Artist Representation Agreement by dwf91931

VIEWS: 88 PAGES: 17

Artist Representation Agreement document sample

More Info
									  Culture Liverpool
  Creative Grants

            Please read the following carefully before completing this monitoring form

Culture Liverpool has produced the following document to collect information from all events, activities
and projects. It will enable a comprehensive review of all achievements so that the impacts can be
measured and evaluated.

This monitoring form has been split into seven sections:

    Section 1 – About You
    Section 2 – About Your Project
    Section 3 – Income & Expenditure
    Section 4 – Beneficiary Details
    Section 5 – Participant Analysis
    Section 6 – Evaluation
    Section 7 – Authorisation

Please work your way through each section providing accurate information. It is possible that some
questions may not be relevant to you so please indicate with 'N/A' rather than just leaving it blank.
Similarly, please make sure that if the response to a question is zero then please enter ‘0’ so that we
know the question has been answered.

It is accepted that in some cases delivery or your experiences may not have happened as originally
planned. It is important that you only provide information that is truly representative of your activity, as
misinformation will distort the impact and the lessons learnt. If you have any problems or concerns
regarding this monitoring form then please discuss them with your key contact from within Culture
Liverpool, they will be happy to assist.

Finally, this form should be completed by the original project applicant or a senior member of your
organisation who has been involved with the delivery of the project / event, together with the person
responsible for finance information.

Please Note: Volunteers or temporary members of staff should not complete this form

Completed forms must be both emailed and posted back to the Culture Liverpool. Hard copies must be
signed and they must include copies of all financial evidence (invoices, receipts, wages, etc) to support
your claim, together with digitalised and photographic representation of your project.
SECTION 1 - ABOUT YOU                                                                       Creative Grants

                    Reference No,:                                          << Mandatory Information
           Project / Activity Name:
              Organisation Name:
           Primary Contact Name:
                           Address:


                      Town / City:
                         Postcode:
                           Tel. No.:                                       Fax No.:
                    Contact Email:
                  Website Address:

1.1 Please choose the Primary Ward where you or your organisation are based?
    (A map of Liverpool’s Wards has been included for your assistance)

               Primary Base Ward:
                                        Click on the above green box and choose from the dropdown list


1.2 Please choose the Quarterly Claim Period applicable to this claim?

           Quarterly Claim Period:
                                        Click on the above green box and choose from the dropdown list


1.3 For Office Use Only >>>

                    Date Received:                                         << dd/mm/yyyy
               Programme / Team:                                         << Click on the green box and choose from
               Lead Officer Name:                                                     the dropdown list
            Total Funding Offered:
                SAP Budget Code:
       Has The Data Been Verified:                                          << Yes / No
                  Data Verified By:                                         << Please enter the verifiers name
                   Verifier Tel. No.:                                       << Please enter the verifiers Tel. No.

    What funding category does this project / event belong to?

                Funding Category:
                                        Click on the above green box and choose from the dropdown list
SECTION 2 - ABOUT YOUR PROJECT                                                                        Creative Grants

2.1 When was your project / event:                Start Date (dd/mm/yyyy):                    End Date (dd/mm/yyyy):

2.2 Please enter 'Yes' against the Wards that your project / event predominately intends to reach.
    If your project was to benefit residents across the Liverpool area then please choose 'City Wide'                    Enter
    (A map of Liverpool’s Wards has been included for your assistance)                                                   'Yes'
    Allerton & Hunts Cross                     Everton                                Princes Park
    Anfield                                    Fazakerley                             Riverside
    Belle Vale                                 Greenbank                              Speke Garston
    Central                                    Kensington & Fairfield                 St Michael's
    Childwall                                  Kirkdale                               Tuebrook & Stoneycroft
    Church                                     Knotty Ash                             Warbreck
    Clubmoor                                   Mossley Hill                           Wavertree
    County                                     Norris Green                           West Derby
    Cressington                                Old Swan                               Woolton
    Croxteth                                   Picton                                 Yew Tree
                                                                                      City Wide

