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7/26/2019 ApplicantOrganisationShortName Application Form
http://slidepdf.com/reader/full/applicantorganisationshortname-application-form 1/9
Collaboration Projects in Arts and Culture –
COLABs- Grant Application Form 1 (Project Idea)
The flled in application (in ! "ord #ormat $le, not as a PDF) along with
a Statement o Partnership signed and stamped by all partners (in the
provided ormat) is to be submitted (uploaded) through our website on the
page
%ttp&''bal*ansartsandculture#und'submission%tml
Please direct all uestions in regards to this call to
bac+artan,lebal*ansnet Deadline or submitting o collaboration pro!ect ideas is anuar. /0 /210
/3&22 C45 (end o the day)"Please note that this application orm is to be submitted in 4n,lis%lan,ua,e"
!ection 1& General In#ormation
Project 5itle
Applicant Or,anisation ' Partner 1#ame o the organisation
$ontact person e%mail
&ddressStreet name and #o"' $ity and Postcode' $ountry
eb Telephone
egal orm o applicant organisation *ear o establishment
&rea o wor+, main types o activities (Sample -isual &rts' ./hibitions, &rtist in0esidence1 ) Please do not write a mission statement here"
Project 6urationNote: Maximum project duration which can be funded through this call is 24months. Earliest starting date is June 1st 2!1".
Bal*ans Arts and Culture Fund (BAC) is supported b. t%e !iss Go7ernment t%e 4uropeanCultural Foundation (4CF) and art8n,le - Bal*ans 9 Culture 9 6e7elopment
bal*ansartsandculture#und
7/26/2019 ApplicantOrganisationShortName Application Form
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Start Date DD2332****
.nd Date DD2332****
Duration (ull months)
Project Locations (list all locations where activities will be implemented)
$ities23unicipalities, $ountries
FieldNote: #lease chec$ beforehand %&hat '() does not fund* in the )all +uidelines.#lease mar$ with ,- onl/ one 0eld. f there is no one dominant 0eld that /ou canchoose please mar$ nterdisciplinar/.
4 5 &rchitecture (including city planning)4 5 $ulture (cultural policy, cultural management, art theory, cultural !ournalism, art criticism)4 5 Film (documentary, short, e/perimental, animation)
4 5 iterature4 5 3edia (printed, electronic, digital)4 5 Perorming &rts (music, theatre, dance)4 5 -isual &rts (including photography, graphic design, perormanceart, video art, new media, comics etc")4 5 6nterdisciplinary
5%emes and Approac%esPlease list general themes and dominant approaches2methods o wor+"(maximum 2 of each)
•
Grant :e;uest and Project Bud,et&mount reuested as 7&$ contribution Total pro!ect budget (including co%fnancing)8 8
Project summar.Describe your pro!ect provide a short rationale or the pro!ect and how it willaddress the identifed needs' include the pro!ect goal and ob!ectives and give ashort description o the type o planned activities" (maximum 20 lines)Note: ummaries of the pre3selected project ideas will be published on theartngle website thus a5ailable for 5iewing b/ interested public.
Partner Or,anisationsPlease enter details or partner(s) that are actively involved in the developmentand implementation o your pro!ect" 6 more felds or partners are needed thanprovided bellow, please copy and add as much tables as needed"e are loo+ing or genuine collaboration at all stages o the pro!ect" Please do notinclude as partners service providers and venues which will only host one%o9activities"
Partner /#ame o the organisation
$ontact Person e%mail
:
7/26/2019 ApplicantOrganisationShortName Application Form
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&ddress
eb egal orm
&rea o wor+, main types o activities
Partner <#ame o the organisation
$ontact Person e%mail
&ddress
eb egal orm
&rea o wor+, main types o activities
Partner 3#ame o the organisation
$ontact Person e%mail
&ddress
eb egal orm
&rea o wor+, main types o activities
Partner 0#ame o the organisation
$ontact Person e%mail
&ddress
eb egal orm
&rea o wor+, main types o activities
Partner =#ame o the organisation
$ontact Person e%mail
&ddress
eb egal orm
;
7/26/2019 ApplicantOrganisationShortName Application Form
http://slidepdf.com/reader/full/applicantorganisationshortname-application-form 4/9
&rea o wor+, main types o activities
<
7/26/2019 ApplicantOrganisationShortName Application Form
http://slidepdf.com/reader/full/applicantorganisationshortname-application-form 5/9
!ection /& Project 6escription
:ationale7rie=y describe the bac+ground and conte/t in which your pro!ect will bedeveloped (geographical, cultural, social and political)" hy is your pro!ect needed
or desirable at regional level>(maximum 20 lines)
Goalhat is the main goal o your pro!ect> (maximum 5 lines)
Objecti7eshat are the specifc ob!ectives o your pro!ect> (maximum 5 objectives)
•
Acti7ities The activities should be grouped into &ctivity &reas (e"g" production, research,education, capacity building, networ+ing, activism, advocacy, public events etc"),including a more detailed description o activities planned under each o the &reas"Please do not organise activity areas geographically, by location or by partner incharge" .ach pro!ect is reuested to contain public activities (also research pro!ects shouldplan or public promotion o the results o the research)" Please give a pro!ection othe audience reach"&ll pro!ects are encouraged to include capacity building activities (organisationaldevelopment), advocacy and policy related activities"or+ing methods and approaches to be used should be e/plained"
3anner in which the activities contribute to the achievement o the pro!ectob!ectives should be elaborated" (maximum 60 lines, 1.5 page)
4>pected :esultsist uantitative and ualitative results and be as specifc as possible" (maximum10 lines)
•
5ar,et Group and Bene$ciariesDescribe brie=y and concisely your pro!ect?s primary target group and why yourpro!ect is aimed at this target group in particular" Speciy the fnal benefciaries othe pro!ect are and how they will beneft rom the activities" (maximum 10 lines)
Partners%ip and Project !et-upDescribe the type o your partnership"./plain the set%up o your pro!ect by providing a description o the specifc rolesand responsibilities o each o the partners in implementation o the pro!ect"Please also give an account o involvement o e/ternals and their roles in thepro!ect"(maximum 15 lines)
@
7/26/2019 ApplicantOrganisationShortName Application Form
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!ection <& Bac*,round In#ormation
Applicant Or,anisation3issionhat is the mission o your organisation> (maximum 5 lines)
Arganisational Set%upDescribe the structure o your organisation" Please include details, such as numbero employees and the description o the management structure" (maximum 5
lines )
FundingBow is your organisation unded, and what was your organisation?s total budgetlast year (in .uros)>
!ection 3& Bud,et and Financial Plan
6n this section, you need to present the budget and the fnancial plan o yourpro!ect" The values should be presented in 4?:Os onl."&dd as many lines as you need in any section o the budget and the plan"For easier preparation o the general budget in this orm, we provide a separatebudgeting support ./cel document (available or download rom the artCnglewebsite)" There is no need to send a detailed budget in ./cel along withapplication"
