to a CRB disclosure.
The position of Erewash Fine Arts Graduate requires a CRB check
for the five days of participatory arts workshops you will be required
to run as part of this residency.
You will not be contracted to commence work until the disclosure
record has been received and cleared. Any information disclosed
will be treated sensitively and in confidence and will only be used
in deciding a candidates suitability for the post applied for. Failure
to disclose any information required of you may result in disciplinary
action for dismissal from the Authority.
Erewash Borough Council is working towards Equal Opportunities
in all aspects of its work and services. The Council has an equal
opportunities policy which is enclosed with this form. We hope that
artists taking up the programme will respect this policy both in
their work and conduct.
The successful artist will be committed to providing Erewash Borough
Council with 5 days of their time during the year long residency.
This time will be related to the artist’s community and participatory
arts practise. The exact structure and content will be agreed between
the artist and EBC Arts Development Officers and will depend upon
the opportunities available and the skills of the artist.
The successful artist will be committed to signing the Harrington
Studio Terms and Conditions. They will be liable to pay a returnable
deposit of £50. This payment can be paid in instalments in
agreement with Harrington Mill Studio management.
Declaration by Applicant
I have read the application pack and the answers I have given in
this application form are true to the best of my knowledge. I consent
to my referee being contacted in connection with this application.
I consent to committing 5 days to Erewash Borough Council Arts Development
department. I consent to signing the Harrington Mill Studio Terms
and Conditions and paying the £100 returnable deposit.
Signature __________________________ Date __________________
All information provided on this form will be dealt with in accordance
with the Data Protection Act 1984, amended 1998. This information
may be computerised and used for administrative purposes within
Erewash Borough Council. All personal information held by the Council
has to be registered and may only be used and disclosed as described
in the Data Protection Register.