2.3 Which of the following genre best describes your project / event?                                                     Enter
    If more than one type is relevant, PLEASE CHOOSE NO MORE THAN THREE CHOICES,                                        Numbers
    numbering them from 1 to 3 in order of importance (1 for the most important)                                         1, 2 & 3
    Combined Arts (including Carnivals and Festivals)
    Dance
    Theatre & Drama (including Street Arts & Circus Arts)
    Literature (including Talkfest)
    Music
    Visual Arts (including Film, Live Art, Media Arts and Craft & Design)
    Other / None of the above
                                              Please describe the 'Other' project or event in the above green box
2.4 Which of the following best describes your project / event?                                                   Enter
    (Please enter 'Yes' against all the descriptions that apply)                                                  'Yes'
    Non ticketed large public event
    Ticketed large public event
    Community orientated event
    Mainly targets local audience
    Mainly targets regional / national audience
    Mainly press orientated event
    Fireworks / son et lumiere
    Heritage
    Community Arts
    Conferences
    None of the above

2.5 Does your project / event specifically target any of the following participant groups?                        Enter
    (Please enter 'Yes' against all the participant groups that apply)                                            'Yes'
    Asian or Asian British
    Black or Black British
    Chinese
    Irish
    Disabled, deaf or people living with a long term illness
    Gay, Lesbian, Bisexual or Transgender
    Male
    Female
    Doesn’t target any specific participant groups
    Other
                                                Please describe the 'Other' target group in the above green box
2.6 Did you get any media reviews?
    (If you answer 'Yes', please provide a copy of the media reviews)

                Media Reviews:                    << (Yes / No)
                                 Click on the above green box and choose from the dropdown list


2.7 Did you collect customer satisfaction samples / questionnaires?
    (If you answer 'Yes', please provide a copy of the questionnaire & the results)

               Questionnaires:                    << (Yes / No)
                                 Click on the above green box and choose from the dropdown list


2.8 Was this project / event commissioned specifically for Liverpools Year of the Environment?

      Year of the Environment:                    << (Yes / No)
                                 Click on the above green box and choose from the dropdown list
SECTION 3 - INCOME & EXPENDITURE                                                                            Creative Grants

Please provide details about all sources of income and expenditure relating to this particular project / event.

 3.1 Income
     Income Source                                                                                                 £
     Culture Liverpool                                                                                                          0
     Arts Council England, North West                                                                                           0
     Liverpool City Council                                                                                                     0
     ERDF                                                                                                                       0
     NWDA                                                                                                                       0
     Sponsorship                                                                                                                0
     Trusts & Foundations                                                                                                       0
     Donations / Individual Giving                                                                                              0
     Tickets / Sales                                                                                                            0
     Other (Please specify in the green boxes shown below)                                                         £
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                           Income Total:                        0

 3.2 Expenditure
     Project / Event Costs (please specify in the green boxes below, e.g. wages, materials etc.)                   £
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                                                                0
                                                                                      Expenditure Total:                        0

                                                Totals Ok ... Income = Expenditure

 3.3 VAT Status

     Is your organisation registered for VAT?
                                                                                            (Yes / No) >>

     If yes, do you intend to claim back VAT against the expenditure incurred and claimed on this
     project?
                                                                                         (Yes / No) >>

                                  Click on the above green boxes and choose from the dropdown list


Please note the following that:

    The income and expenditure totals should be the same
    The information provided here should be based on the information in your funding agreement
    The total project income and expenditure should be shown, e.g. the total Culture Liverpool grant awarded, not just
     the 80% first instalment
    All financial records (e.g. invoices, receipts, bank statements) relating to the project must be retained by you (or the
     applicant) in accordance with the signed funding agreement
    The above information should be available for inspection by Culture Liverpool, Liverpool City Council, or the source
     funder upon their request
    Proof of expenditure (e.g. copies of invoices, receipts, bank statements) must be submitted with this form
   If requested, all expenditure should be itemised on the supplied expenditure spreadsheet
SECTION 4 - BENEFICIARY DETAILS                                                                          Creative Grants

