INDIVIDUALS FUND - 2015 Application Form
Please read the following documents as they will help you to complete this form:
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Individuals Fund Guidelines
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Arts Investment – Important Information for Applicants
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Arts and Cultural Investment Framework
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Arts for all Queenslanders strategy
You can find them on the Arts Queensland funding website at: www.qld.gov.au/recreation/arts/funding.
Mailed applications must be postmarked by Monday 14 September 2015. Late, incomplete, emailed or handdelivered applications will not be assessed.
If you would like to apply online, visit www.qld.gov.au/recreation/arts/funding. Online applications must be
submitted by 3pm Monday 14 September 2015.
If you have any questions about this program, please call Arts Queensland on (07) 3034 4016 or toll free 1800
175 531.
Section 1: Applicant Details
1.1 Applicant Details
Title (Mr/Mrs/Ms/Dr etc)
Full Name:
Postal address:
Street Address:
(Or ‘as above’)
Daytime contact number:
Mobile:
Email:
Preferred contact method?
Email or post
1.2 Eligibility Information
Are you an Australian citizen or permanent resident? (Y/N)
Are you over 18 years of age? (Y/N)
Have you applied for an Arts Queensland Grant before? (Y/N)
(If so, under what name?)
1.3 Australian Business number (ABN) details
ABN:
All applicants must
have an active ABN
to be eligible.
Individuals Fund 2015 Application Form – Arts Queensland
GST Registered?
(Y/N)
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In what name is the ABN registered?
Trading name or professional name
(if different)?
Section 2: Your Proposal
2.1 Which art form do you primarily work in? (please select one only)
Visual arts, Craft & Design
Dance
Community Engagement
Theatre
Writing
Music
2.2 Application details
Title of proposal:
Brief description of
proposal:
(50 words max.)
Funding request:
(Use whole dollar only)
$
Location of proposed
activity:
(E.g. Town, City or Country)
Start date:
(Activities must begin on or
after 14 December 2015 to be
eligible)
Finish date:
2.3 Assessment Criteria
Please provide a concise outline of your proposal and complete the three sections below to address
the assessment criteria. Assessors will not read beyond the word limits stated below.
Quality
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High standard of artistic or cultural achievement in your field, appropriate to the stage of your
career
Professional standing of personnel you will work with.
Impact
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Impact of the proposed activity on your career
Artistic and cultural significance of the program you will undertake.
Viability
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Effective use of resources and value for money.
Please describe your career progression and goals (max. 200 words):
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Please describe your proposal (max. 300 words):
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What do you plan to do?
Who do you plan to work with? (if applicable)
Why is this a great opportunity for your career development? How will this activity transform your career?
Outcomes of your proposal (max. 300 words):
 What are the career development outcomes of this activity?
 How will you know they have been achieved?
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2.4 Budget – Income and Expenses
Please complete the budget using the template below to account for all costs of your project.
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Ensure that your budget estimates are as accurate as possible.
Ensure that your income and expenses totals are equal.
Indicate how much of the Arts Queensland grant will be used for each relevant item in the AQ grant breakdown
column.
Applications requesting 100% income from AQ will be ineligible.
Applications requesting equipment costs will be ineligible.
Enter all funding you have applied for and place an asterisk (*) against approved funding.
Use whole dollar amounts.
Please note: If you are not GST registered, amounts should include GST as this is part of the cost of the project. If you
are GST registered, we will pay the funds plus GST. Amounts should be exclusive of GST if you are registered for GST.
Income
AQ Grant Breakdown
Expenditure
(What will the AQ grant pay for?)
A. Earned income
F. Salaries, fees and allowances
$
(Please itemise)
Subtotal A
Subtotal F
$
$
G. Production/program and direct costs
(e.g. travel, accommodation, registration
costs)
B. Other income
(Please itemise)
$
$
(Please itemise)
Subtotal B
C. Your own contribution
(Please itemise)
(Please advise which are cash and which are inkind?)
Subtotal C
Subtotal G
$
H. Promotion, documentation & marketing
costs
(Please itemise)
Subtotal H
$
D. Sponsorships, fundraising & donations
I. Administration costs
(Please itemise)
(Please advise which are cash and which are inkind?)
(Please itemise)
Subtotal D
$
$
$
$
$
Subtotal I
$
$
$
$
E. AQ funding (must be the same as funding
request in 2.2). Applications requesting 100%
income from AQ will be ineligible.
Subtotal E
TOTAL INCOME
(A+B+C+D+E)
(must equal total expenses)
$
$
TOTAL EXPENSES
(F+G+H+I)
Total AQ request (must be the
$
same as funding request in 2.2)
$
(must equal total income)
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Notes to budget:
Please outline any information that will assist to clarify or justify the costs calculated in your
budget.
Include the name of the funding program and notification date (or if already confirmed) of
any funding you have applied for and included in your budget.
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Section 3: Eligibility and Statistical Information
3.1 Statistical Information
Information in this section is not used to assess your application. Information you provide will be
aggregated and used to review access to Arts Queensland funding programs.
Gender:
Male
Female
Career stage:
Emerging
Established
Do you personally identify with any of the groups below?
(Tick only those that apply to you as an individual, not your work area)
Aboriginal peoples
People with a disability
Torres Strait Islander peoples
People from a culturally and linguistically diverse
background
Australian South Sea Islander peoples
Older people (over 55 years of age)
Regional Queenslanders
Youth (0-21 years of age)
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Section 4: Support Material
Please include the following documents in support of your application. Support material exceeding the limits
stated below will not be forwarded to assessors.
Compulsory – applications that do not include all compulsory support material will be ineligible.
Your CV (max. two A4 pages).
Up to three examples that demonstrate the quality of your work.
A minimum of one and up to three letters from professional artists or arts organisations in your area of practice
or involved with the project which provide relevant comment in support of your application and the quality of
your planned activity.
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For proposals involving Aboriginal and Torres Strait Islander people please provide
evidence you have followed required protocols to obtain support and confirmation of
involvement from the relevant people communities and organisations.
For proposals involving people from culturally and linguistically diverse backgrounds;
people with a disability; children or young people, please provide evidence you have
followed required protocols to obtain support and confirmation of involvement from the
relevant communities and organisations
Recommended
Information and / or confirmation of:
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The dates, times and locations of your activities / travel (where applicable)
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Your eligibility for, or acceptance into an activity (where applicable)
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Interest from clients / partners / communities of interest (where applicable)
For students, please provide a letter from a relevant supervisor to confirm that your application does not relate
to your studies. Applications that are associated with study, or contribute to course assessment, at an
accredited educational or training institution in Australia or overseas are not eligible for funding.
Section 5: Certification
I, the undersigned, certify that:
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I have read and will abide by the Arts Queensland Individuals Fund Guidelines and Arts Investment – Important
Information for Applicants.
The statements in this application are true and correct to the best of my knowledge, information and belief. The
supporting material is my own work or the work of the artists named in this application.
I consent that information provided in this application may be used for training, systems testing or process
improvement purposes by Arts Queensland staff.
I give permission for Arts Queensland to verify grants requested from other funding agencies in support of this project
and to provide information in this application to those funding agencies for this purpose.
I give permission for Arts Queensland to forward my application to the most appropriate industry experts/peers.
If this application is approved, I consent to the media and Queensland’s State MPs being given information about the
funded project and I understand I may be contacted directly by them.
I consent to information about the funded project and the amount of funding received being published on Arts
Queensland’s website and/or the Queensland Government Open Data Portal.
Signature:
Individuals Fund 2015 Application Form – Arts Queensland
Date:
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(If you are under the age of 18, your legal guardian must also sign this application)
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