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Application for Funding Arts and Crafts Development Program

SCHEDULE A: Investing in Artists Fund

Applicant Identification
Applicants Name: Address:

Submit your completed application to:

Phone Number: Fax: Email Address:

Community: Postal Code: SIN#: Date of Birth:

The Community Economic Development Officer in your municipality

Applicant is Inuk* Applicant is Female* Applicant is considered a youth (under 35 years of age)* *The following information is collected for statistical purposes only and reported in aggregate form. Estimated Project CostsActivity
Please include any relevant documentation (Quotes, Brochures, etc) with application

Description $

Cost

Supporting Documents Cost Quotation Business Plan

A-1 Purchase of Art Materials, supplies and equipment* A-2 Artist Marketing Support* A-3 Artist Travel* A-4 Artistic Innovation
*A small cash contribution from the applicant is required when applying for this funding

Cost Quotation Marketing Plan Cost Quotation Gallery and Event Information Cost Quotation Project Summary

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Last Updated March, 2011 - Application For Funding Arts and Crafts Development Program V1.0

Application for Funding Arts and Crafts Development Program


SCHEDULE A: Investing in Artists Fund

Detailed Description of Project (include start and end dates, attach further documentation if necessary):

Declaration of Applicant
I do swear that I have personal knowledge of the matters discussed in this application and state that: To the best of my knowledge, all statements made and material provided by or on behalf of the undersigned are true and correct; The proposed business plan or project complies with municipal, territorial or federal laws; I agree to provide representatives of the Department of Economic Development & Transportation (and all other organizations supplying project funding), with access to the site and premises of the project; I authorize the Department of Economic Development & Transportation to obtain personal and credit information about me from any source; If approved, I agree to supply relevant receipts requested by the Department of Economic Development & Transportation and all other organizations supplying project funding; and I understand that the names of individuals and companies that receive grants and contributions from the Department of Economic Development & Transportation, together with the amounts of those grants and contributions, may be released to the Minister, the Legislative Assembly, municipalities, and the general public; and I make this declaration believing it to be true and knowing that it is of the same force and effect as if made under oath.

Signature: ________________________________________________________ Signed this ______ day of ______________, 20____, in the community of ________________________, Nunavut

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Last Updated March, 2011 - Application For Funding Arts and Crafts Development Program V1.0

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