| The Clore Leadership Programme

Thank you for considering hosting a Clore Fellow on secondment between December 2022 and March 2023. We will be discussing secondment options with the Fellows in September and so if you would like to be involved we would be grateful if you complete the form below to provide us with a brief outline of your proposal by 27 August 2022 at the latest. We would then aim to get back to you in October/November 2022.

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Name of Host Organisation *

Name of contact in Organisation *

Contact email *

Contact telephone number *

Are you interested in hosting Clore Fellow on Secondment ? *

Yes

No

Possibly another year

If interested, do you have a Project in mind or would you prefer to speak to the Fellow and see what could possibly work? *

I have a project in mind ( see below )

I'm interested in speaking to the Fellow to see what could work.

Can the Fellow contact you directly to discuss the possible secondment? *

Yes

No

Organisation Background *

Project Description *

Please describe the potential leadership experiences / learning outcomes that the secondment will provide *

Nature of Secondee's role *

Please describe flexibility of role location, is there scope for off site working etc. *

Preferred timescale in weeks/months *

Preferred timing of Fellowship between December 2022 and March 2023 *

Full time/part time *

Full time

Part time

Any other comments

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Thank you for your support of a Clore Leadership Fellowship or course bursary. To help us ensure that the information we provide to applicants is as clear, detailed and factually correct as possible, we ask that you please complete this form.

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1. Name of funder:

Please list this as it should be credited in application/ coms materials.

2. Funder contact name:

3. Funder contact email:

4. Eligibility of role of applicants

Please select all of the applicant groups who would be considered eligible.

Other - please list.

6. Eligible and targeted applicant groups

Please tell us about any /all groups that your support is targeted at or who are solely eligible for your support. Please leave if not applicable.

	Targeted (prioritisation given to these applicants at moderation)	Solely eligible
D/deaf disabled or neurodivergent applicants	D/deaf disabled or neurodivergent applicants - Targeted (prioritisation given to these applicants at moderation)	D/deaf disabled or neurodivergent applicants - Solely eligible
Black, Asian and ethnically diverse applicants	Black, Asian and ethnically diverse applicants - Targeted (prioritisation given to these applicants at moderation)	Black, Asian and ethnically diverse applicants - Solely eligible
Those facing financial hardship	Those facing financial hardship - Targeted (prioritisation given to these applicants at moderation)	Those facing financial hardship - Solely eligible
Other	Other - Targeted (prioritisation given to these applicants at moderation)	Other - Solely eligible

Other - please detail.

7. Geographic eligibility

Please tell us about any geographical eligibility criteria to your support. Please be as specific around your requirements as possible (As examples: 'living and working in X area', or 'a track record of working in X area evidenced by a work period of X amount of time').

8. Support for attendance costs (travel, accomm)

Are you able to consider additional financial support for costs associated with attending the course? (E.g. travel, additional hotel stay for those with longer journeys, access costs or childcare). Please provide details as applicable.

9. Other eligibility criteria

Please detail of any other eligibility criteria specific to your funding (E.g. length or type of professional work/ experience).

10. Please tell us about any specific exclusions to your funding.

11. Decision making process and sign off

Applications to courses and Fellowships are processed through a standardised application, assessment and moderation process which includes external assessment, and a final moderation process to confirm a final cohort that is representative of artform, lived experiences, regional representation as well as meeting any relevant funding eligibility. Where your funding necessitates approval of candidates at any stage of the application process (E.g internal applicants for employer funded schems, or approval of lead applicant employer organisation) please tell us your requirements:

	Yes	No
Review anonymised applicant list pre cohort moderation (course bursaries only)	Review anonymised applicant list pre cohort moderation (course bursaries only) - Yes	Review anonymised applicant list pre cohort moderation (course bursaries only) - No
Notification of proposed bursary awardees needed after moderation (course bursaries only)	Notification of proposed bursary awardees needed after moderation (course bursaries only) - Yes	Notification of proposed bursary awardees needed after moderation (course bursaries only) - No
Applicant names required prior to moderation (employer funded Fellowships only)	Applicant names required prior to moderation (employer funded Fellowships only) - Yes	Applicant names required prior to moderation (employer funded Fellowships only) - No
Funder staff member to participate on interview panel (Fellowship only)	Funder staff member to participate on interview panel (Fellowship only) - Yes	Funder staff member to participate on interview panel (Fellowship only) - No
Sign off final selection (Fellowship only)	Sign off final selection (Fellowship only) - Yes	Sign off final selection (Fellowship only) - No
Other	Other - Yes	Other - No

Other - please detail

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As part of our ongoing commitment to Equality, Diversity and Inclusion, Clore Leadership is dedicated to working in partnership to provide the best possible leadership learning experience for participants on our programmes.

To do this well, we need as much information about your individual access and dietary requirements as early as possible. Then, working in consultation with you we will make our best efforts to acknowledge and accommodate these where possible.

In light of the above, please take the time to consider your access needs for the 2022 Fellowship and use this form to share those details with us. Once completed, we will get in touch with you to further discuss your specific requirements and explore together how these can best be resourced.

Clore Leadership is aware that your access needs may shift and change over time and will endeavour to respond to these throughout the Fellowship period.

This information is confidential and will only be shared, at your discretion, with the facilitators, coaches and other personnel, who deliver and support our programmes, to ensure they are also aware of how they might meet your specific needs as stated.

