Creative Pioneer Panel: Nomination Form

What Are Creative Pioneer Panels?

Creative Pioneer Panels are groups of local volunteers that come together to choose creative projects they want to see in Basildon. Creative people and organisations will present their most exciting projects and, like the Dragons of Dragons Den, Creative Pioneer Panels will decide which projects they think people in Basildon would like to see, will matter to local communities, will expand horizons or will show the creative side of Basildon at its best.

Creative Pioneer Panelists can be any age, from any walk of life, with any skills or background, all we ask is a passion for Basildon and a commitment to give 6 hours of your time, over 4 weeks, if you are asked to join a panel. See the information sheet to learn more.

Who would you like to nominate (this can be yourself)

First Name Last Name

Tell us about their/your connection to Basildon:

What do you think makes someone a good community representative?

(for example; being able to listen, local knowledge, being honest…)

Tell us about some of their/your interests and useful talents:

(for example card games, accountancy, swimming, telling jokes…)

Are they/you able to use Zoom?

YES NO

If not able to use Zoom how would they/you prefer to take part in meetings and group events?

Full Name

E-mail

Postcode:

Phone Number

Area Code Phone Number