Lgbt 50Proposal Form
LGBT 50PROPOSAL FORM
As part of a national programming initiative, Film Hub North is offering up to £250 per screening for Hub member organisations to support activity related to LGBT 50 in the Film Hub North region (Cumbria, Yorkshire, County Durham, Northumberland and Tyne & Wear).
This is a rolling programme open until September 2017 for activity taking place between July 1st and September 30th 2017. Please note we do not accept retrospective applications for activity already taking place. Applications must allow for up to two weeks turnaround for a response. Deadline for applications under the LGBT 50 scheme is September 15th 2017. Please note the programme may close early if all funds have been allocated.
Support can be used to cover film license fees, marketing & publicity,and speaker fees or expenses. Please refer to LGBT 50 Guidelines for more information on what we can support.
A suggested list of relevant film titles and TV can be found here. However, applications are not limited to these titles and programming suggestions will be welcomed from Film Hub North members.
Organisation:Contact name:
Position in organisation:
Organisation address:
Contact number:
Email address:
Website & Twitter handle:
Title or name of proposed activity:
Date of proposed activity:
Venue where activity will be held:
Request amount (up to £250 per application)
Proposed film title/s:
Projected audience figures:
1. Please provide a summary of your proposed activityand include a breakdown of how you will use the grant.
2. Who are the main beneficiaries/target audience for your activity and how will you reach them?
If your grant is approved you will be required to complete basic monitoring and reporting on completion of your activity, including providing accurate audience figures. We will provide the template and audience survey upon confirmation of the award.
Please note the information that you supply will be held in computer files. It may be used to prepare statistics andsummary data. We may also be obligated to share information under the Freedom of Information Act.
I confirm that all the information provided on this proposal form and in any material submitted in support of it, is truthful and accurate. I agree that this information can be stored and used for statistical and monitoring purposes by Film Hub North.
Name:
Position:
E-signature: Date:
Please email your completed form to your Film Hub contact .Deadline for applications under the LGBT 50 scheme is September 15th 2017. Please note the fund may close early once the funds have been allocated.