4CNW Talent – Creative Application Form Sample
Please Note: This application form is a sample template to assist you in the
formulation of your application for 4CNW Talent. This is not a valid application
form. All applications MUST be made online at
http://www.creativestatenorthwest.com/apply/creatives/apply
Please read the FAQs to assist you in the completion of this form
--------------------------------------------PAGE 1------------------------------------------------Your Name:
Company/Business name:
Your contact e-mail address:
E-mail address listed in the public directory:
An e-mail address for your company will also be listed on the 4CNW public directory.
If you would rather use a more general e-mail address than that given above for this
purpose, please enter it here.
Your Business (postal) Address:
Country:
Ireland, Northern Ireland, Scotland only
If you are in Ireland please select your County:
Counties Donegal, Leitrim, Roscommon, Mayo and Sligo only
Company website:
Company facebook url:
If applicable
Company Twitter:
If applicable
Year you commenced trading:
Number of Employees:
Select from: I am Self Employed / 1-5 employees / 5-10 employees / 10+ employees
----------------------------------------------PAGE 2----------------------------------------------Please indicate the Creative Sector(s) you belong to.
Multiple answers possible
Animation
Visual Art
Digital Media
Advertising
Architecture
Arts
Computing
Craft
Design
Other – please state
Fashion
Film
Computer Games
Music
Performing Arts
Photography
Publishing
Radio
Television
What is your primary Business activity
Max 100 characters (approx.15 words)
Provide a description of your business
Please note that this will appear on your directory listing so this is your opportunity to
sell your business and your service offering
Max 1000 characters (approx. 140 words)
What skills/service can you provide?
Max 500 characters (approx. 70 words)
Please list two collaborative projects that you have been involved in at regional,
national or international level that illustrate your core skillset.
Max 500 characters (approx. 70 words)
Please list any relevant awards / publications
Max 500 characters (approx. 70 words)
Your application will be assessed by both the information you provide in this form,
and your portfolio. You may include your portfolio in three ways (you may include all
three)
1. via a weblink to your website, or a specific section of your website i.e.
www.CreativeBusiness.com/portfolio,
2. via a weblink to a vimeo or youtube showreel,
3. or via uploading of a pdf file.
Please see our FAQ for instructions on uploading your work, maximum file sizes etc.
Website:
Video Link:
Only YouTube and Vimeo links will be processed
Video Link:
Portfolio Document
Upload facility to upload a document. PDF format is preferred. Max file size 7MB
------------------------------------------PAGE 3-------------------------------------------------List a minimum of 2 and maximum 5 clients:
Clients listing to include: client company name and company website.
Please ensure you have permission from your clients to list their details
------------------------------------------PAGE 4-------------------------------------------------The below information will not be made publically available and will not affect your
application. We are collecting it solely to get an up-to-date picture of the creative
sector in Northern Ireland, Scotland and the North West of Ireland.
Company / Organisation type:
Choose from:
Self-Employed and trading as own name
Self-Employed and trading as company name
Private Limited Company (PLC)
Company Limited by Guarantee without having Share Capital
Other – please specify
If you belong to any clusters / networks, please list them here:
Your VAT Status
Choose from Registered / Not Registered / Charitable Status
Turnover / Income at year end 2012:
Choose from:
Less than EUR 20K,
EUR 20,001 – 30,000
EUR 30,001 – 40,000
EUR 40,001 – 50,000
EUR 50,001 – 60,000
EUR 60,001 – 70,000
EUR 100K+
Upload your Company Logo:
How did you hear about the 4CNWTalent Fund?
Choose from a dropdown menu:
Leaflet
referral by a colleague/contact
Newspaper
Email
twitter
facebook
Cultural Enterprise Office website
Noribic website
Through an agency - please specify
Other - please specify
------------------------------------------Declaration---------------------------------------------By completing this form you agree to have your company information from sections 1
to 3 listed on the 4CNW Creative Directory, which will be published on the website
and subsequent mobile applications of the Creative State North West in June 2013.
This directory will be promoted as a tool for regional, national and international
businesses to find relative creatives to contract. It will also be a useful tool for
creatives to network and find each other to develop new partnerships and clusters.
We will treat your information carefully and will not to share your additional
information with any third parties outside of The Creative State/4CNW project. It
should be noted however that all information submitted is subject to the provisions of
the Data Protection Acts and the Freedom of Information Acts.