4.1 In this section please tell us how many people were involved in and / or benefited from your project.

     Please tell us the total number of artists by type that were involved in your project?
     (This should include the paid artists listed in Question B)
     Artist Type                                                                                         Total Achieved
       1 Total local professional artists                                                                                  0
       2 Total national professional artists                                                                               0
       3 Total international professional artists                                                                          0
       4 Total non-professional artists                                                                                    0
 A                                                                            Total Number Of Artists:                     0

     Explain how you achieved your targets and identify what evidence is collected to substantiate them?




     Please tell us by type the number of paid artists who were involved in your project?
     Paid Artist Type                                                                                    Total Achieved
       1 Paid local professional artists                                                                                   0
       2 Paid national professional artists                                                                                0
       3 Paid international professional artists                                                                           0
       4 Paid non-professional artists (see description under Section 5)                                                   0
 B                                                                    Total Number Of Paid Artists:                        0

     Explain how you achieved your targets and identify what evidence is collected to substantiate them?




     Please tell us how many other people (non artists) were involved in the delivery of your project?
                                                       Total Number Of Non Artists / Other People:                         0

     Explain how you achieved your targets and identify what evidence is collected to substantiate them?
 C




     Please tell us the number of people who took part in workshops?
     (This should include workshops, seminars, conferences, lessons, classes and any other form of education,
     training or taking part)
                                            Total Number Of People Who Took Part In Workshops:                             0

 D   Explain how you achieved your targets and identify what evidence is collected to substantiate them?
    Please tell us the audience size breaking it down using the following categories?
    (This should not include PRBI audiences listed in Question F)
    Category Type                                                                                      Total Achieved
      1 Performances                                                                                                    0
      2 Exhibitions                                                                                                     0
      3 Workshops                                                                                                       0
      4 Other Activities (please specify the 'Other Activities' in the green box below)
E                                                                                                                       0
                                                                               Total Audience Size:                     0

    Explain how you achieved your targets and identify what evidence is collected to substantiate them?




    Please tell us the audience size for work that is printed, recorded, broadcast or on the internet (PRBI)?
    (This should not include marketing materials and should not include audiences listed in Question E)
                                                                           Total PRBI Audience Size:                    0


F   Explain how you achieved your targets and identify what evidence is collected to substantiate them?




    Please tell us the total number of events breaking them down using the following categories?
    Category Type                                                                                      Total Achieved
      1 Performances                                                                                                    0
      2 Exhibitions                                                                                                     0
      3 Workshops                                                                                                       0
      4 Other Activities                                                                                                0
G                                                                        Total Number Of Events:                        0

    Explain how you achieved your targets and identify what evidence is collected to substantiate them?




    Please tell us the total number of days that artists were employed?
    (This should include all artists listed in Question A)
                                                                 Total No. Of Days Artists Employed:                    0
    Please calculate the above total using the formula shown below:
    No. of Artists x No. of Days each person was employed
H
    Explain how you achieved your targets and identify what evidence is collected to substantiate them?
    Please tell us the total number of workshop sessions that individuals attended for education, training or taking
    part?
                                                                  Total No. Of Attended Sessions:                      0

    Please note that there are 3 sessions per day (morning, afternoon & evening).
    An individual could therefore attend more than 1 session up to a maximum of 3 per day.
I
    Explain how you achieved your targets and identify what evidence is collected to substantiate them?




    Did people pay to attend your event?

                                                      << (Yes / No)
                                      Click on the above green box and choose from the dropdown list

J   Explain how you achieved your targets and identify what evidence is collected to substantiate them?




