Grant Aid: Arts Fund 2016 -18
Application Form
It is recommended that applicants read the
‘Grant Aid Arts Fund Information for Applicants’ pack before completing this form
Please note that:
 Arts Fund Agreements for successful applicants will start from 01 July 2016 for two years and therefore, end on
30 June 2018.
 Some questions in this form will ask you to provide information about ‘year 1’ and ‘year 2’. For these questions,
Year 1 relates to: 1st July 2016 to 30th June 2017; and Year 2 relates to 1st July 2017 to 30th June 2018.
 The word count, where provided for some questions in this application form, is a guide.
Section A: Applicant details
Project Name:
Is this application is for a consortium / partnership / group of organisations – or
group of individuals?
Yes / No
Primary Contact Name: Please note that the primary contact must be someone whom we can discuss this application
with in detail during office hours (9am-5pm). This person must be over 18 years old. If your application is successful, this is the
named contact we will use for on-going correspondence. If this application is for a consortium / partnership / group of
organisations – or groups of individuals, this should be the lead contact person:
Primary contact role / job title:
Organisation name (if this application is for a consortium / partnership / group of organisations, this should be the lead
organisation/group):
Organisation address (or
correspondence address if this
application is for an individual):
Postcode:
Primary contact email address:
Primary contact phone number:
Organisation website address (if applicable). If this application is for a consortium / partnership / group of
organisations/individuals, this should be the lead organisation/group or individual):
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Type of organisation or individual role in the arts (please
tick).
(If this is a consortium / partnership application, this should be the lead
organisation/group)
Registered Charity, Company or other
registration number (if applicable):
Registered charity
Voluntary group (unincorporated association)
Social enterprise
Registered company
Individual (please specify your role in the arts, e.g. artist,
musician, writer, performer, director, promoter etc.)
Other (please specify)
Secondary Contact (for organisations/groups):
Please note that: if we cannot get hold of the primary contact, we will contact the secondary contact. Therefore, this must also be
someone whom we can discuss this application with during office hours (9am-5pm). This person must be over 18 years old. If
your application is successful, this person will continue to be a secondary contact if we have difficulty contacting the primary
contact.
Secondary contact role:
Secondary contact first name:
Secondary last name:
Secondary contact email address:
Secondary contact phone number:
Trustee Contact: Please note that: for voluntary and community organisations, this must be your chair, secretary,
treasurer or senior member of your governing body. For organisations that are both a registered charity and a company, this
must be a director or company secretary.
Full name:
Role:
Address:
Postcode:
Phone:
E-mail:
Consortium / Partnership Applications
If this application is for a consortium / partnership / group of organisations – or groups of individuals, please list the
groups/organisations/individuals:
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Section B: Project details
1. What is the overall aim of your project? (100 words approx.)
2. How will the project contribute to the strategic aims of Nottinghamshire County Council?
For example: How will the project improve the quality of arts available to Nottinghamshire residents?
How will the project help to develop safe and thriving communities? (250 word approx.)
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3. What is the context for this project / why is this project needed / wanted in the community?
What is the relevance of the project to the proposed target group/community? What evidence
to you have for this? (250 words approx.)
4. Where will the project be delivered each year? Please note: if the exact delivery address is not yet
known, please state the district where you plan to deliver as a minimum. If your application is
successful, full delivery details will need to be provided at least 6 weeks before the start of the project
as a requirement of the agreement.
Year 1
Year 2
Address:
District:
Postcode:
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5. How many Nottinghamshire County residents
do you anticipate will benefit from the project
each year as participants?
(Note: participants are the number of people that take part in a
workshop / event etc., and/or take part in the development of
the project. Participants may be volunteers that support the
project development and / or delivery).
6. How many Nottinghamshire County residents
do you anticipate will benefit from the project
each year as audience members and / or in
other ways (e.g. as readers of a publication)?
Year 1:
Year 2:
Year 1:
Year 2:
7. What is the target group for each year? (please tick)
Year 1
Year 2
Nottinghamshire Adults (19+)
Nottinghamshire CYP (Children & Young People)
Other Nottinghamshire target group(s)*
*If ‘other’, please provide details:
8. What is the participant and/or audience development strategy?
i.e. we want to know how the project plans to increase the range / diversity of Nottinghamshire
participants/audiences and / or engage new participants / audiences, as well as how it will increase
the number of Nottinghamshire people benefitting from arts (250 words approx.)
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9. When the project is up and running, how will the project address diverse needs?
(200 words approx.)
Year 1:
Year 2:
10. What will the professional artist(s) do? (300 words approx.)
Year 1:
Year 2:
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11. Professional Artists
Note that:
 If you plan to work with more than one professional artist, list the 3 who will carry out the majority
of the project.
 If you are applying as an individual, you should include your details here.
 The CV should include a clear, concise summary of your recent relevant artistic work, experience,
achievements, qualifications and a named reference.
Artist’s Name
Website
CV attached?
Yes / No
Yes / No
Yes / No
12. How many volunteers will support the
project? (for information only – not assessed)
Year 1:
Year 2:
13. How will the volunteers be recruited, trained & supported? (for information only – not assessed)
Year 1:
Year 2:
14. Project benefits (250 words approx.)
Please describe the short term benefits during the lifetime of project that your project will deliver.
Please be clear, specific and quantify the expected benefits wherever possible.
