Arts Development Scheme Application Form - 2016/2017 Section 1 Applicant Information Name of Organisation: Contact Person (Name) Position in organisation: Address (including postcode): Telephone Number: E-mail: Web Address Are you a Registered Charity? Charity Registration No (if applicable) Brief description of what you are applying for funding to do (maximum 50 words) Amount requested in this application: £ Does your organisation have any of the following operational policies? Please check the box for all that apply. There is no requirement to send these policies with your application, however, we may ask to see them. Please make sure they are available, if requested. Recruitment, employment & staff development Equality Protecting Vulnerable Groups (PVG) Child Protection Do any of your organisation’s Committee Members, Directors, Trustees or senior members of staff have a relative(s) who is employed by Glasgow City Council at a senior level or is a Councillor? If Yes, please provide details, including their position / job title: Section 2 Proposed Project / Programme of Work 2016/2017 1. What is the project /programme of work for which you are seeking funding? 2. Who will be working on the project? 3. Where does the project take place? Please provide details of venue; location. 4. What is the timescale for the project? Please provide a start and end date and detail all key stages, including project development, implementation and delivery. 5. How do you intend to market the project? Please provide details of staff and financial resources allocated to marketing. 6. How do you intend to document, monitor and evaluate your project and who will be responsible for this? 7. Please outline the intended path for development beyond the life of the specific project that is the subject of this application. 8. Will your project specifically target any of the following groups / themes in terms of participants / audiences? If so, please explain how they are targeted and involved. People from minority ethnic communities Disabled people Lesbians, gay men and bisexual people (LGB) Transgender people Women Only Groups Older people Children and Young People Faith communities People living in poverty or experiencing long-term ill health People experiencing discrimination on several grounds 9. Explain how your project contributes to one or more of the Glasgow Arts Priorities. Arts for All - increasing and sustaining cultural engagement and participatory opportunities Creative City Glasgow - strengthening the arts sector through supporting arts organisations and their artists to innovate and develop new work and practises World Class City - raising the profile of Glasgow’s creativity and improving Glasgow’s cultural reputation Equalities - actively improving equality of access to cultural experiences for audiences and participants Section 3 Finance Please give details and the source of funds to be used to deliver the project/programme. Please indicate if these funds have already been offered (confirmed), if you have already applied and are awaiting the outcome of a funding application or have yet to apply. Income Amount requested (maximum 50% of total income) Total Income Expenditure £0.00 Confirmed Applied For Not yet applied £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 £0.00 Total Income must equal total Expenditure Total Expenditure Total Expenditure must equal total Income £0.00 Declaration On behalf of and as authorised by my organisation, I declare that I have read and understood the guidelines for this scheme. I have kept a copy of this application. I submit this application with the support of my organisation’s Board of Management. To the best of my knowledge and belief the information given is correct. I authorise Glasgow Life to make any necessary enquiries to check the information given. I hereby give assurance that the organisation’s activities do not promote or oppose a view on a question of political controversy which is identifiable as the view of one political party. Print Name Date