    If people paid to attend your event, how many tickets were sold and what was the average ticket price?
    Event Charges                                                                                    Total Achieved
       1 No. of Tickets Sold                                                                                        0
       2 Average Price                                                                          £                0.00
                                                        Total Income Generated By Ticket Sales: £                0.00
K
    Explain how you achieved your targets and identify what evidence is collected to substantiate them?
SECTION 5 - PARTICIPANT ANALYSIS                                                                                              Creative Grants

Please read the following definitions before you complete this section:

                          L       This should include all professional local artists engaged in your project and equal the total at 4.1 A1
                          N       This should include all professional national artists engaged in your project and equal the total at 4.1 A2
          Artists:        I       This should include all professional international artists engaged in your project and equal the total at 4.1 A3
                                  This should include all others involved in an artistic/creative capacity in your project, who are not professional
                          O
                                  artists (eg. performers from the community) and equal the total at 4.1 A4
                     This should be the number of people who attended workshops (including seminars, conferences, lessons, classes and any other
       Delegates:
                     form of education, training or taking part) and should equal the total at 4.1 D
                     This should be the number of people who provided services to your project, but were not paid a wage, and could include some
      Volunteers     from 4A and some from 4C
     Contractors:    This should be the number of paid staff who worked on your project, but who are not artists
                     This column must not include the audience, but should record the number of people involved in your activity outside of the
       All Others:
                     previous categories
5.1 Ethnicity                                 Artists                                               (Paid Staff)       All
                                  L       N             I       O       Delegates       Volunteers Contractors       Others       Total
    White British                     0        0            0       0               0             0              0            0           0
    White Irish                       0        0            0       0               0             0              0            0           0
    White Other                       0        0            0       0               0             0              0            0           0
    White & Black Carribean           0        0            0       0               0             0              0            0           0
    White & Black African             0        0            0       0               0             0              0            0           0
    White & Asian                     0        0            0       0               0             0              0            0           0
    Mixed Other                       0        0            0       0               0             0              0            0           0
    Asian British                     0        0            0       0               0             0              0            0           0
    Indian                            0        0            0       0               0             0              0            0           0
    Pakistani                         0        0            0       0               0             0              0            0           0
    Bangladeshi                       0        0            0       0               0             0              0            0           0
    Chinese                           0        0            0       0               0             0              0            0           0
    Asian Other                       0        0            0       0               0             0              0            0           0
    Black British                     0        0            0       0               0             0              0            0           0
    Carribean                         0        0            0       0               0             0              0            0           0
    African                           0        0            0       0               0             0              0            0           0
    Somali                            0        0            0       0               0             0              0            0           0
    Yemen                             0        0            0       0               0             0              0            0           0
    Nigerian                          0        0            0       0               0             0              0            0           0
    Black Other                       0        0            0       0               0             0              0            0           0
    Other Ethnic Minorities           0        0            0       0               0             0              0            0           0
    Not Known                         0        0            0       0               0             0              0            0           0
                         Total:       0        0            0       0               0             0              0            0           0

5.2 Gender                                    Artists                                               (Paid Staff)       All
                                  L       N             I       O       Delegates       Volunteers Contractors       Others       Total
    Male                              0        0            0       0               0             0              0            0           0
    Female                            0        0            0       0               0             0              0            0           0
    Not Known                         0        0            0       0               0             0              0            0           0
                        Total:        0        0            0       0               0             0              0            0           0
5.3 Disability                                 Artists                                                 (Paid Staff)     All
                                   L       N             I       O       Delegates       Volunteers    Contractors    Others       Total
    Disabled, deaf or living
    with a long term illness           0        0            0       0               0             0              0            0           0
    Not disabled, deaf or living
    with a long term illness
                                       0        0            0       0               0             0              0            0           0
    Not Known                          0        0            0       0               0             0              0            0           0
                         Total:        0        0            0       0               0             0              0            0           0

