Public Art Programme. Confirmation of Online Application

Transcription

1 Public Art Programme Confirmation of Online Application This completed form and relevant enclosures (as detailed in section 6) must be received by the Arts Council within five working days of your application being submitted. Thank you for completing sections 1 to 4 of your application online. In order to process your application, we are required to obtain the following signed statements in hard copy. This form must have an original signature. Please also complete section 2.10 attached if you chose not to complete this online. This confirmation of online application and accompanying documents must be received within five days of your application being submitted. Please note that proof of postage is not proof of delivery. Please send your confirmation to: Arts Council of Northern Ireland MacNeice House 77 Malone Road BELFAST BT9 6AQ 1

2 SECTION 2.10 BANK DETAILS Name of Bank/Building Society Address Town Postcode Account Name Account Number Sort Code - - 2

3 SECTION FIVE - EQUALITY OF OPPORTUNITY, GOOD RELATIONS COMMITMENT, CHILD PROTECTION STATEMENT, SAFEGUARDING CHECKLIST AND BENEFICIARIES If you have previously submitted these documents to the Council, you do not have to complete this section but you must reaffirm your commitment to the principles (see Section 8) The Arts Council of Northern Ireland has a statutory duty under the Northern Ireland Act 1998, in carrying out its functions to have due regard to the need to promote equality of opportunity between: Persons of different religious belief, political opinion, racial group, age, marital status or sexual orientation; Men and women generally; Persons with a disability and persons without; and Persons with dependants and persons without. In addition, without prejudice to its obligations above, the Arts Council shall, in carrying out its functions relating to Northern Ireland, have regard to the desirability of promoting good relations between persons of different religious belief, political opinion or racial group. Applicants should note that, in carrying out its functions, the Arts Council may check the content of newspapers, websites and other documents to establish that the organisation is acting within the ethos of good relations. Where evidence is found that an applicant is not acting in the interests of good relations, applications will be considered ineligible or, if evidence is found after an award is made, funding will be withdrawn. The Arts Council will not distinguish between an organisation s official website and social networking sites created by, or containing entries from organisation members. We (name of organisation). recognise these obligations and undertake not to act in any way, which would contravene the Arts Council s statutory duty. We confirm our commitment to the principles of affording equality of opportunity in all aspects of our organisation s activities, in particular with regard to access and participation in these activities. It is also our intention to ensure equal opportunity for all job applicants and employees and to eradicate direct or indirect discrimination. It is also our intention to have regard to the desirability of promoting good relations between: Persons of different religious belief, political opinion, racial group, age, marital status or sexual orientation; Men and women generally; Persons with a disability and persons without; and Persons with dependants and persons without. This Equality of Opportunity and Good Relations Commitment was formally adopted by us on (insert date)... Authorised Signature Date Position in Organisation 3

4 CHILD PROTECTION POLICY STATEMENT Due to changes in Government legislation, it is a requirement of our funding that all organisations which come into contact with children, young people and vulnerable adults, either directly through its programmes or indirectly through its services, must commit to a Child Protection /Safeguarding Policy. This document is additional to the organisation s child protection policy. The document must have been agreed by your organisation and should be signed and dated. If you are unable to tick all the Safeguarding Checklist boxes as yes at the time of submitting the application, you must take steps to address all the issues prior to the drawdown of any funds. Government has issued guidance that no funds should be paid across to organisations until they are able to sign up completely to the safeguarding checklist. In addition to signing this statement, you are also required to submit a copy of your Child Protection/Safeguarding Policy and Procedures (see Enclosures section) Please note Policy and Procedures which are older than 3 years will not be accepted. If your Policy and Procedures are older than 3 years please review and update to ensure your policy and procedures are in line with best practice and legislation relating to protection issues. We (name of organisation). are committed to practice which protects children from harm. Staff, volunteers and artists in this organisation accept and recognise their responsibilities under the Children (NI) Order 1995, about safeguarding children, and will endeavour to carry these out by: having an awareness of the issues which cause children harm; adopting child protection guidelines for staff, leaders, volunteers and artists; providing information about child protection and good practice to children, parents, staff, volunteers and artists; sharing information about concerns with children, parents and others who need to know; following carefully the procedures and recruitment and selection of helpers (staff, volunteers, artists) and the management of the group; undertaking appropriate training; keeping child protection policies under regular review; and providing information as required to management committees/ funders This Child Protection Policy statement was formally adopted by us on (insert date)... Authorised Signature Date Position in Organisation Safeguarding Checklist 4

