Town Hall Galleries
Cornhill, Ipswich
IP1 1DH
01473 432863
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DIRECTORY OF ARTISTS APPLICATION FORM

ELIGIBILITY FORM

If you answer “yes” to THREE of these questions then you are eligible to become part of the
DIRECTORY OF ARTISTS for professional artists in East England
(you don’t have to tick them all!)
The answers you supply here will not be used in your pages.

 
PLEASE TICK
Are you educated to degree level in an art related course?
If yes, please explain in brief  
 
   
Have you received one or more public body, corporate or private commissions?
If yes, please explain in brief  

 
   
Have you undertaken one or more residency?
If yes, please explain in brief  
 
   
Have you received one or more prizes, awards or bursaries for professional practice?
If yes, please explain in brief  
 
   
Have you had two or more exhibitions, and/or public installations and/or public performances (not including a degree show)?
If yes, please explain in brief  
 
   
Have you had your work reviewed or featured in an art journal, magazine or newspaper?
If yes, please explain in brief  
 
   
Have you had your work purchased for public/private collections?
If yes, please explain in brief  
 
   
Have you had your work available for sale through one or more commercial galleries
(not your own studio or gallery) or agents?
If yes, please explain in brief  
 
   
Have you got experience of leading art activities for groups?
If yes, please explain in brief  
 
   
You have not finished yet! Now please complete the application form below

APPLICATION FORM
Before completing this form, please complete the eligibility form above

Please note, content may be subject to editing
*required fields
Contact Details (for our use)
Name*:
Address*:
Telephone:
   
Information for Directory
Contact email*
Date of Birth
Website

Artforms * (please tick one or up to three if appropriate)

Artist’s Books Automata/ mechanical
Ceramics Design/ graphics
Digital Furniture/ woodwork
Illustration/ Cartoon Installation
Jewellery Live art/ performance
Painting Prints
Photography Sculpture
Sound/ audio Video/film
Fashion/ Textiles    

Career Path * (Please limit the information to fit into the space below)
Please include details of your education, bursaries, training, awards and membership of
organisations which relate to your professional practice.

Selected Activities *
Please list up to ten recent exhibitions/ relevant work, e.g. educational activities etc/
residencies/ commissions

Title, place and type of activity Date

Statement about your work * (250 words max)

IF YOU HAVE WORKED WITH GROUPS, PLEASE ANSWER THE FOLLOWING QUESTIONS :

What age do you have experience of working with?

Under 5
5-7
7-11
11-16
16-18
18+
Family
Elderly

Do you have experience working with special needs? (Please tick)

Learning disability
Physical disability

Please describe in brief

EQUAL OPPOTUNITIES MONITORING FORM

Ipswich Borough Council is committed to a policy of Equal Opportunities.
In order to monitor the operation of this policy, it is necessary to collect certain key information
to be used solely for the purposes of monitoring.
The information will be held and processed on computer in accordance with the Data Protection Act.

Male Female

Date of Birth

Ethnic Origin

Black African
Black Caribbean
Bangladeshi
Chinese
Indian
Irish
Pakistani
White
Asian Other
Black Other
Other
Please specify:  

Do you have a physical or mental impairment that has a substantial and
adverse effect on your ability to carry out normal day-to-day activities?

Yes
No


TERMS AND CONDITIONS

PLEASE READ THESE TERMS AND CONDITIONS
CAREFULLY AND TICK THE BOX TO CONFIRM
YOU HAVE READ AND AGREE TO ABIDE BY AND BE BOUND
BY THE FOLLOWING:

I confirm I have read the terms and conditions
below and agree that they form the agreement
between myself and Ipswich Borough Council

Please tick

ARTISTS’ TERMS AND CONDITIONS

1. A listing on the DIRECTORY OF ARTISTS is open and free to all practising professional visual artists who
complete the necessary Application Form(s) and submit these to Ipswich Borough Council (‘the
Council’) along with evidence of status reasonably required by to be part of the Directory. The Council
reserves the right to refuse any application without giving reasons.

2. The Council may change the eligibility and application requirements at any time without giving notice.

3. The Council reserves the right to remove, exclude or edit any material supplied by you for the
Directory without giving reasons. The Council also reserves the right to remove whole artists’ entries on
the site if it deems it necessary.

4. The visuals or other materials or extracts or any part of them that you supply for the Directory may
be used by the Council in one or more of the following ways, and you will not receive any payment from
the Council for those uses: on the internet, any other electronic or non electronic form or medium
determined by the Council, reproduction of any materials for the purpose of promoting the Directory or
the work of the Visual Arts Ipswich and for educational purposes.

5. You confirm that you are the owner(s) of the copyright and other like rights in the images supplied to
the Council or (if not the case) that you are authorised by the copyright owner(s) and grant the Council
the licences to use them.

6. The Council cannot be responsible for any errors omissions or inaccuracies in the content of the
directory.

7. The Council does not guarantee that you will be credited whenever materials are reproduced or
published in association with the directory.

8. The Council can accept no responsibility for any unauthorised use or reproduction of materials by
third parties.

9. You may request the Council via Visual Arts Ipswich to remove your entry or any Materials from
the directory by giving at least 30 days notice in writing at any time. The Council does not guarantee
that information held in the public domain (e.g. on Internet search engines) which refers to your material
being on the directory is removed at the same time.

10. The Council may make any reasonable changes to these Terms and Conditions at anytime without
giving notice to you.

11. These Terms and Conditions will be governed by English law.



DATA PROTECTION

1. Ipswich Borough Council will use and process the personal data supplied by you for the
purpose of maintaining and operating the Directory. This includes your contact details and
other information comprised in the materials, [including ‘sensitive personal data’ comprising
information on race and ethnic origin which is optional but which the Council via Visual Arts Ipswich collects in order to monitor compliance with anti-discrimination legislation and which
may be relevant for certain Directory users]

2. All the Materials supplied by you on Registration and subsequently will be available for
public access on the Directory including Artists’ email addresses, but excluding Artists’
addresses and telephone numbers.

3. Ipswich Borough Council via Visual Arts Ipswich may contact Artists from time to time to
inform them of work opportunities and to keep them informed about Visual Arts Ipswich.

4. From time to time Ipswich Borough Council may also pass Artists’ contact details to
selected third parties who may wish to contact Artists by telephone, post or email with details
of products or services which Ipswich Borough Council considers may be of interest to you

If you do not wish Ipswich Borough Council to pass your details to third parties for this purpose, please tick the box below or contact us at any time by telephone email or letter

5. By submitting the Application Form, Artists consent to the processing of their personal data
as stated above.



DON’T FORGET TO SEND IMAGES!

Up to four images of your work will be included on the site.
Please attach digital images to the email address below.
The images MUST be clearly captioned with your name, the title and the date of the work.

Email images to visualarts@ipswich.gov.uk

Any images sent will only be returned
if accompanied with a stamped address envelope

Please send images/ CD to
DIRECTORY OF ARTISTS
Visual Arts Ipswich
The Town Hall Galleries
Cornhill
Ipswich
IP1 1BH

 

Town Hall Galleries ©2009