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Young Professionals on Arts Boards

Section 1 – Young Professional Details

Name: Organisation: Job Title: Business Address: Business Telephone:

+44 (0) Business Mobile: +44 (0) 7

Business Email: Business Website: Home Address: Home Telephone: +44 (0) Personal Mobile: +44 (0) 7

Home Email: Preferred Contact Business Home

Section 2 – Skills & Experience (please select all applicable)

Finance General Management

Human Resources IT

Legal Marketing

Planning Press/PR

Sales/Trading Training/Development

Other (Please specify) Are you, or have you even been disqualified from the position of Company Director? Please state any other information regarding your eligibility to hold a position as Company Director.

N.B. Your CV is required with this form to process your registration.Please highlight any other relevant skills/experience on your CV including listing other voluntary or paid Directorships/governance roles you have previously undertaken, and the names/contact details of 2 referees.

Arts & Business Northern IrelandAddress Bridge House. Paulett Avenue. Belfast. BT5 4HD.Email [email protected] Page 1

mailto:[email protected]

Section 3 – Interests (please select all Art Forms that particularly interest you)

Arts Centre Community Arts

Crafts Dance

Festival Film & Video

Heritage Library & Archive

Literature & Poetry Museum

Music Opera

Theatre & Drama Visual Arts & Gallery

Other (please specify) Section 4 – Availability

Your availability: a) During the Day

Some employment contracts require permission before employees can accept a non-executive directorship or trusteeship. Does your contract require this authorisation?

Yes No

Section 5 – Cost

There is a fee of £450 + VAT per participant (A&B NI Member rate) or £500+ VAT per participant (non-Member rate) to participate in the Arts & Business NI Young Professionals on Arts Boards Programme. Successful organisations will be invoiced by A&B NI for the Programme Fee upon acceptance of the place, and will be given 30 days for receipt of payment.

Section 6 - Commitment

If you are accepted onto the Arts & Business NI Young Professionals on Arts Boards Programme you must make a commitment to take part in the Programme, attend the training sessions and other meetings, attend your Arts organisation’s Board Meetings, and pay the agreed programme fee. In addition to your individual involvement you must have the backing of your organisation/Line Manager.



Are you and your Organisation/Line Manager committed to the A&B NI Board Bank Programme?

Yes No

Section 7 - Signatures

Name of Participant (BLOCK CAPS): Signature of Participant: Date:

Name of Line/HR Manager (BLOCK CAPS): Signature of Line/HR Manager: Date:

Section 8 – Formal Undertakings

Non-executive director or Trustee roles with arts organisations via the Young Professionals on Arts Boards Programme are not remunerated, but some expenses may be paid by the arts organisation. Arts & Business NI cannot guarantee to place every adviser who applies. The volunteer will have no liability to Arts & Business NI in respect of any losses, damages, costs or expenses arising from or in any way connected with their position on a board. The volunteer is expected to act in good faith in his/her involvement with the arts organisation, and undertakes to keep confidential any commercially or politically sensitive or potentially sensitive information regarding the arts organisation which comes into his/her possession. As a board member, the applicant will usually be a trustee of a charity and/or a director of a company limited by guarantee (not having a share capital). This carries with it certain responsibilities. In particular, a charity trustee has a statutory duty of care to the charity on whose board s/he sits to exercise such care and skill as is reasonable in the circumstances, having particular regard to any special knowledge or experience that the board member claims to possess. Charity board members are required to act reasonably and prudently in all matters relating to the charity and need always to bear in mind that their prime concern is the interests of the charity. If charity board members act prudently, lawfully and in accordance with the charity's governing document then any liabilities they incur as charity trustees can be met out of the charity's resources (or from insurance where the charity has this in place). But if they act otherwise they may be in breach of trust and personally responsible for liabilities incurred by or on behalf of the charity, or for making good any loss to the charity.Data Protection Act 1998: By signing this form you provide us with consent to hold your details on our database. Arts & Business holds a database of organisations and individuals with whom we work. We collect up to date information for the database from all the forms used in our programmes. Your information is entered on to our database and it will be used for internal administration, monitoring of the programmes, and to contact you regarding other Arts & Business NI activities. Your contact details will also be passed to any organisation or individual that you have consented to work with through the Board Bank.

By emailing this form I understand and accept these undertakings.



Name: Date: Please submit the completed form to [email protected]

How did you hear about the Young Professionals on Arts Boards programme?

Word of mouth Arts & Business NI marketing materials

Previous participant Internet

Newspaper In-house company intranet/newsletter

Trade press At an event

Other (please specify)




Monitoring Arts & Business NI is committed to ensuring that no applicant to its programmes is discriminated against on the grounds of sex, marital or parental status, religious or political beliefs, colour, race, ethnic origins, sexual orientation, age, disability or any other criterion not relevant to their prospective participation. In order to monitor the implementation of our policy we ask you to answer the following questions. This information will not be used during the registration process and will be separated from the registration form on receipt and securely stored. It will be treated as strictly confidential and used for statistical monitoring by Arts & Business NI and its primary stakeholders, Arts Council Northern Ireland.

Personal Details

Date of Birth Gender Male Female

Ethnicity

To which group do you belong?

White Pakistani

Indian Black Caribbean

Chinese Black-African

Bangladeshi Irish Traveller

Other (please specify) Disability

Do you consider yourself disabled?

Yes No

If yes, please state the nature of your disability:

Health

Do you consider you have a long term health condition?

Yes No

If yes, please state the nature of your health condition:

Community Background:

Regardless of whether they actually practice a religion, most people in Northern Ireland are perceived to be members of either the Protestant or Roman Catholic communities. Please indicate the community to which you belong by ticking the appropriate box below:

I am a member of the Protestant community:

I am a member of the Roman Catholic community:

I am a member of neither the Roman Catholic community nor the Protestant community:

By emailing this form I confirm the above information to be true.

Date: Arts & Business Northern IrelandAddress Bridge House. Paulett Avenue. Belfast. BT5 4HD.Email [email protected] Page 5




Documents

· Web viewCrafts. Dance. Festival. Film & Video ... It will be treated as strictly confidential and used for statistical monitoring by Arts & Business NI and its primary