Travel Grant Application Form

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Travel Grant Application Form - Fanak Fund

Reminder: Do not send any additional documents for your application.
One form per applicant.

NAME (as indicated on passport) *

Mr/Ms

FIRST NAME *

Gender

Female

Male

Clear selection

ARTIST NAME

Email address *

(indicate the address where you wish to receive the answer to your request/contact after your trip)

Your telephone number *

(mobile or office number including international code where you can easily be reach during the selection procedure)

What is your age ? *

What is your nationality? *

How did you find out about Fanak Fund?

Through specialised websites

Through friends, colleagues

By email

Other:

Clear selection

PROFESSION

What is your professional/working status ? *

Freelance/independant

Artist

I work within an organisation

Cultural manager

Other:

If you are working within an organisation please describe its activity briefly and give email address and phone number

BACKGROUND

Please describe briefly your training and professional experience. *

Do not write your CV. Start with the most important aspects of your career.

Internet links

Indicate a link or links to your artistic work or cultural projects.

References *

Provide the name and contact details of two people at least who can vouch for the quality of your work

ARTISTIC FIELD

Which artistic field do you work in? *

If there is more than one, please specify "interdisciplinary" and name the fields in the option entitled "other".

Theatre, Puppet theatre, Street theatre

Dance

Music

Circus

Visual Arts

Photography

Digital Arts

Video Arts

Cinema

Writing, playwriting, poetry

Interdisciplinary

Other:

Required

YOUR TRIP

Where are you traveling from? *

Give the name of a city/town

Where are you traveling to? *

Give the name of a city/town

When are you leaving? *

dd/mm/yyyy. If there is no fixed date, name the approximate month.

When are you returning? *

dd/mm/yyyy. If there is no fixed date, mention the approximate month

I would like to apply for a travel grant for the estimated amount of xxx,xx $/€ *

Please indicate in dollars or euros the estimated amount of your travel grant request. Remember that a Fanak Fund travel grant is only for the costs of an international return ticket, visa costs, insurance and PCR tests (no per diems, i.e. meals and accommodation).

Please explain your/your organisation’s situation concerning funding research and justify your request for a Fanak Fund Travel Grant? *

Have you applied for another source of funding? If so, which one and what does it cover ? If it has been accepted or rejected please notify us.

What is the aim of your trip? *

Choose only ONE of the following. If your trip involves two or more options, you must choose the option that is the most important or appropriate. Please be concise.

1) Prepare a project and meet potential partners in another country.

2) Take part in an art residency abroad.

3) Take part in a meeting of professionals (network, festival, etc.) as a speaker or as a participant.

4) Take part in a seminar/conference as a speaker or as a participant.

5) I am running or I am taking part in a workshop / master class / training.

Required

The aim of my trip *

Please explain your project in detail. 1) Name your project and your local partner(s): Describe the project (overall aim, implementation, dates, partners, at which stage of your project this trip is occurring, what do you aim to accomplish during the trip). 2) Name the art residency and where it is based: Describe why you wish to attend this residency and what you can gain from it for your future career and projects. 3) Name the meeting, the organiser of the meeting and indicate the dates of the meeting: Explain why it is important for you to take part in an international meeting in another country (why do you seek international contacts/information, what is the situation in your country, what are your plans for the future ?). 4) Name the seminar or conference, the organiser and indicate the dates: Explain why it is important for you to attend this seminar/conference in another country (specificities of the seminar/conference, why the international context is important in your artistic discipline, what does it imply for your future, etc.). 5) Provide the title of the training, indicate where it is going to take place and the dates: Explain why it is important for you to attend this workshop/masterclass/training in another country (specificities of the workshop/masterclass/training, why the international context is important in your artistic discipline, what does it imply for your future, etc.).

How will you use the information/experience you have gained when you return to your country to further your own projects? *

How will this trip contribute to local cultural development in your own region when you return? *

Thank-you. You can now submit your application.

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