Have you completed all parts of the application form?
Have you completed the monitoring form?
Have you signed the declaration?
Has your independent referee completed and signed their declaration and is their reference enclosed?
Have you enclosed a curriculum vitae (on no more that 2 sides of A4 paper)?This should list details of education and qualifications attained (if any) and details of any recent exhibitions, commissions, awards, publications and relevant employment.
Have you enclosed documentation of your work (in the formats listed) and a stamped self-addressed envelope for return of your documentation?


Please complete the application form clearly in black ink or type (your form will be photocopied. (You may generate the application form on a word processor yourself providing you keep to the same order as the questions and do not exceed the number of words allowed for your answers.

If you would like to receive an acknowledgement that we have received your application, please enclose a self-addressed and stamped postcard marked “Erewash Fine Art Graduate Residency”.

Unfortunately Erewash Borough Council can only write to those applicants who are invited to interview. If you have not heard from us by Weds 18th July 2007, then you must assume that your application has been unsuccessful.

Send your completed application form, monitoring form, curriculum vitae and documentation of work to:

Laura Guthrie, Erewash Borough Council, Arts Development,
Civic Offices, Derby Road, Long Eaton, Derbyshire NG10 1HU

Deadline for receipt of applications Friday 13 July 2007
Interview date: Friday 20 July 2007

Personal Details

Surname _______________________________________

First Names _______________________________________

Address _______________________________________


Postcode _______________________________________

Tel No. (Day) _______________________________________

Tel No (Evening) _______________________________________

Fax _______________________________________

E-mail _______________________________________

Minicom _______________________________________

Are you disabled ? _______________________________________


Do you have any access requirements or needs that you would like to tell us about?


About your Work

Please indicate which category best describes your practice (you can tick more than one box).

Performance Artists
film/video and time-based work
Fine Art Photography
Other (please specify) ________________________________

In addition please describe the nature of your work in no more than 100 words.


About your Current Circumstances

Please describe your current studio accommodation if any (i.e. use of space at home, share of studio space, etc).


Please describe any Community or Participatory Art Projects if any, you have been involved in and how.


Your Proposal

The Studio Residency is intended to provide the opportunity for a graduate fine artist to have the space and time to develop their studio and participatory arts practice. Please tell us (in no more than 250 words) how you would intend to use this opportunity i.e. to help develop an existing project or to realise a new one. See Residency Aims attached.

Please also let us know how your work and project could relate to or engage with the place or communities where the studio is located.




Please send a selection of material documenting or relating to recent work you have produced.

Please do not send more than: 10 slides or transparencies, 2 catalogues, 2 videos (VHS) or 2 CD Roms

Please make sure that every item (including each slide) is labelled clearly with your name. All items will be returned in your self-addressed and stamped envelope (please make sure you use the correct postage) which accompanied your application.

List of documentation

Name of work
CD Rom

Independent Referee

Please ask your independent referee to complete this section of the application which must be returned with your application. Your referee should be someone in a relevant position who has known you for a number of years and who knows about your work.

Name __________________________________________________

Address __________________________________________________


Postcode __________________________________________________

Tel. No. (Day) __________________ Tel No. (Eve) _________________

Fax __________________ Minicom _________________

How long have you known the applicant and in what capacity?

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.

Equal Opportunities

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.

Artists Commitments

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.