The mobility fund of artists and cultural operators within Africa

APPLICATION FORM

Please send this form by email to

Please pay attention to the following guidelines whilst filling out your application:

  1. Please pay careful attention to answering every question of the application form; incomplete applications will be rejected.
  2. You must read AMA guidelines, available on: before filling this application form
  3. Applications should be sent directly to the AMA office at
  4. Do not attach any files except for the invitation letter and your CV

Please note that AMA is a small organization run by volunteers who dedicate part of their time and energy to support artists in Africa. Your patience and consideration helps us do this work, please keep it in mind when you apply for our grants!

Applicant

Please fill in the following table with your information.

First name & Surname (AS IN PASSPORT) / Gender / Age / Country of origin / Email address / Passport number and issuing authority / Passport expiry date

Profession:

 Artist

 Cultural operator:

 Curator

 Journalist

 Other, please specify:

Field of work:

 Theatre

 Dance

 Story telling

 Visual arts

 Multi-Media

 Music

 Film

 Literature

 Multidisciplinary (please specify)

O Other (please specify)

If you belong to an organisation, please fill in the following table:

Country and city / Name of the Organisation / Contact Person / Email / Phone number or mobile no. / Website
Mobility project

Please give the following information about the host organisation or partner:

Dates and city of the event / Name of your project / Host organization name / Name of contact person in host organization / Email of contact in host organization

Type of event / project:

 Meeting / conference/seminar/ lecture/symposium

 Workshop / master class / residency

 Research

 Creation/Production

 Performance

Exhibition

 Festival/Biennial/art fair

O Other (please specify):

Discipline of the event / project:

 Theatre

 Dance

 Story telling

 Visual arts

 Multi-Media

 Music

 Film

 Literature

 Multidisciplinary (please specify)

O Other (please specify)

Description of the event / project:(100 words maximum summarizing the event/project and please includerelated links):

Please include the invitation letter of your host organisation. In order to ensure applicants do not miss the AMA deadline, we accept applications without invitations. However, please note that you will be requested to provide an invitation letter if your application is selected..

Your travel plan

If your application is selected, Art Moves Africa will only support travel, visa and travel insurance, and land transportation costs when needed (no registration fee, no accommodation, no per diem).

Please give a precise quoteof the costs of each item in EUROS. Please give realistic expenses for visa and insurance, as AMA will verify these.

Departure city / Region in Africa (N.A or E.A…etc) / Destination city / Region in Africa (N.A or E.A…etc) / Departure date / Return date / Visa costs (in Euros) / Travel insurance (in Euros)

CV AND Motivation letter

1. Please attach your CV (maximum: 2 pages)highlighting yourrelevant activities from the last 3 years.Please include any links to online representations of your work (YouTube, Vimeo, website, blogs, Facebook, etc.)

2.Motivation letter describing the artistic & professional content of the project (350-400 words for this section)

Please describe your background and your objectives for this trip by answering the following questions:

-Describe your work including your vision in terms of your artistic development

-How does this project fit within your professional, artistic and personal development? (Why do you want to do this project? Why do you want to travel?)

-What impact will this triphave on your work?

-How will you share your experience after your return?

-What have you done in preparation for this trip? (Contacts, visa, research, applications…).

3. Practical information

-How did you learn about AMA?

-Have you been in contact with other funders to support this travel? If yes, which ones?

-Have you already received a grant from AMA?If yes, please provide your previous grant code.

Please don’t hesitate to make suggestions to help us improve this application form.

Mobility Hub Africa

We are pleased to invite you to subscribe toMobility Hub Africa, the virtual mobility Platform: AMA created this platform in order to facilitate mobility of information within Africa. By subscribing in Mobility Hub Africa, you will help us to better know you and to promote your activities in AMA publicity material as well as amongst our networks.

Thank you for your interest in AMA!

Last updated inMay2015