Contemporary Music

Music Development Office application form

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Robert Stigwood Fellowship Program
 Industry Fellowship CLOSING DATE: Friday 1 June at 5.00pm

1 Applicant’s details ! Important

Name of applicant (individual / group / organisation):      
Street address:      
     	Postcode:      
Postal address:      
	Postcode:      
Work ph:      	Home ph:      
Fax:      	Mobile:      
Email:      
Website:      

Please refer to the Arts South Australia website www.arts.sa.gov.au for assistance in completing this form.

WHAT TO SUBMIT:

Submit one signed, printed copy of your completed application, PLUS one (unsigned) digital version on either data CD or USB, to:

Arts South Australia

GPO Box 2308

ADELAIDE SA 5001

DO NOT SUBMIT:

• 
  Music CDs/ DVDs
  
• 
  sound or video files in electronic copy
  

All music/ video must be accessible via links provided in your application ONLY.

Arts South Australia will not accept emailed, faxed, or late applications, or any postmarked after 5pm on the closing date.

Is this application by:

 Individual  Group  Inc. association

 Company  State Gov. agency  Local Gov. agency

Do you have an ABN?  Y  N If you do, record here:      

Do you have an ACN?  Y  N If you do, record here:      

Have you applied for an ABN and are waiting for it to be allocated?  Y  N

Are you registered with the Australian Tax Office for the GST?  Y  N

2 Organisations and groups only

Contact person:      	Position:      
Chair / CEO / Responsible person:      	Position:      
Postal address:      
	Postcode:      
Work ph:      	Email:      

3 Individuals only

Gender:  M  F  Other

* Do you have an Australian Citizenship or permanent residency status?  Y  N

* Are you currently living in SA?  Y  N

Important: If you have answered NO to either of these questions *, please address in your application.

Music Development Office application form

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4 Project summary

Title: Robert Stigwood Industry Fellowship
Brief description: Participation in the 2018-19 Robert Stigwood Fellowship Program.
Start date: 1 July 2018	End date: 30 June 2019

5 Amount requested from Arts South Australia

Requested: N/A – Fellowship grant amount will be determined upon commencement of program.

6 Art form area

 Literature  Visual art, craft and design  Performing arts

7 Arts practice

 Poetry  Fiction  Non-fiction  Visual art  Craft  Design  Dance  Theatre  Music  Digital art  Community arts  Multi art form  Interdisciplinary arts  Other      

8 Professional status

What is your professional status, or that of your group?  Emerging  Established  Not applicable

9 Other information (individuals only)

Are you an Aboriginal or Torres Strait Islander (ATSI) artist?  Y  N If yes, what is your language group?      

Are you a person with disability?  Y  N

Are you a person from a culturally and linguistically diverse background?  Y  N

Are you a person living in a regional or remote community?  Y  N

Music Development Office application form

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10 Other information (about the project)

Does this application involve specific initiatives, targeted services or programs with the following groups or individuals?

Youth (under 26)  Y  N

People with disability  Y  N

People from culturally and linguistically diverse backgrounds  Y  N

People living in regional or remote communities  Y  N

Does the activity (at any stage) involve working with children and young people aged under 18 years?  Y  N If yes, have you read, and do you comply with Arts South Australia's Protocols for working with children in art?  Y  N Protocols can be downloaded from: http://arts.sa.gov.au/protocols-for-working-with-children-in-art/

* Does this project directly involve ATSI people as artists or participants?  Y  N

* Does this project involve the representation of ATSI people, art or culture?  Y  N

Important: if you have answered YES to either of these questions *, you must provide additional information on the ATSI arts processes and protocols being followed in your proposal. Applications from or involving ATSI artists or cultures should be discussed with the Arts Development Officer, ATSI Arts, prior to the application being submitted.

How did you find out about Arts South Australia’s support and funding programs?

 Website  Social media (ie. Facebook)  Arts SA information session

 Word of mouth  Print advert / newsletter  Funding handbook

 Other      



Music Development Office application form

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11 Funding proposal

Applications will be considered from professional South Australian music industry entrepreneurs who have a current contract/ agreement in place with at least one South Australian artist. While not mandatory, preference may be given to applicants that are representing an artist with a current recording and that has had some touring experience. NOTE: Self-managed artists are not eligible to apply to this program. Artist Fellowships are available for self-managed artists.

A Professional Bio

Please attach your current biography (maximum one page). Include attendance/ participation at music business conference events.

B Music and Video links

Please provide links to your artist’s music, video and general online presence. This may include links to official website, TripleJ Unearthed, Facebook, Twitter, SoundCloud, Instagram, YouTube or Vimeo Channel etc. Link to your website:      

Description of content:      

Link to your artist’s music:      

Description of content:      

Link to your artist’s music:      

Description of content:      

Link to your artist’s video:      

Description of content:      

Other web link:      

Description of content:      

Other web link:      

Description of content:      

Other web link:      

Description of content:      

Music Development Office application form

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C Key Achievements / Career Highlights

Please provide a brief history of your key achievements and highlights of your professional career to date. This may include achievements of the artists that you manage, as a result of your work. Maximum one page

Type here…

Music Development Office application form

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D Career Goals

Please provide a summary of your short-term and long-term career goals. Maximum one page

Type here…

Music Development Office application form

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12 Authorisation

Tick each relevant box and sign at the bottom (note: unsigned applications are considered ineligible). I,       certify that:  I have read the Arts South Australia funding handbook and have discussed my application with the relevant Arts South Australia officer  I have no overdue funding acquittals due to any Arts South Australia program (speak to an Arts South Australia officer if you are not sure)  The activity I am applying for is due to start after the relevant notification date  The information in my application is, to the best of my knowledge, complete and accurate  I understand that anything wrong or missing may disqualify my application  I understand that the peer assessment panel may decide not to recommend my application  I consent to Arts South Australia using the personal information I have provided for the purpose of managing the grant assessment and approval process, including the collation of statistics  I agree to my name, suburb, grant details and project description being presented in media releases and published on the Arts South Australia website, if my application is successful  I consent to Arts South Australia using the personal information I have provided to advise me of Arts SA grant programs, services, initiatives and events  I consent to Arts South Australia providing my name, project description and contact details to Members of Parliament to enable letters of congratulation to be sent, if my application is successful, and acknowledge that Arts South Australia is then unable to prevent the information being used for other purposes  My project involves working with children and young people aged under 18 years and that I have read and agree to comply with Arts South Australia’s Protocols for Working with Children in Art http://arts.sa.gov.au/protocols-for-working-with-children-in-art/  If my application is successful, I agree to comply with Arts South Australia’s requirement to adopt and implement a Respectful Behaviours policy and procedure. (For more information, and guidance and resources, visit http://arts.sa.gov.au/respectful-behaviours)

Name:       Signature:       Date:      

Office use only Client number: Application number: