Cultural Services – Arts

Nottinghamshire Arts Fund

Please make sure you read the Guidance Booklet and the HELP notes carefully before you complete the application form

Please complete all the sections shaded grey Section One: About You

1 Artist / Organisation / Group

2 Main Contact Name

3 Address: Postcode:

4 Telephone

5 Email: Website: 6 What you do?

If you are applying as a group or organisation please complete Questions 7 to 9. Individuals should go straight to Section Two.

7. How would you describe your organisation? Please TICK Amateur or voluntary organisation Other – please describe Professional organisation

8. What year was your organisation formed?

9. What was the annual turnover of your organisation for the last full financial year? Actual Estimated £

Section Two: About Your Project

7 Project Name

8 What arts activity does your project involve? Please tick all those relevant

Craft Performing Arts Literature

Visual Arts

Mixed Arts

9 Please give us a description (in no more than 50 words) of the project you are asking us

to support.

10 When will your project start and end?

Start End

11. Where will your project take place?

Venue District Postcode 1 2 3 4 5 6 7

12. How many people will benefit from your project?

Number Artists Others taking part Audience

TOTAL 13. What are the age ranges of the people who will benefit from your activity?

Please TICK all that apply

Children under 5 25 – 35 5 - 12 36 - 45 13 – 19 46 – 64

20 – 24 65 years and over

14. Is your project directed at, or of particular interest to any of the following groups of

people? Please TICK all that apply Disabled people Asian or Asian British Black or Black British Any other particular group (please

describe below) Chinese

Irish 15 Please give details (in no more than 15 words) if your project has a particular focus we

should know about.

Section Three: Other information 16. Have you discussed your application with a member of the County Council Arts Service?

Yes No If YES please give Name(s)

17. Have you discussed your application with a member of your DISTRICT Council?

Yes No

If YES please give Name(s) i) ii)

Section Four: Budget

18. Income Applied for Confirmed

£ £ £ £ £ £ £ £ £ £ £

£ TOTAL EXPECTED INCOME (i) £

19. Expenditure £

£ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £

£ TOTAL EXPENDITURE (ii) £

20. Total Grant requested from Nottinghamshire County Council (iii) £ Section Five: Full Project Description 21. Please attach a Full project description detailing: the artists involved in your project;

any partners involved in your project; how you know your project is needed in your community; Details of any relevant previous experience and a clear description of how the project will run and what you hope to achieve.

Declaration I confirm that, as far as I know, the information in this application is true and correct.

Signature:

Name: Signed on behalf of:

Date Send to: OFFICE USE Grant Administration Nottinghamshire County Council (Arts) County Offices, Thoroton Road Tel: 0115 977 4589

Email: artsadmin@nottscc.gov.ukNottingham NG2 5FT