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Annex l- EXTRA CALL_APPLICATION FORM_ARTIVIST STAFETË PROJECT -.docx

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“ARTIVIST STAFETË PROJECT”

                                                             ARTISTIC QUEER FILM FESTIVAL

GRANT APPLICATIONS

Sub-granting Application Form

Deadline for submission

29TH OF AUGUST - @17:00 Tirana Local Time

Title of the action:

Name of the applicant

PROJECT TITLE:

BUDGET:

LOCATION OF PROJECT IMPLEMENTATION

DURATION OF PROJECT IMPLEMENTATION (from-to / exact dates)

  1. BACKGROUND

FULL NAME OF THE PROJECT APPLICANT & ABBREVIATION (in English and in local language)

CONTACT DETAILS OF THE PROJECT APPLICANT

NAME AND CONTACT DETAILS OF THE APPLICANT.

(Name, Surname, Email, Cel.)

LIST ANY RELEVANT PAST EXPERIENCE

  1. DESCRIPTION OF THE PROJECT ACTIVITIES
  1. What kind of activities do you plan to organize in order to achieve the results of the project and detailed timeline (max 250 words)? 

  1. Explain in what kind of venues and / or setting your activities will take place (max 250 words). Describe activities, venues, timeline and possible partners in Tirana’s cultural field with who you are going to execute the activities with.

  1. Who are the target groups in the project? - (max 250 words)? How do you attract the target group to your activities?

  1. Do you plan to involve target groups in your activities? If yes, explain how.  (max 250 words)

Describe the detailed target groups of your activities, their needs and the expected number of those who will be directly involved. How will you engage and include them in your project activities?

  1. Please describe your previous experiences in organizing similar activities/events? What some of the innovative ideas that you envision rolling out in the event (max 250 words)

  1.  BUDGET (add details in each category, describing the need and related budget amount)

Budget template in separate document, Annex ll

Applicant Details

Name 

Nationality/ Country and date of registration

Legal Entity number (if available)

Legal status

Applicant contact details for the purpose of this action

Postal address of the organization:

Organization email address:

Telephone: (fixed and mobile)

Country code + city code + number

Fax:

Country code + city code + number

Contact person for this action:

Postal address:

Contact person’s email:

Indicative timetable

DATE

TIME

1. Official Public Launch of the Call

August 16th 2022

  17: 00

4. Deadline for submission of applications

August 29th 2022

17:00

5. Information to lead applicants on the results.

 September 5th 2022

17.00

7. Contract signature

September 10th  2022

17.00