Professional creative collaboration production
Q 0.0  
Please tick the following if they apply ... Performance (excluding previews and rehearsals) will cover a 6 day period in Waterford City
Performance will be in a Waterford City Council funded venue
Performance will be open to the general public
Performance will be within the 12 month period starting January 1, 2012
Performance will utilise professional Waterford actors and artists
Performance will utilise a script from a local writer
Your organisation has a Child Protection Policy
You agree to mentoring and sharing resources (when capacity permits)
Q 1.0  
PROJECT :
ORGANISATION / GROUP:
ADDRESS :
WEBSITE :
COORDINATOR :
EMAIL :
CONTACT NUMBER :
For clients in receipt of 2011 grants, has the following been completed ? 2011 accounts have been submitted/are being submitted with this form.
2011 Critical Friend's Report has been submitted/is being submitted with this form.

CHILD PROTECTION COMPLIANCE
The safety of the Child (a person under the age of 18) is an overriding concern to Waterford City Council. The Arts Service has put in place a Child Protection Policy and Statement. The majority of our clients already have Child Protection Policies following Arts Council or Department of Health & Children guidelines.

For 2011 Waterford City Council's Arts Office is putting in place a certificate system for arts organisations and groups who are clients. Disclosure for this system is voluntary and is assessed by policies being supplied with this application form or by clients indicating that they have, or are undertaking a Child Protection process or don't have a policy in place.

Waterford City Council reserves the right whether to allow clients go forward for funding based on this and other criteria as the City Council sees fit.

This year Child Protection Policies are mandatory for all arts organisation and clients of Waterford City Council's Arts Office that have any interaction with people under the age of 18.
Please choose the appropriate status to indicate where you are in terms of the policy :
Q 1.1  
Describe, in general terms, what you are asking Waterford City Council to invest in (max 200 words):
Q 1.2  
Outline the relevances of this production in terms of (A) Your organisation (B) Waterford
Q 1.3  
Brief outline of your working method for this project:
Q 1.4  
Brief outline of your organisation (max 100 words):
Q 1.5  
Describe how the support of Waterford City Council will be acknowledged:
Q 1.6  
Outline any support you are already in receipt of from Waterford City Council e.g. subsidised rent because of a Council owned building, studio space, sponsorship in kind, other grant/payment/support:
Q 1.7  
Outline any other support you receive from any other local authority: NAMES OF AUTHORITIES - AMOUNT €
Q 1.8  
Outline any other support you have applied for from any statuatory agency and or other contributing bodies stating the monetary value of the support (e.g. Arts Council, Gulbenkian Foundation, Inter-reg, Bord Failte, Garter Lane, Enterprise Board, G.A.A. etc): NAMES OF AGENCIES - AMOUNT €
Q 1.9  
Proposed date(s) & location(s) for project:
Q 2.0  
What efforts will you make to ensure that your programme/project will be part of a coordinated calendar of artistic events for the city?
Q 2.1  
Detail your marketing plans under the following headings. LOCAL - REGIONAL - NATIONAL - OTHER
Q 2.3  
Estimated number of direct participants (e.g. total of contributors, crew, actors, artists etc.):
Q 2.4  
Estimated audience/visitors:
Q 2.5  
Every organisation in receipt of €5,000 or more of Local Authority funding (including sponsorship-in-kind) must have an outreach programme in place. Please detail plans for your outreach programme:
Q 2.6  
Please give details of your proposed budget. INCOME & EXPENDITURE
Q 2.7  
Nominate an individual as Critical Friend (preferably a peer) to assess your project and who will sign-off the report on the culmination of the project. NAME, ADDRESS & PHONE
Q 2.81  

Please outline and name your organisations hierarchy (e.g. Artistic Director: Enda Bloggs, CEO:, Manager:, FOH Manager:, Stage Manager:, etc.)

POSITION & NAME
Q 2.83  
Lead organisation’s Company Registration Number:
(If an individual or voluntary/amateur/community group - you may not have a Company Registration Number so ensure that you fill in the details below)

Please detail all Directors'/Principles' names, positions and their RSI Numbers
BANK - ADDRESS
Sort Code:
BIC/Swift Code:
IBAN:
ACCOUNTANT / TREASURER - ADDRESS
SOLICITOR - ADDRESS
INSURANCE Public Liability (Please specify amount)
Employer’s Liability
Equipment Insurance
General Insurance
Other
INSURER - Address
Q 2.9  
Outline any special requests you may have for drawing down proposed support from the City Council (e.g. deferred/in-stages etc).
Q 3.0  
Additional documents being uploaded along with this application: Script/synopsis
Artistic policy
Business plan
Child Protection policy
2011 accounts
Other detail - e.g. JPEGs
Upload additional documents here
Upload additional documents here
Upload additional documents here
CHECKLIST  
Tick this off before submitting your application. Have all questions been answered?
Have you indicated where you are in regards to Child Protection Policy?
Have you filled in Names, Company Reg. numbers, RSI numbers?
Have you included information about other funding you receive?
Have you included a Critical Friend?
Have you included a contact name and their number for adjudication purposes?
I acknowledge that this application for funding is subject to the availability of funds and that I agree with the procedures as set out in this application and associated guidelines. Tick to acknowledge
I will notify the Arts Office of all events, for reportage and transparency purposes, and I will coordinate our programme with other Arts providers to ensure the maximum artistic benefit for the city of Waterford. Tick to agree
Date:
Name:
Position within organisation:
Contact number:
Deadline: 4pm February 10, 2012