Culture Ireland Forms - Create Grant Application Form

Name of applicant (Organisation or Artist) *

The applicant is the proposed grantee

Email *

Please note that in order to demonstrate that you need Culture Ireland support for your event, a shortfall must be shown on your application.
To allow consideration of your application, the amount of funding requested must be equal to or less than the shortfall

Amount Requested (€) *

1. Contact details

Type of applicant *

Address of Applicant *

Name of Contact

Tel *

Mobile *

Website

Facebook

Twitter

Instagram

2. Your proposal

Art form *

Title of Project/Event/Exhibition *

Please provide in the following format incuding Who, What, Where and When (note specific date format) Presentation of / Performance of / Tour of WHAT by WHOM at VENUE, CITY, COUNTRY, DATES.

Example: Presentation of HyperConcious by Molly Murphy at New Drama Theatre Festival, Dubrovnik, Croatia, 8 - 16 March 2019

Summary description –simply state where the project/event is being presented, when it is being presented, by whom, and what it is called. You may only use a max. of 400 characters – note the limitation relates to characters and not words. Please avoid extra text. *

If desired, a full description of project may be provided (max. 3000 characters)

Identify names and roles of those for whom support is sought *

Dates of presentation:

Start date of first event *

End date of last event *

Where will your work be presented? *

Country *

State

City *

Venue name *

Dates at this venue *

Venue address *

Capacity of venue *

Anticipated total audience numbers for duration of event *

Website URL for venue / promoter

Add new venues

Overall Total Anticipated Audience Numbers In Person *

Overall Total Anticipated Audience Numbers Online *

Primary contact(s) at each venue abroad (if applicable) *

Outline of promoter/presenter‘s experience, if any, of presenting Irish or international work *

Details of marketing and media promotion plan for the event (please give contact details of publicist) *

Details of how and where Culture Ireland support will be acknowledged *

Please indicate how your proposal will increase the international appreciation and impact of contemporary Irish culture *

3. Financial information - Income

INCOME

Both Amount sought and Amount confirmed columns must be filled in

	Amount sought/expected	Amount confirmed to date
Grant(s) (other than Culture Ireland) *
Private sponsorship *
Presenting venue‘s contribution *
Personal contribution by applicant *
Benefit in kind *
Other *

Grant provider names, descriptions of Benefit in Kind/Other *

If applicable, ticket prices and/or indicated box office split or guarantee arrangement *

Are you in receipt of Arts Council Funding?

4. Financial information - Expenditure

EXPENDITURE

Travel event

Travel and Transport

Travel	Amount
Number of people travelling
Breakdown of travel costs per person (as detailed in your proposal)
Total travel costs
Transport	Amount
Transport/freight costs
Breakdown transport/freight costs
Combined travel and transport costs

Accommodation

	Amount
Total Accommodation Costs
Description / Breakdown

Subsistence

	Amount
Total Subsistence/per diems Costs
Description / Breakdown

Other

While the items below are not generally available for support by Culture Ireland their inclusion here is to show the full scale and cost of the project.
Note: where the Irish component of the project/event is but one item within a much larger project/event, the overall cost of the project is to be scaled back accordingly e.g. 10 acts are performing/being presented and 2 are from Ireland - overall cost of project for this application's purposes becomes therefore one fifth of the larger project/event cost.

	Amount
Copyright/royalties
Artists‘ fees	As Culture Ireland operates on the basis of the artist being renumerated, explaination must be provided where no artists' fee is indicated
Post-production costs
Rental/Venue hire
Technical equipment
Promotion services
Promotion materials
Insurance costs
Benefits in kind
Other

Online event

Fees

	Amount
Artists‘ fees
Copyright/royalties
Total

Publicity

	Amount
Promotion services
Promotion materials
Total

Production Costs

	Amount
Rental/Venue hire
Technical equipment
Post-production costs
Total

Other

	Amount
Other

5. Financial information - Sign off

FINANCIAL SUMMARY

Total Projected Income (€) *

Total Projected Cost (€) *

Total Amount Confirmed (€) *

Projected Shortfall (€) *

If amount requested higher than typically eligible costs set out reason(s)

Please provide your Tax ID number

Payee Tax ID *

Payee name (if different from applicant)

( Information on how to obtain an Irish tax ID should be sought from the Office of Revenue Commissioners (www.revenue.ie). International applicants who neither have an Irish tax registration nor a permanent established place of business in the State should contact Revenue Non- Residents Unit (Collector General’s Office, Sarsfield House, Francis Street, Limerick, e-mail: nonrestaxclearance@revenue.ie). Only in circumstances where it is not possible for the applicant to obtain a tax ID in applicant’s name from the Office of Revenue Commissioners (for example in cases of applications made by groups of independent artists or band of musicians), a payee should be nominated in part 4 of the application form to receive the funds on behalf of the applicant. Should this be the case, the nominated person will be required to provide their bank and tax details.

Sign off

I confirm that the above details are correct

Before submitting we advise that you print a copy of this application form for your records.

6. Upload Additional Documents

The following material should be uploaded:

Please note that only new documentation which was not available at the time of the
application will be accepted after the closing date.

Brief biography and/or company history. Please highlight past experiences which support this application.

List of participants/main agents/involved in realising this application.

Evidence of critical acclaim in relation to previous work of applicant/group (e.g. selected and relevant reviews and testimonials).

Copy of original letter of invitation from the organiser of the event/project.
Please provide a PR image if possible which may be used should your application be successful

Audio, visual or other support material. Applications in the visual arts category will not be considered unless relevant support material is submitted. Please list items of supporting documentation submitted with the application (slides/ photographs).

A full production budget for applications seeking over €25,000 in Culture Ireland support.

The following file formats can be accepted (up to a total combined limit of 20Mb):

image files - (JPEG)
sound files - (WAV / mp3)
video files - (QuickTime / AVI / MOV)
text files - (RTF / .doc)
other (PDF / .xls)

All files that are uploaded as support material must be appropriately named. The file name should make it clear what the file represents or contains. It needs to be clear from the file name whether the document is a CV, or a review of an applicant's work.

Please note that by uploading images you are consenting to them being used in promotional material by Culture Ireland.

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Promoting Irish Arts Worldwide

Create Grant Application Form

1. Contact details

2. Your proposal

3. Financial information - Income

INCOME

4. Financial information - Expenditure

EXPENDITURE

Travel and Transport

Accommodation

Subsistence

Other

Fees

Publicity

Production Costs

Other

5. Financial information - Sign off

FINANCIAL SUMMARY

Please provide your Tax ID number

Sign off

6. Upload Additional Documents

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