Application for Certification

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Name of Applicant Artists Association:

Address:

Telephone Number:

Facsimile Number:

I. 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

II. 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 the names of those who work in the above described sector, which has been certified as correct by the authorized representative of the applicant

III. Language of Choice for Tribunal 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 Canadian Artists and Producers Professional Relations Tribunal 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 copy of the Applicant's Constitution and By-laws and the membership resolution authorizing the application must accompany each application for certification

Form 1 (02/2006)

Send Completed Form To:
Canadian Artists and Producers Professional
Relations Tribunal
240 Sparks Street, 1st Floor West
Ottawa, Ontario  K1A 1A1