This form is to be completed by the sponsor only - Business and Arts ...

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Form A
This form is to be completed by arts organisations only.
Organisations complete part 1; individual applicants complete part 2.
Business sponsors should use application form B.
Please type in your answers or write clearly in block capitals. Please use extra sheets if you need to add
any further information, numbering all answers and extra sheets.
Please contact BASA if you need any help in completing this form. Telephone 011 447-2295 or fax
011 447-2364. Email grants@basa.co.za
INCOMPLETE FORMS WILL NOT BE ACCEPTED
This information is trea ted in strictest confidence
DOCUMENTS TO BE ATTACHED
Memorandum and Articles of agreement / Constitution
Audited accounts or most recent financials
Two column project budget itemising projected expenditure
Anticipated income (including sponsorship or donations)

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 2/10
IDENTIFY YOURSELF
1. YOUR ARTS ORGANISATION/COMPANY
a. What is the name of your organisation/company
b. Postal 1 Address:
.
2
Physical Address:
Telephone:
Cell:
Fax:
E-mail:
c. What 1 is the name of the head of your organisation/company (ie Director, CEO)
.
3
Q1d
We may discuss
all relevant
aspects of your
application with
this person who
should be able to
discuss all aspects
of the
sponsorship.
What is his/her title or position
d. Who 4 is your nominated representative
What is his/her position
e. Status 1 of your organisation
.
5
Q1e
For different types
of eligible arts
organisations see
Rules 4-5 on the
sheet enclosed.
Do you have a constitution Yes No
Are your accounts audited Yes No
If YES, please give the name, address and telephone number of your auditors.

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 3/10
If NO, please explain why and outline how you keep your accounting records.
Are you registered Yes No
If YES, please supply registration number.
Please supply income tax number, if applicable.
Are you registered as a not-for-profit Yes No
Q1f
This section must
be completed in
full.
f. Do 1 you have a bank account Yes No
.
6
If YES, please give account details which any supporting grant should be paid into
Account name:
Bank:
Branch:
Account Number:
Type of Account:
g. Do 1 you receive any funding from any public bodies such
as . NAC, DAC, Lotteries, etc
7
Yes
No
If YES, please list below
Name of public body:
Purpose of funding:

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 4/10
h. Are 1 you an amateur organisation to whom question e.
does 8 not apply
Yes
No
i. Please provide at least three references from previous funders or community leaders, and give details
of where BASA may contact these referees.
2. YOU, THE INDIVIDUAL APPLICANT
a. Full name and surname:
b. Date 2 of birth:
c. Identity 3 number:
Q2d
The Commissioner
for the South
African Revenue
Service requires
BASA to disclose
all supporting
grants made,
and to issue IT3(a)
certificates to all
recipients of
grants.
d. 4
e. Nationality: 5
f. Postal 6 Address:
Physical Address:
Telephone:
Fax:
E-mail:
g. Profession/occupation:
Please give account name, bank, branch and account number into which any supporting grant

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 5/10
should be paid. NO GRANT MAY BE PAID TO A PERSONAL ACCOUNT, UNLESS FUNDS ARE RING-FENCED.
h. References (Please attach at least three references); please give names and contact telephone/fax
numbers/email.
ORGANISATIONS AND INDIVIDUALS TO FILL OUT ALL THE FOLLOWING SECTIONS
3. THE PROJECT
a. Name 1 your project:
b. 2
c. 3
d. Place 5 where the project will be carried out:
e. Description 6 of the project: Please give all details and if necessary attach additional documents.

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 6/10
4. MOTIVATION FOR A SUPPORTING GRANT
a. Who, 5 from the business or private sector, has agreed to sponsor this project
Please 1 list all business and private sector sponsors for this project and the amount given.
b. Has 2 the money already been paid to you
c. Who 3 is the contact person at the sponsoring
business
What is his/her title or position

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 7/10
Address:
Telephone:
Fax:
E-mail:
d. How 4 did you secure this sponsorship
Q4e
This section must
be completed in
full.
e. How 5 are you planning to acknowledge the support of your sponsor
Please 5 detail the benefits they will receive, including details of any publicity material you plan to
generate.
f. Is 5the director or principal of the sponsoring business also
directly . involved with your arts organisation
Yes
No
If YES, please give details below
5

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 8/10
5. THE SUPPORTING GRANT FUNDING
Q5
The Supporting
Grant Funds must
be used to
provide
additional
benefits to your
sponsor/s. This
could include
better quality
print material,
more press
advertising,
workshops or
hospitality
opportunities etc.
A breakdown of
costings should
be included e.g.
10 additional
complimentary
tickets to event at
R25 each = R250.
See rules 14-15 on
sheet enclosed.
If a) your application is successful, what additional benefits will you be able to provide to your sponsor
which otherwise could not have been offered. This should not repeat items listed in 4.e above.
PLEASE ITEMISE THESE BENEFITS IN FULL DETAIL BELOW, INCLUDING A BREAKDOWN OF COSTS.
WHAT IS THE TOTAL GRANT YOU ARE REQUESTING FROM BASA (Please attach a project budget)
Q5b
If you receive
supporting grant
funding, you must
acknowledge this
in all relevant
publicity. Please
detail your
intentions as
specifically as
possible e.g.
printing
Supporting Grant
from BASA on
1,000
programmes and
2,000 posters, etc.
R
a. How 2 do you plan to credit the Supporting Grant Scheme if your application is successful
b. Please 3 give any relevant media deadlines for material bearing Supporting Grant credits.

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 9/10
Q6
This information is
a useful guide for
the Annual
Business
Day/BASA
Awards for
businesses and
the arts.
6. IS YOUR PROJECT INTENDED TO DO ANY OF THE FOLLOWING
(Please tick where applicable)
b) 7Increase access to the arts, i.e. Bring new audiences to art forms or new art forms to audiences;
1 offer specific access to disabled people; develop a new education programme; interaction
between arts groups and/or schools with the local community.
a. .
2
Offer strategic opportunities to the sponsoring business, in terms of marketing or promotions.
b. 7
3
Encourage long-term/ongoing sponsorship of the project in order for it to develop.
c. 7
4
Develop an interest in the arts among the youth.
d. 7
5
Educate through the arts.
7. BASA AWARDS
The BASA Awards recognise and encourage excellence and innovation in the field of business support
for the arts. I herewith give BASA permission to automatically enter our sponsors’ support of this arts
project into the next BASA Awards.
Yes
No
8. ARTS ORGANISATIONS DECLARATION
(to be signed by an authorised signatory of the organisation and not an agent)
I hereby certify that all the information given on this application form is accurate and complies with the
rules of the scheme, which I agree to be bound by. If a supporting grant is received I undertake:
a. to maintain accurate accounting records
b. to provide an audited statement (if required) showing how the grant has been used
c. to provide a full and detailed report-back to BASA in line with the template provided.
d. to implement any conditions attached to the grant by BASA
e. to credit the BASA Supporting Grant Scheme in the manner prescribed
f. BASA reserves the right to conduct an independent audit of the project, using an audit firm
appointed at its sole discretion

APPLICATION FORM FOR ARTS ORGANISATIONS/ARTISTS
FOR THE FUNDING UNDER THE SUPPORTING GRANT SCHEME
Application form B for business sponsors for funding under the Supporting Grant Scheme page 10/10
Signature
Print name
Position
Date
On a grant being made, this application form together with the rules will form a legally binding contract between you
and BASA.