For Applications of Between 1,000 and 3,000 (Excluding VAT)

Application Form

For applications of between £1,000 and £3,000 (excluding VAT)

Please read our Application criteria, eligibility guidelines and terms and conditions document to assist you, before completing this application.

· Applications must be made by the arts or heritage organisation as the lead partner, although both the arts or heritage applicant and the business sponsor must agree and sign the Declaration in Section 6 of this form.

· There are no closing dates, however, the fund is limited.

· Applications will be assessed as they are received and a decision will normally be given within six weeks of receipt by Arts & Business Scotland.

· A fully completed application form, a signed and dated sponsorship agreement and a project budget showing all income and expenditure must be received by Arts Business Scotland at least two months before (and no more than nine months before) the start date of the sponsored and proposed match-funded activity.

· We will not match fund sponsorships retrospectively.

If you need any advice or assistance in completing this form, please contact Arts & Business Scotland on 0131 556 3353 or email .

New applications to the Culture & Business Fund Scotland can be made for 100% match funding.

Subsequent applications for years two and three can be made for 50% and 25% respectively.

Please tick to confirm the sponsorship year for which this application is being made.

Year 1 (100%) Year 2 (50%) Year 3 (25%)

Submitting your application

From the beginning of May 2017, all Culture & Business Fund Scotland applications will be completed and submitted online via the website www.culturebusinessfund.scot

Until the website and online application forms are available, please download and complete the application and submit as follows:

Applying by email

In line with Arts & Business Scotland’s environmental policies in supporting a Greener Scotland, we encourage applications and associated documents to be submitted by email with electronic signatures to (please note both a PDF and Word version of the application form must be supplied).

Applying by post

If the arts or heritage applicant, or business sponsor, do not have an electronic signature then hard copies should be submitted to: Culture & Business Fund Scotland, Arts & Business Scotland, Rosebery House, 9 Haymarket Terrace, Edinburgh EH12 5EZ.

Please note, if submitting by post then a word document copy of the completed application form, the sponsorship agreement and budget must also be emailed to Section 1: Business sponsor eligibility

Please select one of the following

The business has never sponsored the arts or heritage.
The business unit has never sponsored the arts or heritage, although the parent company or other business units have.
The business or business unit has sponsored the arts or heritage before, but not in Scotland.
The business has sponsored the arts or heritage in Scotland, but not within the last two years.
Please give date of last Scottish sponsorship
The business unit has sponsored the arts or heritage in Scotland, but not within the last two years, although the parent company or other business units have sponsored the arts or heritage in Scotland within the last two years.
Please give details and the date of the last sponsorship in Scotland by the business unit

Please ALSO tick the following statement to confirm

The business has not been promoted in association with the arts or heritage organisation or the arts or heritage activities detailed in this form. Promotion should only commence once a decision has been made as to whether the application for funding has been successful.

Section 2: Project details

Project title

Proposed impacts of arts or heritage project and activities (please tick all that apply)

Community social
empowerment / Education & learning / Environment
Equality, diversity & inclusion / International engagement / Health wellbeing
Older people / People with disabilities / Tourism
Young people
Other (please specify)

Business’s reason for sponsoring the arts or heritage project and activities (please tick all that apply)

Business and/or brand
name awareness / Corporate social
responsibility (CSR) / Creative development
Developing community links / Direct access to target
audiences / Enjoyment
Entertaining / Image enhancement / Marketing
PR opportunities / Staff relations &
development
Other (please specify)

Art form (please tick all that apply)

Animation / Art & health / Combined arts
Craft / Dance / Design
Fashion / Festival (including youth,
community, film, general,
literature, military, music,
ethnic) / Film & TV
Galleries / Literature / Music
Street arts / Theatre / Visual arts
Other (please specify)

Heritage form (please tick all that apply)

Archaeology / Archives & collections / Community heritage
Historic buildings &
monuments / Industrial, maritime &
transport / Intangible heritage (such
as stories, traditions &
concepts)
Land & biodiversity (including
urban green spaces &
parks) / Libraries / Museums
Other (please specify)

Business sector of sponsor (please tick the one that applies)

Business services / Creative industries / Education
Energy & utilities / Engineering / Financial services
FMCG / Health, pharmaceuticals &
biotech / Legal
Manufacturing / Media & entertainment / Public sector (but not
arts or heritage related)
Property & construction / Retail / Technology
Telecommunications / Transport & distribution / Travel & leisure
Wholesale distribution
Other (please specify)