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15. Deliverability: Activity Plan
Please completed the table below to show the stages of the project in chronological order, who will carry out the work/tasks and how the project
involves the community / service users / beneficiaries in the various stages of this project (i.e. planning/design/development, delivery, management,
monitoring and evaluation). You can add additional rows to the table if required.
Start
date
End
date
Activity / task – Please provide a brief description of how the project tasks/activities will be carried out
and who will be involved (e.g. planning / design / development – discussions with local community groups in small
focus groups to explore the community needs and project ideas)
Planning / design/development /
promotion
Delivery (e.g. contact time with
participants/audience)
Activity / task
lead
(i.e. who will
lead each
task/activity)
Management/
administration /
monitoring &
evaluation
Anticipated number of hours (year 1)
Anticipated number of hours (year 2)
Total number of project hours (years 1 & 2)
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16. Deliverability: Project Management (350 words approx.)
For example:
 Explain how the project will be managed?
 Describe the capacity of the organisation to deliver this project (e.g. what staff, volunteers, and
resources does it already have to deliver the project?)
 Summarise any prior experience of delivering projects
 Provide information about any additional support required to deliver this project and how you will
go about securing the additional support, (if required)
 If this application is for a consortium/group of organisations/partners/groups of individuals, include
information about the lead applicant and the partners’ roles and experience in managing similar
types of activity and describe how the consortium / partnership will be managed.
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17. Sustainability and project legacy (250 words approx.)
Consider: how will your project continue after this funding has ended? For example:
 Will the project generate income to enable the project to continue? What plans do you have in
place to obtain further funding from elsewhere?
 How will knowledge and skills be developed/shared to enable the project (or an outcome of the
project) to continue?
 What are the changes that your project will bring about that will continue after the funded period?
 What will you do to preserve the project outcomes and/or to ensure that the benefits
continue?
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Section C: Policies, Procedures & Governance
Do you confirm that you have (and / or commit to ensuring that) the relevant policies and
procedures are in place before the start of the project:
Policies, Procedures, Quality & Governance
Yes / No
– or N/A
Comments
(provide additional information, if
appropriate)
a. Safeguarding children, young people (if applicable
to your project)
b. Safeguarding vulnerable adults (if applicable to
your project)
c. Health and safety (please note that successful
applicants will be responsible for ensuring that
appropriate and adequate insurance is in place
to cover the full range of activities).
d. Equality & diversity (and/or Inclusion or
Accessibility policy)
e. Staff and/or volunteer recruitment and induction
policy and process (including DBS checks
where relevant)
f.
A Constitution, Terms of Reference or other
Governing Document (as relevant to your
organisation/group)
g. Children’s registration / information forms (if
applicable to your project)
h. Arrangements for daily registration of staff,
volunteers and children (if applicable to your
project)
i.
A bank account for this scheme (groups: please
ensure that you fulfil the bank account
requirements – see Appendix 4 in the ‘Grant
Aid Arts Fund Information for Applicants’
pack)
j.
Do you have any other relevant policies,
procedures, quality standards and/or governance
arrangements?
If yes, please provide further
information here:
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Section D: Financial details, previous funding and declaration of interests
1. Amount of funding requested from the Arts Fund for the entire
two-year project:
(Please note that if your application is successful, funding will be paid in 2 annual instalments. The
second instalment is subject to satisfactory monitoring during year one).
£
2. Expenditure: How do you plan to spend the funding each year (please complete the table below - add more
rows if required)
Expenditure item
(£) Year 1
(£) Year 2
Total
£20.00
£20.00
£40.00
Example: Acrylic paint (12 x 175ml)
TOTAL
3. Other funding
 Please note Arts Fund, applicants must have in place a minimum of 10% funding from other sources as
money (e.g. grants and donations from other organisations, member subscriptions and fund raising); or as
‘in-kind’ support that can be quantified (e.g. the value of volunteer hours, the financial value of materials
donated, venue hire cost waived).
 Please itemise below what support you have (or are planning to acquire), and state whether it is confirmed:
Other funding source / contribution in kind
Amount / value of
other funding (£) / (or
number of hours /
value of ‘in-kind
support)
Is this other funding /
contribution in kind
confirmed?
£1,000
Yes / No
Example: 100 volunteer hours at approx. £10.00 per hour (estimated)
Yes / No
Yes / No
Yes / No
Yes / No
Total other funding:
TOTAL PROJECT BUDGET:
(Arts funding from Nottinghamshire County Council PLUS other funding)
£
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4. Previous funding from Nottinghamshire County Council:
a. Have you (or any of your partners), received arts Grant Aid funding – or other
funding from Nottinghamshire County Council / Councillors before?
Yes / No
b. If ‘yes’, in what year did you (or your partners) receive this funding?
c. If ‘yes’, what was this funding for?
5. Declaration of interests
Do you or other person(s) involved in the application and/or delivery
or management of the Arts project have any links with
Nottinghamshire County Council Officers or Members of the Council
(Councillors)?
*If yes, please provide details
Yes* / No
6. Name of person completing this application form:
Note: If the person completing this application form is not listed in section A, please provide your email, phone
number and role within this project:
Name:
Email:
Phone number:
Application completion date:
Please ensure that you have answered all the questions in full.
If your application is incomplete / underdeveloped – or does not contain the required information in the
requested format this will be reflected in the outcome of the assessment.
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