Young Professionals on Arts Boards
Section 1 – Young Professional Details
Name:
Organisation:
Job Title:
Business Address:
Business
Telephone:
+44 (0)
Business Email:
Business Mobile:
+44 (0) 7
Business Website:
Home Address:
Home Telephone:
+44 (0)
Home Email:
Personal Mobile:
+44 (0) 7
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 Ireland
Address Bridge House. Paulett Avenue. Belfast. BT5 4HD.
Email t.carlisle@artsandbusinessni.org.uk
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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
Arts & Business Northern Ireland
Address Bridge House. Paulett Avenue. Belfast. BT5 4HD.
Email t.carlisle@artsandbusinessni.org.uk
No
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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 t.carlisle@artsandbusinessni.org.uk
Arts & Business Northern Ireland
Address Bridge House. Paulett Avenue. Belfast. BT5 4HD.
Email t.carlisle@artsandbusinessni.org.uk
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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)
Arts & Business Northern Ireland
Address Bridge House. Paulett Avenue. Belfast. BT5 4HD.
Email t.carlisle@artsandbusinessni.org.uk
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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 Ireland
Address Bridge House. Paulett Avenue. Belfast. BT5 4HD.
Email t.carlisle@artsandbusinessni.org.uk
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