Create Grant Round Report Form

Fields with * are required.

1. Page 1

Name of recipient/company *

Email for acknowledgement *

Application Number *

Applicant Unique Identifier Number *

Name of award recipient *

Amount of Culture Ireland award (€) *

Irish Tax ID or Charity Number *

Date/s event took place *

Location of event *

Describe public response to event *

Audience *

For analysis reasons please provide exact audience numbers or closest estimates *

Additional Audience (e.g. through live streaming, radio, TV coverage etc )

Description of audience above (e.g. streamed live on tv-channel, broadcast on rte radio 1 etc)

How was Culture Ireland‘s contribution acknowledged? *

Please estimate the total number of days of employment for your international event *

Culture Ireland logo

Please indicate where the Culture Ireland logo was used:

On invitations

On posters

On catalogue

In press/media

On website

Orally at event

Connections made *

Please give details of any proposed follow-up to your visit *

Critical response (include links to all reviews) *

Please summarise what you feel the value of your visit was for you / your company *

Please indicate the value of your visit in terms of promoting Irish culture *

Have you engaged with a Culture Ireland Cultural Officer over the course of this activity? *

If yes, did you find this engagement useful? *

I confirm that funding was applied in accordance with the grant rules *

I confirm that invoices have not and will not be used in support of other reimbursements *

Signature *

Position *