5.4 Age Range                                  Artists                                               (Paid Staff)       All
                                   L       N             I       O       Delegates       Volunteers Contractors       Others       Total
    Children Under 5 yrs               0        0            0       0               0             0              0            0           0
    Children 5 - 11 yrs                0        0            0       0               0             0              0            0           0
    Young People 12 - 15 yrs           0        0            0       0               0             0              0            0           0
    Young People 16 - 19 yrs           0        0            0       0               0             0              0            0           0
    Young People 20 - 24 yrs           0        0            0       0               0             0              0            0           0
    Adults 25 - 64 yrs                 0        0            0       0               0             0              0            0           0
    Adults 65 yrs & over               0        0            0       0               0             0              0            0           0
    Not Known                          0        0            0       0               0             0              0            0           0
                         Total:        0        0            0       0               0             0              0            0           0

5.5 Sexual Orientation                         Artists                                                 (Paid Staff)     All
                                   L       N             I       O       Delegates       Volunteers    Contractors    Others       Total
    Gay, Lesbian, Bisexual or
    Transgender                        0        0            0       0               0             0              0            0           0
    Heterosexual                       0        0            0       0               0             0              0            0           0
    Other                              0        0            0       0               0             0              0            0           0
    Not Known                          0        0            0       0               0             0              0            0           0
                       Total:          0        0            0       0               0             0              0            0           0
5.6 Type of Work                             Artists                                                (Paid Staff)     All
                                 L       N             I       O       Delegates       Volunteers   Contractors    Others       Total
    Manual workers /
    unemployed or retired            0        0            0       0               0            0              0            0           0
    Non-manual workers and
    professionals                    0        0            0       0               0            0              0            0           0
    Not Known                        0        0            0       0               0            0              0            0           0
                        Total:       0        0            0       0               0            0              0            0           0
SECTION 6 - EVALUATION                                                                       Creative Grants

6.1 Did you complete your own evaluation?

        Completed Own Evaluation:                     << (Yes / No)
                                      Click on the above green box and choose from the dropdown list

     If the answer is 'Yes' then please attach a copy of the evaluation and move directly to Section 7,
     otherwise continue to the next question.


6.2 What feedback have you received about your project?




6.3 Did the project bring up any problems within your organisation and how did you solve them?
    Problem / Issue


 A
     Solution



     Problem / Issue


 B
     Solution



     Problem / Issue


 C
     Solution




6.4 Have you learned anything useful that might benefit your organisation in the future?
6.5 Did your project happen as originally intended? (please provide detail)
SECTION 7 - AUTHORISATION                                                                           Creative Grants

  Thank you for taking the time to complete this form. The information supplied will be essential in helping us to assess
  the overall impact of your project and will contribute towards a wider evaluation. Please take time to now check your
  responses and refer to the checklist shown below to make sure that you have not forgotten anything.


  Checklist - Please make sure that:
     You have completed the form in full.

     Proof of expenditure in the form of invoices and receipts or bank statements is supplied.

     Digitised and photographic representation of your project or event is supplied with appropriate
      consents in place for use in Culture Liverpool documents and publicity.
     Copies of all publicity materials, media reviews, press releases, evaluations, customer satisfaction
      forms as requested have been provided.


  Please sign this form to confirm that the information supplied is correct to the best of your knowledge. In addition,
  projects directly funded by Culture Liverpool will need to ensure that the information also meets the requirements
  detailed in the terms and conditions of their contract / funding agreement as signed by you or your organisation.


                       Signed:                                                         Date:
                                                                                                    (dd/mm/yyyy)
       (Block Capitals) Name:

               Position Held:


  Please return your fully completed monitoring form to:
  Culture Liverpool
  3rd Floor, Millennium House
  Victoria Street
  Liverpool
  L1 6JH

  If you need assistance in completing this monitoring form then please contact:
  Sean Durney
  Cultural Infrastructure Officer
  Tel: 0151 233 6839

								
To top