"Application for Revocation of Certification Under the Status of the Artist Act" - Canada

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APPLICATION FOR CERTIFICATION UNDER
APPLICATION FOR CERTIFICATION UNDER
THE STATUS OF THE ARTIST ACT
STATUS OF THE ARTIST ACT
I. Applicant
Name of Artists’ Association:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Address:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Email Address:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Telephone Number:
__(____)______________________________________________________
__(____)______________________________________________________
__(____)______________________________________________________
Fax Number:
__(____)____________________________________________________
__(____)____________________________________________________
__(____)___________________________________________________________
II. Applicant’s Authorized Representative
Applicant’s Authorized Representative
Name of Representative:
__________________________
_________________________________________________________
______________________________
Address:
______________________________________________________________________
_____________________________________________________
_____________________________________________________
Email Address:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Telephone Number:
__(____)___________________________________
__(____)_______________________________________________
__________________
Fax Number:
__(____)_________________
__(____)____________________________________________________
__________________________________________
(RDCMS# 414510 - Date revised: 2013)
APPLICATION FOR CERTIFICATION UNDER
APPLICATION FOR CERTIFICATION UNDER
THE STATUS OF THE ARTIST ACT
STATUS OF THE ARTIST ACT
I. Applicant
Name of Artists’ Association:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Address:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Email Address:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Telephone Number:
__(____)______________________________________________________
__(____)______________________________________________________
__(____)______________________________________________________
Fax Number:
__(____)____________________________________________________
__(____)____________________________________________________
__(____)___________________________________________________________
II. Applicant’s Authorized Representative
Applicant’s Authorized Representative
Name of Representative:
__________________________
_________________________________________________________
______________________________
Address:
______________________________________________________________________
_____________________________________________________
_____________________________________________________
Email Address:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Telephone Number:
__(____)___________________________________
__(____)_______________________________________________
__________________
Fax Number:
__(____)_________________
__(____)____________________________________________________
__________________________________________
(RDCMS# 414510 - Date revised: 2013)
CANADA INDUSTRIAL RELATIONS BOARD
2
Application for Certification under the Status of the Artist Act
III. Suitability of the Sector for Bargaining
How would you describe the sector which you are seeking to represent?
(Use additional sheets if necessary)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Why is this sector the most suitable one for bargaining?
(Use additional sheets if necessary)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Estimated number of independent professional contractors in this sector:
___________________
Are there or have there been any scale agreements in effect for this sector?
Yes
No
If so, please provide a copy of the most recent scale agreement(s) affecting this sector.
IV. Representativeness of the Applicant Artists’ Association
Number of members of your association working in the sector:
___________________________
Please provide an up-to-date copy of your membership list, indicating members’ full names and
addresses and the names of those members who work in the above described sector, which has
been certified as correct by the authorized representative of the applicant.
CANADA INDUSTRIAL RELATIONS BOARD
3
Application for Certification under the Status of the Artist Act
V. Language of Choice for Board Proceedings
English
French
Bilingual
The applicant artists’ association hereby makes application pursuant to section 25 of the
Status of the Artist Act to be certified by the Canada Industrial Relations Board as the
exclusive bargaining representative for independent professional contractors in the above-
described sector.
Name of Authorized Representative:
_________________
Position/Title:
__________________
Signature of Authorized Representative
_______________________
Date:
_______________
Please Note: A certified copy of the Applicant’s Constitution and By-laws and the membership
resolution authorizing the application must accompany each application for certification.
The personal information provided on this form is collected solely for the purpose of administering the Status of the Artist Act
and may be accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may
be posted on the Board’s Website.
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