Contact 1

First Name

Last Name

Dietary Requirements other

Please list any other dietary requirements below (e.g. Halal, Raw)

2. Do you need to eat outside designated mealtimes? *

Yes

No

Please indicate requirements

Please indicate your requirements to eat outside designated mealtimes

Other/Specific (please describe below)

4. What do you need in place to make the Fellowship Programme accessible to you? *

Please indicate your requirements as you see them. We will speak together about how these can best be provided.

Sign Language Interpretation

Speech to Text (STTR) for live content

Support Worker/Personal Assistant

Other ( please describe below)

Please indicate your requirements and how this usually works for you

5. Presentation Format

We aim to ensure that all presentation material (live and paper-based) is clear and accessible. It is generally expected that you will be responsible for taking your own notes. Additionally, let us know if your access requirements include:

Summaries of what will be covered, prior to delivery for yourself/support workers

Summaries of what is covered, associated notes following session delivery

Amplification for presentations

Clear notation on slides and flipcharts

Specific lighting and seating arrangements

Other/specific (please describe below)

6. Our venues are all wheelchair accessible. Do you require wheelchair access? *

Yes

No

7. Do you require an accessible bedroom/bathroom? *

Yes

No

Please indicate your requirements and how this usually works for you

8. Do you have a mobility impairment that would restrict the use of steps, stairs or long transit distances to and within the venue? *

Yes

No

9. Do you need orientation or assistance to the venue? *

Yes

No

10. Will a personal assistant accompany you? *

Yes

No

Please indicate your requirements below

11. Do you have any medical need e.g. require fridge in hotel room for medication? *

12. Are there any signs or symptoms you would like us to be aware of which may indicate that you are becoming unwell? *

Please indicate your requirements below:

13. Do you require a quiet break out space for resting, reflection or somewhere to lie out on occasion, either in or outside the training space? *

Please indicate requirements:

Email:

Other:

16. Please tell us below of any other access requirements or requests not covered in this form, or additional information you feel we need to know to best support you *

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About you

First Name *

Last Name *

Street Address *

City *

Postal Code *

Phone Number *

Email *

Year of Fellowship (if attended)

Job Title/Role *

Employer or Organisation *

Size of Organisation *

Cultural sector *

Cultural sector - other text

Region worked in *

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Clore Fellows are invited to submit proposals for research projects funded by the Arts and Humanities Research Council.

Clore 17 & 18 Fellows who are resident in the UK and Ireland are invited to put forward proposals for in-depth research projects which are of practical relevance to their area of work and will have demonstrable public benefit to the UK.

The AHRC Online Q&A will take place on 10th May at 11am if you wish to attend please register your interest.

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First Name *

Last Name *

Which is your Fellowship cohort? *

What year did you graduate? *

Job title *

Organisation *

Email *

Which cultural sector

Which cultural sector - other text

If you chose 'Other' please specify

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A six-month development programme for cultural leaders who are taking steps towards systemic change and are ready to deepen and broaden their approach, competence and courage to contribute to and lead in inclusive culture making and transformation.

Thank you for signing up to Re-UP! Once you have submitted this form you will be taken to the booking page to complete your registration.

If you would like to sign up to The Space to Come mailing list you can do so here (scroll to the bottom of the page).

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First Name

Last Name

Email

Phone Number

Street Address

This will be for the contract.

City

Postal Code

Pronouns

Emergency Contact - Name

Emergency Contact - Relationship to you

Emergency Contact - Telephone Number

Please attach an image of yourself to be used in our participant packs

Please ensure we can see your face clearly. A clear background is ideal. Maximum file upload 2MB.
More information

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png html pdf doc docx.

Please attach your most up to date biography

Biographies should be in the third person and no more than 100 words.
More information

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png html pdf doc docx.

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Thank you for joining us for today’s Think-In: ‘Place/s at the Table’. We were delighted to have you join us for the session and pleased to receive feedback on the draft report into disability & governance (https://bit.ly/DisabilityReview).

Your suggestions for what actions can make tangible change in addressing the lack of D/deaf, disabled and neurodivergent trustees are invaluable to helping us move from conversation to action and ensuring that the report can help instigate tangible change. We will therefore be incorporating thoughts and ideas from the Think-In to the final version of the report, to be published later in April, 2022.

We are keen to ensure that we include the perspectives and opinions of as many of today’s attendees as possible and will be including comments in the chat and from the discussions. However, we also recognise that not everyone will have the confidence to speak in a public setting and/or your thoughts might still be percolating. With that in mind, this short survey is an opportunity for you to give us (more) feedback.

Thank you for taking the time to respond!

NB: we have had a few messages from people who weren't able to attend the 30th March session asking how they can feed back. Do please feel free to fill in this survey even if you weren't able to attend!

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1. How did you hear about today's Think In? *

2. In light of the report recommendations, which actions do you think are most important to prioritise now? *

3. Do you have any proposed actions/recommendations to help achieve change in disabled representation at board-level that haven’t yet been included in the report? *

4. Any other comments or feedback on the Think-In / Place/s at the Table report?

5. Are you happy for us to include your name and organisation in the final published report? (no comments/suggestions will be directly attributed to any individuals) *

Yes, go ahead

No thanks, opt out

If not, please leave the below fields blank

First Name

Last Name

Organisation

Leave this field blank

Thank you for taking part in the Creative Diversity Network training provided by Clore Leadership. We’re keen to hear more about your experience and would therefore like to ask you some follow-up questions to those we asked when you applied to take part.

If you signed up for a session but didn't attend, we would still be interested in your feedback.

All answers will be treated in strictest confidence.

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