Application Form for self-employed and / or freelance individuals applying to be Creative Agents for the Lead Creative Schools Scheme Please note that to be eligible to apply, you must be over 18 and live in Wales. You need to use the separate application form if you are an organisation applying to provide Creative Agent Services. a Name: Contact Address: Postcode: Telephone: Email: We may contact you by telephone or email if we need further information about your application to be a Creative Agent b Please tick the local authorities you are able to work in. North Wales Anglesey Conwy Denbighshire Flintshire Gwynedd Wrexham Central South Bridgend Cardiff Merthyr Tydfil Rhondda Cynon Taff Vale of Glamorgan Mid & West Wales Carmarthenshire Ceredigion Neath Port-Talbot Pembrokeshire Powys Swansea South East Wales Blaenau Gwent Caerphilly Monmouthshire Newport Torfaen c In which language would you prefer to receive routine correspondence? Please tick as appropriate. Welsh English d Are you able to work through the medium of Welsh in Welsh medium schools? Please tick as appropriate. Yes No e Creative Agents will be required to attend a 4 day induction programme. Please tick the week or weeks you are available: week commencing 24 August 2015 week commencing 14 September 2015 f The knowledge, experience and skills of Creative Agents working in Lead Creative Schools will vary. The programme aims to build on their existing skills and to continue to develop their practice as a Creative Agent. In order to be contracted by Arts Council of Wales you will need to demonstrate how you meet most of the Creative Agent Competencies identified in the Prospectus for Creative Agents. Please tell us about your knowledge, experience and skills below and also enclose / email a copy of your current CV. g Does your expertise relate specifically to Wales, or is it particularly applicable within a Welsh context? Please provide details. h Having read the Prospectus, do you have any special needs or requirements you feel are relevant to your application? If so, please provide details. i Please provide a short biography (no more than 150 words). If you are selected as a Creative Agent, we may use this information in our communication work about the Lead Creative Schools Scheme. j References Please attach one reference in support of your application. Your application cannot be processed without this attachment. k Applicant’s Statement I confirm that all information provided on this application is truthful and accurate. Signed: Date: DATA PROTECTION AND FREEDOM OF INFORMATION It’s important that you’re aware of the Arts Council of Wales’ obligations and responsibilities under the Freedom of Information Act 2000 to provide on request access to recorded information that we hold. One of the consequences of these statutory responsibilities is that information we hold about you may be subject to disclosure, in response to a request, unless we decide that one of the statutory exemptions applies. If you send us information that you believe to be commercially sensitive or confidential, this will need to be clearly marked. It would help us if you could explain briefly the reason(s) and appropriate timescales you would consider confidentiality to apply. This will assist us, in the event of a request, to substantiate our reason for applying the necessary exemption should we decide it would be appropriate to do so. However, you can’t assume that by marking information as confidential or commercially sensitive that an automatic exemption will apply. Other factors would also need to be considered at the time, such as the nature and scope of information requested and the timing of that request. (Freedom of Information rules assume that confidentiality/commercial sensitivity usually diminishes over time). Sometimes information, data and material of any nature comprises Personal data or Sensitive Personal data, (as terms are defined in the Data Protection Act 1998). If this applies, we’ll not disclose any such confidential information to a third party without your consent. Please return this application along with your reference and a copy of your current CV to: [email protected] Arts Council of Wales Bute Place Cardiff CF10 5AL
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