12.07.2015 Views

Assistance under the Arts Act Grant Scheme 2011 Application Form

Assistance under the Arts Act Grant Scheme 2011 Application Form

Assistance under the Arts Act Grant Scheme 2011 Application Form

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GENERAL INFORMATION(To be completed by all applicants)1. Name of Applicant:___________________________________________________2. Name of Contact Person:______________________________________________3. Address:__________________________________________________________________________________________________________________________________________________________________________________________________4. Phone Number:______________________________________________________5. Email: _____________________________________________________________6a. How many members in <strong>the</strong> organisation (if relevant) _______________________6b. State whe<strong>the</strong>r <strong>the</strong> organisation is (Please tick)CommercialNon-Profit Making7. State whe<strong>the</strong>r you engage in professional or amateur activities. (Please tick)Professional Semi-Professional Amateur8. Category (Please tick which section you are applying <strong>under</strong>)(The <strong>Arts</strong> Office reserves <strong>the</strong> right to assess any application in <strong>the</strong> category deemed tobe most suitable)Artist SupportTraditional <strong>Arts</strong> (Traditional Music, Dance etc.)Events & Projects <strong>Assistance</strong>Organisational Support9. State <strong>the</strong> amount of money you are seeking: ___________________________10. State if grants or o<strong>the</strong>r assistance from any o<strong>the</strong>r source have been received orsought for <strong>the</strong> event/activity.YesNoIf yes please state amounts sought/received and from whom.___________________________________________________________________

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