1) PROJECT APPLICANT DETAILS
Are you applying as
An Individual
Are you applying as:
(please tick were appropriate)
Name:
Position:
(if applying as a group or organisation)
Address:
Telephone:
Mobile:
Email address:
2) DETAILS OF PROJECT
Title/name of film:
Please provide a description of the film you are proposing
(50o words max)
Proposed running time:
A Group
What are you trying to achieve with this film
(250 words max)
Please tell us why you have an interest in participating in this project
(250 words max)
3) PREVIOUS EXPERIENCE
Please indicate if you have any previous experience in producing short films
(250 words max)
Please note that the purpose of this project is to provide opportunities for communities and individuals with limited or no experience in
short filmmaking processes. It is the intention of Down Community Arts to nurture and support creative talent from communities in Down
District. The organisation will seek to achieve this by providing support to participants from film industry professionals and will not
welcome applications from individuals, companies and groups currently working in this field.
4) SUPPORTING INFORMATION
If available please feel free provide the following in support of your application
Please indicate by ticking if supplied
Script
Filming Schedule
Storyboard
Equipment Requirements
5) APPLICANT DECLARATION
I have read and understand the project application guidelines. The information provided on this application is
true and correct. Any material I have sent to support this application is also true and correct. I will tell Down
Community Arts if any of the supporting information needs to be updated. I am happy to for Down Community
Arts to provide copies of this form and any supporting material to any person or organisation they wish consult
about this application. I am authorised to make this application and accept any offer made by Down
Community Arts. I agree to repay Down Community Arts in the event of conditions of their offer not being
met.
Name
Date:
(Print Capitals)
Signature
Position in applying group/organisation
(If Applicable)
Date:
ADDITIONAL INFORMATION
We are committed to pursuing equality of opportunity. Monitoring applicants and applications is one way of
helping to ensure that there is no discrimination in the way applications are assessed. The information you
provided on persons of different religious belief, political opinion, disability, racial group, age, marital status or
sexual orientation will be used for monitoring purposes only. This section will be separated from your
application upon receipt and the information it contains will not influence your application in any way.
IF KNOWN PLEASE INDICATE THE BENEFICIARIES OF THE PROJECT
Persons with a Disability
The Disability Discrimination Act defines a disabled person as someone with a disability or mental impairment,
which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day
activities.
Please () one box only
The main group to benefit will be:
People with a Disability
People without a Disability
People with a Disability and People without a
Disability
(where neither community is over 60%)
We are unable to specify which group will mainly
benefit
Men and Women
The main group to benefit will be:
Women (including girls)
Men (including boys)
Transgendered people
Both women and men
Please () one box only
(where neither community is over 60%)
We are unable to specify which group will mainly
benefit
Persons with Dependants
We understand people with dependants to be those with personal responsibility for the care of a child, the
care of a person with an incapacitating disability and/or the care of a dependant elderly person.
The main group to benefit will be:
Please () one box only
People with dependants
People without dependants
People with dependants and people without
dependants
(where neither community is over 60%)
We are unable to specify which group will mainly
benefit
Religious Belief
The main group to benefit will be:
Protestant
Catholic
Both Protestant and Catholic communities
(where neither community is over 60%)
Hindu
Islam / Muslim
Jewish
Sikh
Other Religious Belief
We are unable to specify which group will mainly
benefit
Please () one box only
Political Opinion
The main group to benefit will be:
Nationalist generally
Unionist generally
Other
We are unable to specify which group will mainly
benefit
Racial Group
The main group to benefit will be:
Black African
Black Caribbean
Other Black Background
Indian
Pakistani
Bangladeshi
Other Asian Background
Chinese
Mixed ethnic group
Irish Traveller
White
Other (Please specify)
We are unable to specify which group will mainly
benefit
Marital Status
The main group to benefit will be:
Married
Unmarried
Divorced
Separated
Widowed
We are unable to specify which group will mainly
benefit
Sexual Orientation
The main group to benefit, will be:
Gay people
Lesbian people
Heterosexual people
Bisexual people
We are unable to specify which group will mainly
benefit
Age
The main group to benefit will be:
Under 16
Aged 16 – 25
Aged 26 – 50
Aged 50 – 65
Over 65
We are unable to specify which group will mainly
benefit
Please () one box only
Please () one box only
Please () one box only
Please () one box only
Please () one box only
Completed applications to be returned to:
Film 300
Community Film Project
Down Community Arts
Down Arts Centre
2 – 6 Irish St
Downpatrick
BT30 6BP