2011 Contestable Funding Application form - Creative New Zealand

Presenting your application Submitting your application
Your application should consist of three parts:
• this application form, including the signed declaration
• your project proposal and budget, including the
relevant documentation, completed according to the
proposal template on page 99 and budget template
on page 103 of the 2011 Contestable Funding Guide,
and
• artistic support material (see page 107 of the
2011 Contestable Funding Guide).
Note: The 2011 Contestable Funding Guide is
available as a PDF, and the project proposal and
budget templates are available as a Word document,
at www.creativenz.govt.nz/forms.
Courier or hand-deliver your application to:
Applications
Creative New Zealand
Level 2, Old Public Trust Building
131–135 Lambton Quay
Wellington 6011
Post your application to:
Applications
Creative New Zealand
PO Box 3806
Wellington 6140
2011
Contestable Funding
Application form
for Arts GrAnts, Quick response GrAnts And toi Ake
Important: You should save this file to your own computer first before completing and printing.
OR
Note: Applications submitted by fax or email,
or to our Auckland or Christchurch offices,
will be ineligible.
Remember to keep a copy of the whole application for your own records.

Application details
SECTION A
Applicant’s name:
(The name of the individual, group or arts organisation who is applying)
Have you applied to Creative New Zealand before? Yes No
If Yes, has your address changed since your last application? Yes No
Project details
Working title of project:
Date/s the project is expected to take place:
The local authority area/s in which your project will take place, if applicable (refer to map on page 120 of
the 2011 Contestable Funding Guide):
Amount requested: NZ$ Total cost of the project: NZ$
(If you are GST registered do not include GST in these amounts)
Have you received funding for this project from other sources? Yes No
If Yes, ensure that you have included this in your budget.
Type of grant (TICK ONE ONLY) (See Step 2 on page 15 of the 2011 Contestable Funding Guide)
Arts Grant Quick Response Grant Toi Ake
Creative New Zealand Funding Body (TICK ONE ONLY) (See Step 3 on page 23 of the 2011 Contestable Funding Guide)
Arts Board Te Waka Toi Pacific Arts Committee
Artform or cultural arts practice (TICK ONE ONLY) (See Step 5 on page 33 of the 2011 Contestable Funding Guide)
Craft/Object Dance Inter-arts Literature
Mäori arts Media arts Music
(name of scholarship you’re applying for, if relevant)
Pan-artform festivals Pacific arts Theatre Visual arts
(For Community arts applications only)
Please identify the community or communities that are the focus of the project:
Our funding bodies may change in 2011
Continued over »
2011 Contestable Funding Application form
1

