Application for Financial Support
PO Box 1986, Douglas, Isle of Man IM99 1SR
01624 676169 /
Name
Contact Address
Postcode / E-Mail
Telephone / Day Mobile Evening
FOR WHAT PURPOSE WOULD THE FINANCIAL SUPPORT BE USED?
What is the anticipated social/public/economic benefit to the IOM?*
*Please consider issues such as:
- How many people will the project reach? How accessible will the project be?
- Will it contribute to the visitor economy (tourists and/or IOM residents)?
- Does the project have a product as an outcome (book/film/CD)?
- Does the project involve skills development?
- Are you addressing an area which is otherwise under-explored?
ARE YOU APPLYING FOR A GRANT OR AN INTEREST-FREE LOAN?
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Application for Financial Support (continued)
List funding previously received from Culture Vannin/the Manx Heritage Foundation:
OVERALL COST OF PROJECT:
give a full breakdown of principal costs being sought from Culture Vannin:
ITEM / DETAILS / COST
£
£
£
£
£
TOTAL AMOUNT APPLIED FOR FROM Culture Vannin: / £
PLEASE GIVE DETAILS OF ANY OTHER FUNDING APPLIED FOR, NAMING SOURCE AND AMOUNT:
How would any balance be found?
Please attach copies of your latest accounts and any other relevant supporting material.
DECLARATION: I hereby certify that all the information given in this application is accurate and, if successful,
I undertake to credit Culture Vannin in all publicity and to abide by any conditions attached by Culture Vannin.
Print Name: / Date:
Signature:
PLEASE NOTE:
In the event of a grant or loan being awarded, the money must be taken up and the project completed within a period of two years from receipt of the letter of confirmation unless otherwise mutually agreed.
The logo of Culture Vannin must be used to acknowledge the support on all publicity and in publications. Publications should include the following wording ‘This publication has been supported by Culture Vannin’.
A summary of the project, with any relevant photos, must be submitted to Culture Vannin for use on their website when the project is completed as part of the End of Project Monitoring form.
Applications may be subject to requests for information under the Freedom of Information Act 2015.
TWO COPIESof any publication should be donated to Culture Vannin for our records and TWO COPIES should be donated to Manx National Heritage Library as the Isle of Man’s equivalent to a copyright library.
Evidence that the grant has been used for the purpose set out in the application must be provided.
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Culture Vannin 2017-18