PROJECT
engaging 
artists
in the
built 
environment

Stage 2 
Application 
Form 

This application form is to be used for Stage 2 applications only. Please refer to the guidelines for further information.  You should not complete this unless you have been advised to do so by the Scheme Manager.

•	Read the application form carefully and complete each section, where applicable, in black ink or black type.

•	If you are unsure how best to complete certain sections, or what to include as additional information, please speak to the Scheme Manager. Contact details are at the end of this form.

•	If a question does not apply to you please write ‘not applicable’ or N/A.

•	If you want to fill in the application form electronically, you can get a copy from www.project-awards.org.uk .

•	If you require any other format, please contact us.

•	Please return the completed application form to the address shown at the end of this form.

•	Please note we cannot accept faxed or e-mailed application forms, or applications on disc.

•	Your application will be acknowledged on receipt and we may be in touch to discuss any aspects of it.

Section A – About you

01  Your name

02  Name of your organisation

03  Full address

Full postcode

Phone number

Email address

Website address

Textphone

Fax number

04   If you are applying on behalf of another organisation, give the following details for the main contact person

Name of the main contact person

Position

Full address

Full postcode

Phone number

Email address

Website address

Textphone

Fax number

05   Please describe any particular communication needs that you or your main contact person has (eg communication by textphone, materials in large print).

You do not have to give us the following information but we would be very grateful if you would answer question 6.  This will help us analyse the comparative success rates of the applications we receive.

06   Would you say that the activity you are planning is directed at, or particularly relevant to, any of the following groups of people?  Please put a cross against any relevant categories.

Disabled people 

Asian or British Asian 
(includes Bangladeshi, Indian, Pakistani or any other Asian background)

Black or British Black (includes Caribbean, African)

Chinese

Irish

Any other ethnic group

If you have ticked ‘Any other ethnic group’, please give details.

07  Put a cross against one of the following to describe your sector

Local Authority
Voluntary or community group
Design professional
Education
Healthcare
Housing
Culture/arts
Private Sector
Other (please specify)

08  Put a cross against one of the following to describe the status of your organisation.

Company limited by guarantee
Company limited by shares
Local authority
Other (please specify)

09  Are you a registered charity (please put a cross against your answer)
Yes

No

10  Are you registered for VAT? (please put a cross against your answer)
Yes

No

11  Please say (in no more than 100 words) what your organisation does.

Section B:  Application

12  Please put a cross against the category you are applying for:

Exploration Award: value £2,000 - £5,000
Visionary Award: value £5,000 - £15,000
Team-Building Award: value £5,000 - £15,000
Creative Homes Award: value £5,000 - £15,000
Creative Communities Award: value £5,000 - £15,000
Talking Artists Award: value £2,000 - £5,000

13  Which of the following art forms does the project involve?
If it involves more than one type, please put a cross against no more than three, numbering them 1 to 3 (1 being the most important).

Visual arts
Craft
Design
Media
Writing
Performing arts
Other (please give details in no more than 10 words)

14  Please supply a summary (in no more than 200 words) of the project

A detailed project description should be attached to your application.  It is essential that this explains how your project’s aims and objectives meet the criteria laid out in the guidelines.  If you have already selected an artist, please give full details of the selection procedure and submit biographical details, an artist’s statement, visual documentation (up to ten slides or recent work) and examples of previous written work, if a publishing project.

15  Start (or publication) date

Anticipated end date

16  Where will this project take place?  If a publishing project please specify distribution areas. 

Please put a cross against one of the following:
England
Northern Ireland
Scotland
Wales

Please give details of:

County

Town

Local Authority (if known)

17  If you are in one of these Government Action Zones, please put a cross against the appropriate one

Neighbourhood Renewal Fund Area
New Deal for Communities
Neighbourhood Management Pathfinder
Market Renewal Pathfinder
Housing Growth Area
Millennium Communities
Coalfields Task Force Communities
Other (please specify)

18  Please put a cross against the sector(s) in which your project is planned:

Health
Education
Housing
Commercial
Cultural/arts
Environmental improvement
Planning
Regeneration
Other (please specify)

Section C: Budget

INCOME from your project

Applicant’s contribution
£

Sub total £

Local authority funding
£

£

Sub total £

Other public funds
£

£

Subtotal £

Private sector
£

£

Sub total £

Sales (if a publication)
£

Sub total £

Value of support in kind (please specify type and source)
£

£

Sub total £

Amount requested from PROJECT
£

TOTAL INCOME £

EXPENDITURE for your project

Artists’ fees and expenses (indicating proposed number of days and daily rate)
£

£

Sub total £

Organisational and professional development eg for client/design teams
£

£

Sub total £

If a publishing project, production costs, including royalties to the artist(s)
£

£

Sub total £

Marketing and promotion
£

£

Sub total £

Documentation, monitoring and evaluation
£

£

Sub total £

Total capital expenditure for the proposed scheme
£

£

Sub total £

Value of support in kind (please specify type and source)
£

£

Sub total

Other expenditure
£

£

Sub total £

TOTAL EXPENDITURE £

Budget Notes (please add any additional information here)

Declaration

Checklist
Before you sign and date your application, please check the following:

Have you filled in every relevant question on the application form?
Have you included a written proposal?
Have you kept a copy of this application for your records?

Data protection
The information you provide will be processed by or for us. We will hold the information you give us on computer and use it for statistical purposes. We will provide copies of the information to individuals or organisations who are helping us assess, monitor grants and evaluate the projects.

Put a cross here if you want us to keep you informed of our work.

I confirm that the applicant organisation is financially stable and I have no reason to believe that the organisation will not be viable over the life of the project.

I confirm that the organisation named on this application has given me the authority to sign this application on their behalf.

I confirm that, as far as I know, the information in this application is true and correct and undertake to inform Public Art South West immediately of any changes which are made to the details supplied on this application.

Signature

Name (use CAPITAL LETTERS)

Position

Date

Please return this form, with full supporting material to:

PROJECT – engaging artists in the built environment
Public Art South West
PO Box 189
Exeter EX4 3XL

T: 01392 229266
F: 01392 229229
info@project-awards.org.uk
www.project-awards.org.uk

Please note:  whilst every care will be taken of slides and additional material submitted, we cannot take responsibility for any loss or damage incurred.

PROJECT – engaging artists in the built environment is funded by the Commission for Architecture and the Built Environment (CABE) and Arts & Business (A&B).

The scheme is managed by Public Art South West.  
PASW is a regularly funded organisation of Arts Council England.