Expression of Interest - Register of Prospective Peer Assessors

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This is a preview of the 2022-24 Expression of Interest - Register of Prospective Peer Assessors form. When you’re ready to apply, click Fill Out Now to begin.
 

Peer Assessor Details

* indicates a required field.

What pronouns do you use? * Required
Response required.
Must be an Australian phone number. 
Must be an email address. 

Peer Assessor ABN

A sitting fee is available to eligible peer assessors for all formal meetings and special assignments.

Public servants are not permitted to receive sitting fees.

Are you permitted to receive a sitting fee for potential future contributions to formal meetings and special assignments?

This section is not applicable because of your response to question: "Are you permitted to receive a sitting fee for potential future contributions to formal meetings and special assignments?" on page 1

If you are to receive a sitting fee, Arts South Australia will instruct you to raise a taxable invoice. An Australian Business Number (ABN) must be included on taxable invoices.

For more information, or to register for an ABN, please refer to the Australian Government website here.

Can you provide an active ABN?

This section is not applicable because of your response to question: "Can you provide an active ABN?" on page 1

Will your taxable invoice feature an ABN associated with the entity type Individual/Sole Trader?

For more information, see the list of entity types that appear on ABN Lookup. If you intend to raise an invoice featuring an ABN associated with an entity type other than Individual/Sole Trader, there is no need to provide an ABN in this form.

This section is not applicable because of your response to question: "Will your taxable invoice feature an ABN associated with the entity type Individual/Sole Trader?" on page 1

The ABN provided will be used to look up the following information.
Click Lookup above to check that you have entered the ABN correctly.
Information from the Australian Business Register
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity TypeMore information
ACNC Registration
Tax Concessions
Main business location
Must be an ABN. Must be a Individual/Sole Trader ABN.
Do you live or are you primarily based (i.e., at least six months per year,) in South Australia? * Required
Response required.
Have you ever received a grant from Arts South Australia? * Required
Response required.
Have you ever been a member of a peer assessment panel? * Required
Response required.

This section is not applicable because of your response to question: "Have you ever been a member of a peer assessment panel?" on page 1

Have you ever been a member of an Arts South Australia peer assessment panel? * Required
Response required.
Do you have any sector affiliations, such as board appointments or organisational memberships, which would create or could be perceived as conflicts of interest should you become a co-opted peer assessor? * Required
Response required.

This section is not applicable because of your response to question: "Do you have any sector affiliations, such as board appointments or organisational memberships, which would create or could be perceived as conflicts of interest should you become a co-opted peer assessor?" on page 1

Word count:
Attach a file: Select stored file
    Can you provide the details of a relevant referee who will vouch for your suitability for membership of a peer assessment panel? * Required
    Response required.

    This section is not applicable because of your response to question: "Can you provide the details of a relevant referee who will vouch for your suitability for membership of a peer assessment panel?" on page 1

    Response required.
    Clear the selected value for Referee
    Must be an Australian phone number. 
    Must be an email address. 
    Would you like to be taken into consideration as a contributor to the development and selection process of other specific initiatives and/or projects? * Required
    Response required.