Open Society Institute Budapest
Arts and Culture Network Program

Október 6. utca 12., 1051 Budapest, Hungary

Mailing Address: H-1397 Budapest, P.O. Box 519

Tel: (36 1) 327-3100/3837, Fax: (36 1) 327-3101, E-mail:

Please note, that this page should be submitted in English!

APPLICATION SUMMARY
Name of the relevant Sub-Component:
Name of the Applicant :
Type of Organization:
Is the organization a past grantee?
Project Title :
Project Genre :
(please underline the respective genre/s) / Visual arts / Music / Theatre
Film/Video Art / Literature / Dance
Crafts / Art Residency / Interdisciplinary
Other (Please specify)
Project Period:
Total Budget:
Requested Amount:
Project Summary:
(up to 250 words)
Letters of intent (List the names of partner organizations, whose letters of intent are attached to your application):
Names of other funding sources (List the names of other funding sources with the contributed amounts):
BUDGET SUMMARY
OSI FUNDING / OTHER FUNDING / TOTAL EXPENSES
1. Personnel / $0 / $0 / $0
2. Grants, Consultants, etc / $0 / $0 / $0
3. Travel and Conference Costs / $0 / $0 / $0
4. Supplies / $0 / $0 / $0
5. Telecommunications / $0 / $0 / $0
6. Mail / $0 / $0 / $0
7. Publications / $0 / $0 / $0
8. Incidentals / $0 / $0 / $0
Total: / $0 / $0 / $0
Open Society Institute Budapest
Arts and Culture Network Program

Október 6. utca 12., 1051 Budapest, Hungary

Mailing Address: H-1397 Budapest, P.O. Box 519

Tel: (36 1) 327-3100/3837, Fax: (36 1) 327-3101, E-mail:

‘Partnership for Development’
Application Form

Name of the relevant sub-component:

  1. Title of the Project:
  1. Applicant’s data

▪Name:

▪Address:

▪Phone and fax numbers:

▪E-mail:

  1. Partners’ data

▪Name:

▪Address:

▪Phone and fax numbers:

▪E-mail:

▪Name:

▪Address:

▪Phone and fax numbers:

▪E-mail:

  1. The collaborators

▪Mission statement (aims/objectives) of the applicant and its partners:

▪Brief summary of previous activities of the applicant and its partners relevant to this particular application:

▪Responsibilities of the applicant and its partners in the realisation of the initiative reflecting the division of labour:

  1. Summary of the initiative (maximum 2 pages)

Please cover the following aspects in your summary in the following structure:

▪The context/background of the initiative:

▪Aims and goals of the initiative (both short- and long-term):

▪What exactly you aim to accomplish?

▪In what way will the initiative contribute to development?

▪Please provide a detailed schedule of the initiative with exact dates, and indicate clearly for which part the funding is requested.

▪Please indicate whether the initiative is going to take place in multiple locations or in a single geographic area.

▪Who is the target group of the initiative/where do you aim to make an impact?

▪How will you follow up on the initiative?

▪How will you be able to check whether or not the aims and goals of the initiatives were met? What is your evaluation strategy?

  1. Detailed Budget

Please provide a detailed budget of the whole initiative indicating clearly the items for which funding is requested. The budget shall be submitted in US dollars.

Please provide information about other sources of funding, which are already confirmed, and also provide evidence for them. In-kind contributions should also be declared.

The deadline for application is the 9th of February 2007 (Friday).

For clarification or further information please contact our relevant national coordinator or the representatives of the Arts and Culture Network Program of OSI, Rita Bakradze Program Coordinator at 00 3613273100 extension 2182 or at , or Andrea Csanadi Program Manager at 00 3613273100 extension 2401 or at .

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