RESULTS (SEE STEP 4)
From the list of results below, select only one or two results that best suit the focus of your project,
and mark them in the right-hand column.
If you are selecting two results rather than only one, mark them with a ‘1’ and a ‘2’ in the right-hand column,
to indicate which is the first most important result (1) and which is the second most important result (2).
We ask you to describe below how your project will achieve the result you’ve selected.
We appreciate that more than two of the results listed below may be relevant to your particular project,
but we ask you to select not more than two results.
Outcome Results
To achieve this outcome we will fund the following types of arts projects:
New Zealanders
participate in
the arts
High-quality
New Zealand
art is developed
New Zealanders
experience
high-quality arts
New Zealand
arts gain
international
success
Our funding bodies may change in 2011
Mäori heritage arts – projects in which Mäori communities preserve,
develop and transmit their cultural traditions and artistry
(Te Waka Toi has a particular focus on this result. However, the Arts Board
can also support projects that seek to achieve this result)
Pacific heritage arts – projects in which Pacific communities preserve,
develop and transmit their customary artistic practices
(The Pacific Arts Committee has a particular focus on this result. However,
the Arts Board can also support projects that seek to achieve this result)
Community arts participation – projects in which New Zealand’s
diverse communities participate in and develop the arts
Developing potential – projects in which artists, practitioners
and arts organisations with potential develop their skills and practice
High-quality artists – projects in which artists, practitioners and arts
organisations that are acknowledged for the quality of their work are supported
Producing innovative work – projects in which high-quality and innovative
new work is developed, including Mäori and Pacific work and the works
of New Zealand’s diverse cultures
Delivery of the arts – projects in which artists, practitioners and arts
organisations deliver high-quality arts experiences to New Zealanders
Diversity in the arts – projects in which New Zealand audiences have
access to diverse arts experiences
Developing audiences – projects by artists, practitioners and arts
organisations which develop skills and capabilities to deliver work
and to increase and diversify their audiences
Developing potential – projects in which artists, practitioners and arts
organisations develop skills and capabilities for engaging internationally
Market development – projects in which international markets and
audiences for New Zealand art are developed
New Zealand’s distinctive voice is heard overseas – projects in which
distinctive, high-quality, internationally viable work is presented overseas
Continued over »
2011 Contestable Funding Application form
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1 st most important result
Describe how your project will achieve this result:
2 nd most important result
Describe how your project will achieve this result:
Is this application by you individually or on behalf of an arts organisation or group?
Arts organisations and groups: please complete section B
Individuals: please complete section C
Our funding bodies may change in 2011
2011 Contestable Funding Application form
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SECTION B ARTS ORGANISATIONS AND GROUPS
Media and event organisers often ask Creative New Zealand for artists’ contact details
If we are asked, can we release your contact details? Yes No
Arts organisation or group details
Name:
GST number:
If relevant, please complete the following (refer to map on page 121 of the 2011 Contestable Funding Guide)
Iwi affiliation:
Rohe:
Marae:
Pasifika group:
Telephone (day): Fax:
Email:
(Include area code) (Include area code)
Postal address (All correspondence will go to this address)
Street/PO Box:
Suburb: City:
Post code: Country:
Local authority (refer to map on page 120 of the 2011 Contestable Funding Guide):
Physical address (if different from postal)
Street:
Suburb: City:
Post code: Country:
Contact person details
Last name:
First name:
Middle name(s):
Gender: Male Female Date of birth:
Telephone: Mobile:
Email:
Our funding bodies may change in 2011
(Include area code)
Continued over »
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64

Contact person’s postal address
Street/PO Box:
Suburb: City:
Post code: Country:
(For overseas arts organisations only)
This project will have direct benefits for New Zealand artists and arts organisations. Yes No
In this application’s project proposal I have included endorsement from
the New Zealand artists named in the application or from an established
New Zealand arts organisation. Yes No
SECTION C INDIVIDUALS
Go to Section D
Media and event organisers often ask Creative New Zealand for artists’ contact details
If we are asked, can we release your contact details? Yes No
Details
Last name:
First name:
Middle name(s):
Gender: Male Female Date of birth:
GST number:
Ethnicity
New Zealand Mäori (refer to map on page 121 of the 2011 Contestable Funding Guide) New Zealand European/Päkehä
Iwi affiliation: Asian
Rohe: Pasifika group
Marae: Other: please specify
Contact details
Telephone (day): Telephone (night):
(Include area code) (Include area code)
Mobile: Fax:
Email:
Our funding bodies may change in 2011
Continued over »
2011 Contestable Funding Application form
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Postal address
Street/PO Box:
Suburb: City:
Post code: Country:
Local authority (refer to map on page 120 of the 2011 Contestable Funding Guide):
Physical address (if different from postal)
Street:
Suburb: City:
Post code: Country:
(For New Zealand artists based overseas only)
This project will have direct benefits for New Zealand artists and arts organisations. Yes No
In this application’s project proposal I have included endorsement from the New Zealand
artists named in the application or from an established New Zealand arts organisation. Yes No
(For part-time or full-time employees of tertiary institutions only)
I have included a statement from my Head of Department (or equivalent position) verifying that
the funding I am applying for is not for activities that are part of my employment agreement. Yes No
Go to Section D
SECTION D JOINT APPLICANT DETAILS
Media and event organisers often ask Creative New Zealand for artists’ contact details
If we are asked, can we release your contact details? Yes No
Joint applicant details
Is this a joint application made with another individual, arts organisation or group? Yes No
If Yes, please complete:
Joint applicant name:
Gender: Male Female Date of birth:
Telephone: Mobile:
Email:
Street/PO Box:
(Include area code)
Suburb: City:
Post code: Country:
Our funding bodies may change in 2011
2011 Contestable Funding Application form
6