Bud,et&t this point only a more general budget is submitted (or e/ample in the AO7er%eads section enter !ust one line or pro!ect team ees and one line or allrunning costs, and not separate lines or each team member or specifc runningcosts, such as rent, maintenance, ban+ charges etc")" The pre%selected pro!ects willbe assisted in developing detailed budget or which this budget would be the basisit is thereore important that this budget is based on realistic pro!ections"6n the B Acti7it. section o the budget we recommend ollowing the same logicrom the &ctivity section above" Please note that 7&$ will not und purchase otechnical euipment (computers, cameras, etc")" Should this be needed, werecommend either renting euipment or fnding other ways o unding"6n section C Ot%er 4>penses include e/penditures such as e/ternal evaluation
and any other cost that would not ft in the other two sections o the budget"Please provide the percentages (rom the Total ./penses) where it is indicated ()and observe2do not overstep the ma/imum recommended ratios (in red' orAverhead costs % subtotal &" % ma/imum E@ rom the Total ./penses)"
7/26/2019 ApplicantOrganisationShortName Application Form
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4@P4!4!Accountnumb
er
B?6G45 LI44@P4!4
!(in .uros)
A O7er%eads&E (enter line title, i"e" &E Pro!ect Team Fees etc")
&: (enter line title, i"e" &: 0unning $osts etc")
&;
1
!ubtotal A Maximum 2!6 75erheads allowed
B Acti7ities7E &ctivity &rea E (enter title)
7: &ctivity &rea : (enter title)7; &ctivity &rea ; (enter title)
7< &ctivity &rea < (enter title)
7@ &ctivity &rea @ (enter title)
1
!ubtotal B
C Ot%er 4>penses$E
$:
$;
1!ubtotal C
ABC 5O5AL 4@P4!4! 122
4@P4!4! – PA:54: 6I!5:IB?5IO
PA:54:O:GAI!A5IO
4@P4!4!(account numbers)
4@P4!4!
(in .uros)
&pplicant organisation 2Partner E (enter name)
(enter appropriate accountnumbers G % &E, 7: 7;1)
Partner : (enter name) G
Partner ; (enter name) G
Partner < (enter name)
Partner @ (enter name)
Partner (enter name)
5O5AL 4@P4!4! 122
8he total here should match the total in the table abo5e
H
7/26/2019 ApplicantOrganisationShortName Application Form
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Financial Plan6n the 6onors section please give a clear list o all unding bodies (aside rom 7&$)that you have applied to or that have already committed to und your pro!ect, andthe amounts they are as+ed or have agreed to contribute" Speciy whether undinghas been reuested (or planned to be reuested), or secured, by entering I in the
appropriate cell"6n the Project Partner section please provide inormation on any possible pro!ectpartners? own investment (monetary or in%+ind) into the pro!ect"Please indicate which costs would be covered by whom" *ou can reer to the frstcolumn (G &ccount #umber) o the .IP.#S.S table" *ou should also separate monetary2cash contributions rom the in%+ind support"Please include only in%+ind support that can be proved, documented (donation ogoods, use o venues, voluntary wor+ that could be supported with contracts,donation letters, wor+sheets etc"), and do not include in%+ind that would be diJcultto evaluate (use o oJce euipment or oJce urniture etc")"6n the 5otal column present the sum o the monetary and in%+ind contribution oreach contributor and in the column the percentage rom the overall total pro!ectvalue that that contribution represents"&t the bottom rows enter the total monetary and the total in%+ind contribution oall, and the percentage rom the overall total that those represent"Please mind the ma/imum allowed percentages KL or 7&$ contribution, andEL or in%+ind"
ICO4
!O?:C4
! 4 C ? : 4 6
4@P4!4!
5O B4COD4:4
6
O45A:E
(in .uros)
I-I6
(value in.uros)
5O5AL(in
.uros)
6onor(enter name) G
(enter name) G
1
Project Partner&pplicantorganisation2Partner E (enter name)
IG
Partner : (entername)
IG
Partner ; (entername)
I
Partner < (entername)
I
Partner @ (entername)
I
1
Bal*ans Arts @ G #2&
K
7/26/2019 ApplicantOrganisationShortName Application Form
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and CultureFund (BAC)
Maximum 9!6 '() allowed8he total here should match the totals in the tables abo5e
5O5AL ICO4 122
122
Maximum 1!6 in3$indallowed
Bud,et arrati7e
Please elaborate here i you have anything to add or e/plain in regards to thebudget and the fnancial plan (or e/ample the e/pected decision dates on undingreuests submitted to others)"
Submitted by Date
M