Please state where the sponsored and funded activities will take place

Town(s) or city(ies)

Region (please tick all that apply)

Aberdeen City

Aberdeenshire

Angus

Argyll & Bute

Scottish Borders

Clackmannanshire

West Dunbartonshire

Dumfries & Galloway

Dundee City

East Ayrshire

East Dunbartonshire

East Lothian

East Renfrewshire

Edinburgh, City of

Falkirk

Fife

Glasgow City

Highland

Inverclyde

Midlothian

Moray

North Ayrshire

North Lanarkshire

Orkney Islands

Perth & Kinross

Renfrewshire

Shetland Islands

South Ayrshire

South Lanarkshire

Stirling

West Lothian

Eilean Siar

If any of the sponsored project is taking place outside Scotland, please specify (please note that CBFS funding cannot be used for arts or heritage activities outside of Scotland)

Section 3: Arts or heritage applicant (the ‘lead applicant’)

Full name of organisation

Address

Town or city

Postcode

Region

/
Legal status of organisation /

Date of registration

Number of staff

Annual income

Name of Chief Executive (or equivalent)

Job title (if not Chief Executive)

Name of contact for this application

Job title

Direct telephone

Website

VAT registered

Yes

Please detail other sources of funding which the organisation receives (please tick as appropriate)

Awards for All

Big Lottery Fund

Creative Scotland (Regular)

Creative Scotland (Open)

Creative Scotland (Targeted)

Heritage Lottery Fund

Local Government

Scottish Government

Other (please specify)

Section 4: Business sponsor details

Full name of organisation

Address

Town or city

Postcode

Region

/
Legal status of business /

Date of registration

Parent company (if applicable)

Parent company region

Number of staff

Annual income

Name of Chief Executive (or equivalent)

Job title (if not Chief Executive)

Name of contact for this application

Job title

Direct telephone

Website

VAT registered

Yes

Section 5: Sponsorship and match funding applied for

(Please continue on a separate sheet if necessary)

Overall cost of the arts or heritage project which the sponsorship and match funding will go towards

Total sponsorship value

Includes VAT

Yes

Cash sponsorship

In-kind sponsorship

Please provide a detailed breakdown of the in-kind sponsorship at cost price

Amount of funding being applied for

Year 1 (100%)

Year 2 (50%)

Year 3 (25%)

If the cost of the project is more than the sponsorship and match funding being applied for, please explain where the balance of funding will come from detailing all income sources

Details of sponsored and match-funded arts or heritage activities within the project (if sponsored and match-funded activities are different, please specify)

Start date

/ /

End date

Estimated number of people who will see or take part in the project and its activities overall

Please outline the benefits*, crediting and promotional opportunities which the business sponsor and the Culture & Business Fund Scotland will receive in return for the sponsorship and match funding? (*Please also highlight any additional benefits that would be made possible by the match funding.)

If the employees of the business will be involved in any of the project’s activities, please give details

Please state the commercial reasons for the business sponsoring this project or its activities

If the project will include any non-arts or non-heritage based activities, please give details and the estimated percentage of this

Please explain how the sponsorship came about and how you attracted the business sponsor

Does the project or any of its activities involve children?’

Yes

Section 6: Declaration (this section is to be completed by both parties)

Arts or heritage applicant (the ‘lead applicant’) By signing this form, I confirm that the information contained within this application is accurate.

Name

Job title

Signature

Date

Business sponsor By signing this form, I confirm that the details given in this application are correct and, if successful, that the funding should be paid to the arts or heritage applicant.

Name

Job title

Signature

Date

Please complete the application checklist in the next section before submitting.

Arts & Business Scotland is a company limited by guarantee registered in Scotland (SC406905) and a Scottish charity (SC042631). The registered office is Rosebery House, 9 Haymarket Terrace, Edinburgh EH12 5EZ.

Page 6 CBFS Application Form - £1,000 - £3,000

Section 7: Application checklist

Please check that you have completed the form correctly and are sending all the required information for your application. Incomplete application forms will be rejected.

Please attach a signed sponsorship contract with the application.

Please attach a budget showing all project income and expenditure.

/ Please attach a child protection policy (if the project involves children).

Page 14 CBFS Application Form - £1,000 - £3,000