5 Organisation Name: Question Types of evidence Yes No Comments Does your organisation have a safeguarding statement agreed by senior management. Copy of statement Statement promoted to stakeholders Promoted on web site Does your organisation have written procedures for recruitment and selection of staff and volunteers? Is your organisation registered with Access NI. Written job description Written application form to include request for references and self declaration. Record of interview Follow-up on written references Date of certificate and name of registered person/s (Please provide information in comments) Is your organisation registered with an umbrella body to obtain Access NI checks. Are all staff and volunteer appointments subject to the appropriate safeguarding checks and these are properly recorded. Does your organisation provide Safeguarding training for Designated Officer, staff and volunteers? Does your organisation regularly re-evaluate and update your safeguarding training and education? Does your organisation have written procedures for reporting child protection concerns, disclosures and allegations? Are the procedures for reporting concerns communicated to staff and volunteers? Name of the umbrella body that conducts Access NI checks on your behalf(please provide name of body in comments) Access NI reference check recorded Written list of roles that are regulated within the organisation Proof of ID request Written list of information provided to staff on induction. Copy of letters/memos/certificate outlining safeguarding training provided to staff. Data-base of those trained Learning outcomes from safeguarding training. Name of designated Safeguarding Officer (Please provide name of body in comments) Copy of letters/memos/certificate outlining Safeguarding training provided to staff. Written procedures for reporting concerns to Designated Officer and statutory services Pro formas/written guidance. Confirmation from staff (especially recently recruited) that they have received safeguarding training and written reporting procedures 5

6 Does your organisation have an open complaints process that includes guidelines on a disciplinary process? Does your organisation have written procedures for Designated Officers? Are the contact details of Designated Officers communicated to staff/volunteers? Copy of complaints, disciplinary and appeals process. Evidence of how this is communicated to stakeholders Written documents stating the name and up to date contact details of Designated Officers.(Please name Designated Safeguarding Officer(s)in comments) Written evidence to support that staff, members and volunteers are aware of who to contact and how. Confirmation from staff/volunteers Do you have a written Code of Behaviour? Do you have a written Safeguarding policy and procedures, endorsed and approved by Management Board? Do you communicate your Safeguarding policy statement to staff/volunteers/children/ young people/ vulnerable adults and parents? Written Code of Behaviour Evidence this is communicated to all stakeholders Written Policy Statement and associated procedures Please advise when last reviewed and updated. Confirmation from staff/ volunteers/ children/ vulnerable adults and parents that they received a copy or know where to access the policy SAFEGUARDING CHECKLIST COMPLETED BY: Authorised Signature Date Position in Organisation... Please refer to the Arts Council s Child Protection Best Practice Guidelines For Arts Organisations to ensure your own guidelines and policy represent good practice in relation to working with children. Please see the Arts Councils web site, from the Home page click on About the Arts then click on Youth Arts, see Publications and Information for a link to the Child Protection Best Practice Guidelines. Protection.pdf 6

7 BENEFICIARIES - Telling Us About The People Who Will Benefit from this project For each question the main group to benefit, means: comprises more than 60% of that group 1. Persons with a Disability The Disability Discrimination Act defines a disabled person as someone with a disability or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities. The main group to benefit: People with a Disability People without a Disability People with a Disability and People without a Disability 2. Men and Women Women (including girls) Men (including boys) Transgendered people Both women and men 3. Persons with Dependants We understand people with dependants to be those with personal responsibility for the care of a child, the care of a person with an incapacitating disability and/or the care of a dependant elderly person. People with dependants People without dependants People with dependants and people without dependants 7

8 4. Religious Belief Protestant Catholic Both Protestant and Catholic communities Buddhist Hindu Islam / Muslim Jewish Sikh Other Religious Belief 5. Political Opinion Nationalist generally Unionist generally Other 6. Racial Group Black African Black Caribbean Other Black Background Indian Pakistani Bangladeshi Other Asian Background Chinese Mixed ethnic group Irish Traveller White Other (Please specify) 7. Marital Status 8

9 Married Unmarried Divorced Separated Widowed 8. Sexual Orientation Gay people Lesbian people Heterosexual people Bisexual people 9. Age Under 16 Aged Aged Aged Over 65 9

10 TELL US ABOUT THE MAKE UP OF YOUR BOARD/MANAGEMENT COMMITTEE For each question mainly comprise, means more than 60% 1. Persons with a Disability The Disability Discrimination Act defines a disabled person as someone with a disability or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities People with a Disability People without a Disability People with a Disability and People without a Disability 2. Men and Women Women (including girls) Men (including boys) Transgendered people Both women and men 3. Persons with Dependants We understand people with dependants to be those with personal responsibility for the care of a child, the care of a person with an incapacitating disability and/or the care of a dependant elderly person. People with dependants People without dependants People with dependants and people without dependants We are unable to specify 10

11 4. Religious Belief Protestant Catholic Both Protestant and Catholic communities Buddhist Hindu Islam / Muslim Jewish Sikh Other Religious Belief We are unable to specify 5. Political Opinion Nationalist generally Unionist generally Other We are unable to specify 6. Racial Group Black African Black Caribbean Other Black Background Indian Pakistani Bangladeshi Other Asian Background Chinese Mixed ethnic group Irish Traveller White Other (Please specify) We are unable to specify 11

12 7. Marital Status Married Unmarried Divorced Separated Widowed We are unable to specify 8. Sexual Orientation Gay people Lesbian people Heterosexual people Bisexual people We are unable to specify 9. Age Under 16 Aged Aged Aged Over 65 We are unable to specify 12