Declaration
Now please read and sign the following:
Subject to its statutory obligations, Creative New Zealand treats all information in funding applications as confidential.
The personal information provided is used solely for the purpose of administering and assessing the application. We hold any
personal information in accordance with the Privacy Act 1993 and, in particular, the Privacy Principles contained in that Act.
Personal information is stored in a secure environment accessible only by authorised persons for legitimate purposes. You have
the right to access your personal information and ask for the information to be updated or corrected where necessary.
If you are offered a grant, one of the conditions is that Creative New Zealand has the right to publish your name, a description
of the project, and the amount of funding. We may also include a brief description of your project in our media releases
and publications, including on the Creative New Zealand website.
Creative New Zealand is subject to the Official Information Act 1992 and we may have to release information under that
Act to third parties if requested. Creative New Zealand is also subject to the requirements of the Public Records Act 2005;
this includes seeking permission from the Chief Archivist to destroy records or transfer records to Archives New Zealand.
Signed:
Signed:
I have filled in the acknowledgement slip below.
I understand that my application will be ineligible if I don’t submit my application form, project proposal and
artistic support material at the same time and before the closing date and time, or if I don’t provide the correct
number of copies for the type of grant for which I’m applying.
To the best of my knowledge the information provided in this application is correct.
(Applicant or arts organisation’s contact person)
(Joint applicant or contact person if applicable)
To make sure you’ve included all the information we need, please complete the application checklist on the following page »
Acknowledgement receipt
Please complete the following:
Project working title:
Our funding bodies may change in 2011
Date:
Date:
« Name
« Address
« Post code
« Country
Date received:
(to be stamped by Creative New Zealand)
2011 Contestable Funding Application form
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Application Checklist
I have included hard copies of:
the application form, including the signed declaration
the project proposal, including relevant documentation and budget (see Step 6 on page 97 of the 2011 Contestable Funding Guide)
the artistic support material (see Step 7 on page 107 of the 2011 Contestable Funding Guide)
I have included the correct total number of copies of my application:
Arts Grants and Toi Ake
application form – 5 copies project proposal – 5 copies artistic support material – 3 copies
Quick Response Grants
application form – 2 copies project proposal – 2 copies artistic support material – 1 copy
My application form and project proposal are:
printed on A4-size or US letter-size standard-weight paper bulldog-clipped (not bound or in a folder)
I have included the following artistic support material:
(We cannot return artistic support material, so send copies only.)
CDs DVDs CD-Roms Books Magazines/pamphlets
Other
(Please list)
Links to online artistic support material are highlighted in my application.
All artistic support material has been labelled with the same applicant and project name used on the application form.
My application amount is:
within the limit of the type of grant I am applying for.
The full application, including the application form, project proposal and artistic support material,
must arrive together. Attachments to the application that arrive separately will not be accepted.
My application, including all artistic support material, will reach Creative New Zealand’s Wellington office in hard copy by 5.00pm on:
for Quick Response Grants 4 February 2011 12 August 2011 28 October 2011
for Arts Grants 4 March 2011 2 September 2011
for Toi Ake 4 March 2011 (Te Waka Toi) 2 September 2011 (Te Waka Toi)
Applications that arrive late will be ineligible.
Courier or hand-deliver your application to:
Applications
Creative New Zealand
Level 2, Old Public Trust Building
131–135 Lambton Quay
Wellington 6011
OR
Post your application to:
Applications
Creative New Zealand
PO Box 3806
Wellington 6140
Note: Applications submitted by fax or email, or to our Auckland or Christchurch offices will be ineligible.
Our funding bodies may change in 2011
APPLICATIONs THAT DO NOT COMPLY
WITH THIs CHECKLIsT WILL BE INELIGIBLE
2011 Contestable Funding Application form
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