Culture Ireland
Cultúr Éireann
Completed form and any other information should be sent to:
Christine Sisk
Culture Ireland
Department of Arts, Sport & Tourism
Room 3.34
Frederick Buildings
South Frederick Street
Dublin 2
Tel: 00-353-1-6313927 / 905
Fax: 00-353-1-6313956
Applications may be e-mailed to christinesisk@dast.gov.ie or to edelmccormack@dast.gov.ie
Details given by applicants shall be treated confidentially
Applications will be considered by Culture Ireland 3 times a year - in early January, May and September, the deadline for which is the 15th of the previous month.
Not withstanding the above, in all cases, applications must be submitted in time to be considered by the Board at its meeting at least eight weeks in advance of the event for which support is sought.
Successful applicants will be expected to furnish evidence of expenditure ( original receipts, tickets)
and a short written report in order to receive payment of grant
Beidh ar iarrthóirí a n-éireoidh lena n-iarratais fianaise ar chaiteachais (bun-admhálacha, ticéid) a thabhairt mar aon le gearrthuairisc i scríbhinn sula niocfar an deontas leo.
Please type or PRINT CLEARLY in black ink.
Clóscríobh nó cló go soiléir i ndúch dubh.
Culture Ireland/Cultúr Éireann
Application for support for International Arts/Cultural Events
1. Name of Applicant / Ainm an Iarratasóra (BLOCK CAPITALS)
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2. Address / Seoladh (BLOCK CAPITALS)
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3. Telephone, Fax Number, email address / Uimhir Teileafón / Fax/ email
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Fax: |
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4. Name and Telephone / fax number of organizer of event abroad
Ainm agus uimhir teileafóin / fax eagraí an imeachta thar lear
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Fax: |
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- 5. Details of event for which grant is required, including name of other artists /
performers participating
Sonraí faoin imeacht dá bhfuil an deontas ag teastáil lena n-áirítear ainm oirfideach eile a bheidh páirteach ann.
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- 6. Details of work you intend to exhibit / perform / lecture. Sonraí faoi iona(i)d, toilleadh lucht féachana agus dáta(í) imeachta(í)
- 7. Details of venue (s), audience capacity and date(s) of event(s)
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Sonraí faoi iona(i)d, toilleadh lucht féachana agus dáta(í) imeachta(í)
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8. Additional Items enclosed (slides, photographs, cds, dvds books etc)? YES / NO
Examples of your work should accompany application, if appropriate
Applications in the Visual Art category will not be considered unless visuals of work to be exhibited or samples of recent work are submitted.
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If yes, please specify
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- 9. Dates of Departure and return / Dátaí a mbeifear ag imeacht agus ag filleadh
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Departure |
Return
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- 10. Tax District and tax reference number / Ceantar cánach agus uimhir thagartha cánach
If you do not have a tax number you should contact your local district tax office. This information is required by the Revenue Commissioners / Mura bhfuil chánach agat is ceart duit dul I dteagmháil le d’oifig chánach áitúil. Tá an t-eolas seo ag teastáil ó na Coimisinéirí Ioncaim
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11. To the best of your knowledge are your tax affairs in order? YES / No
12. Financial costs – breakdown of expenses, e.g. travel, accommodation, freight, rental of venue, catalogue or publicity etc. Please indicate where charges are being met by gallery / university/ institute/ exhibition/ organizers
Costais airgeadais – Cur síos ar chaiteachais e.g. taisteal, lastas, cíos áitribh, catalog nó poiblíocht etc. Luaigh cásanna ina bhfuil costais á n-íoc ag dánlann/ollscoil/institúid/eagrai taispeántais
In Euro
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13. Details of any sponsorship received or expected or any other contributions
Sonraí faoi aon choimircíocht atá faighte agat nó a bhfuil tú ag súil léi nó sonraí faoi aon sintiúis eile
In Euro
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14. Details of fees expected / Sonraí faoi na táillí a bhfuiltear ar súil leo
In Euro
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15. Any other forms of remuneration expected (e.g provision of accommodation, subsistence)
Aon chineálacha eile luach saothair a bhfuiltear ag súil leo ( e.g. soláthar loístín, coth)
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- 16. Amount of grant requested from Culture Ireland
Méid an deontais atá á iarraidh ar Cultúr Éireann
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Total Cost € (Euro only) |
Amount raised € (Euro only) |
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Amount requested € ( Euro only) |
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I hereby solemnly declare that the particulars given in this application are true, to the best of my knowledge and belief.
Name/Ainm______________________________ Date / Dáta:___________________
(In the case of an incorporated company the name of the Director or the company secretary or other responsible person whose position must be provided.)
CHECKLIST
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1. Visuals submitted if applicable.
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2. Please note that Original Tax Clearance Certificatewill be required when claiming grants in excess of €6,500 in any 12 month period |
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3. Letter of invitation from the Organiser of the event.
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4. Up to date Curriculum Vitae of applicant or group.
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5. List of performers in the case of a group application.
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