13 SECTION SIX ENCLOSURES Applicants in receipt of awards under the Arts Council s Annual Funding Programme 2013/14, who submitted the documents listed below for the Arts Council Masterfile and have not amended the documents since they were submitted, do not have to provide the following documents: 1) Constitution and/or Memorandum and Articles of Association 2) Organisation s Child Protection Policy (if applicable) 3) Organisation s Equal Opportunities Policy All other organisations must submit the required documents. If you fail to submit the necessary documentation or fail to provide a statement indicating why it is not applicable, you will be contacted and asked to respond within five working days. Failure to respond within the deadline will render your application ineligible. tick if enclosed Document Copy of Constitution and/or Memorandum and Articles of Association (signed and dated as adopted) Copy of your Equal Opportunities Policy/Statement (signed and dated as adopted). This policy must be a separate document. It is not the clause in your constitution and it is not the one page equality statement within the application form. Copy of Child Protection Policy (if applicable, signed and dated as adopted). This policy must be a separate document. It is not a clause in your constitution and it is not the one page Child Protection Policy statement within the application form. Completed Safeguarding Checklist (if applicable). Due to changes in Government legislation, all organisations dealing directly with children, young people and vulnerable adults MUST complete and return the Safeguarding Checklist. This document is additional to your organisation s child protection policy. Detailed description of THIS project (See Introduction Notes) Details of how your project meets the Public Art Programme criteria (See Introduction Notes) Detailed income and expenditure budget for THIS project Copy of the organisation s income and expenditure budget for the financial year in which the project will happen Copy of most recent certified or audited accounts (signed and dated as adopted). These should be to a date at most 9 months prior to the date of your application. If this is not available please provide the most recent certified or audited accounts (signed and dated as adopted) AND the most recent set of management accounts (signed and dated as adopted), which should be within the specified period. Details of premium payment costs, if applicable Copies of any available letters of offer from partnership funders or sponsors Artist s brief for this project (see p.9 of the introduction). Chosen artist s/s cv and details of selection process (if artist has already been selected). Please ensure you enclose the original application form and enclosures. 13

14 SECTION SEVEN - PUBLICITY, OPENNESS AND ACCOUNTABILITY Publicity Full listings of all the grants we award are published in our Annual Report and on our website. You will be required to acknowledge Arts Council of Northern Ireland funding in all your publicity. Failure to credit the Arts Council of Northern Ireland will affect payment of your grant. Images submitted in support of your application may be stored electronically by us. If we later seek to use these for publicity purposes, we will contact you in order to obtain permission to do so. Openness and accountability Under the Freedom of Information Act 2000 any information held by us (which will include your application) is potentially accessible by the public. Information supplied by you will be held in manual files. It will then be summarised and details transferred to a computer-based grants management system. Reports from the information you supply and from comments made on your application by external assessors and staff members are likely to be held on both manual and computer-based systems. The information you supply will be made available to those assessing any other grant applications you make. By submitting your application you waive any right to raise any type of proceedings against the Arts Council of Northern Ireland as a consequence of, or in contemplation of, any disclosure of the contents of your application in response to an information request made under the Freedom of Information Act Data protection Data held on our grants management system is used for of the following purposes; statistical reporting, application assessing, accounting purposes and for contacting you. The details of your grant will be public information (see Openness and Accountability). However, your personal details will be held within our grants management system and our paper files, and accessed only by our staff, appointed auditors and individuals or organisations who may help us assess or monitor grants. You have a right under the Data Protection Act 1998 to access the data held on you by Arts Council of Northern Ireland. We view your signature on your application form as acceptance of the use of your data as outlined above. Please note that if you deliberately give any false or misleading information, we will withdraw your application or, if a grant has already been awarded, ask you to pay back any money we have given you. This will also have implications for any future applications you may submit. 14

15 SECTION EIGHT - APPLICANT S STATEMENT Please complete the section below to authorise your application. The Chair of the organisation or a committee member should sign this declaration and the most senior employee or one other committee member must witness it. I confirm that I am authorised to sign this declaration on behalf of (organisation) and that, to the best of my knowledge and belief, all the information supplied on this form, and any accompanying documents, is true and accurate. I undertake immediately and fully to inform the Arts Council of Northern Ireland if any changes in circumstances require the application to be amended. I confirm that the following documents, submitted/ confirmed for the Arts Council Masterfile, have not been altered since they were originally submitted: Copy of Constitution and/or Memorandum and Articles of Association Copy of your organisation s Equal Opportunities Policy Copy of your organisation s Child Protection Policy (if applicable) I confirm that we remain committed to the principals outlined in Section 5; Equality of Opportunity and Good Relations Commitment Child Protection Policy Statement I confirm that the person named at Section 1 is authorised to act as the contact for the organisation in all matters relating to this application. Name (Chair or committee member): Designation: Signature: Date: Name (Senior employee or second committee member) Designation: Signature: Date: The information provided on this form may be available to other departments/agencies for the purposes of preventing or detecting fraud. If you knowingly falsify information on the application form, payments will be stopped and you will have to repay grants already received. REMEMBER TO KEEP A COPY OF THE APPLICATION FORM AND ENCLOSURES FOR REFERENCE. 15