FY2018MAJOR COMPANY APPLICATION FORM

DECLARATION
I confirm that I have completed and included the following documents in this submission (please click to select):
Application Form
Proposal Form
BudgetProgrammes Form / YES / NO
I certify that the information given in this application, including additional attachments, budget and programmes forms are accurate and complete. / YES / NO
I agree to let NAC use this information for the purpose of assessment, which includes making the information available to an NAC-appointed panel of assessors. I acknowledge that the assessors will be bound by a Non-Disclosure Agreement. / YES / NO
NAME
ORGANISATION
DATE

CHOICE OF TRACK

Please select ONE of the following tracks, which will determine the assessment criteria your application will be evaluated by:

Artmaking Bridging Intermediary

CONTACT INFORMATION

Please fill in the information for the following table.

Name of Organisation
Contact person’s details
Salutation
/ Position in the organisation
First name / Family name
Phone (office) / Fax
Mobile / Email

[There is no need to fill in the information for the following table if you were a previous Major Grant recipient or have previously applied for Arts Spaces at Goodman Arts Centre. However, if there have been any changes since then, please give the necessary updates.]

Organisation’s details
Registration number / Registration date
Street Address / Postcode
Postal Address (if different) / Postcode
Artform category / Year organisation was formed
Organisation website

ORGANISATION PROFILE

[There is no need to fill in the information if you were a previous Major Grant recipient or have previously applied for Arts Spaces at Goodman Arts Centre. However, if there have been any changes since then, please give the necessary updates.]

  1. Organisation Vision & Mission Statements

<Fill in information here>

  1. Brief description of areas and nature of activities

[Please state the general types of activities engaged by your organisation. Please do not provide a list of past or planned activities]

<Fill in information here>

  1. Major Achievements

[Please focus on your organisation’s most significant achievements – this can be in sustained artistic development and quality content/programmes, active engagement of your target groups, contribution to the development of the art form, peers or industry, and/or building a strong organization]

<Fill in information here>

  1. Organisation Structure

[We may ask for more details if your organisation is shortlisted or if awarded.]

Profile of Salaried staff
Full-time / Part-time / Total
No. of artistic staff
No. of administrative staff
No. of technical, production and design staff

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