Documente Academic
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Application Form
Financial support up to $7,500 for arts projects
Before you begin to prepare your application you should read the 2014 Guide to Preparing a
Quick Response Application. You can read this guide at www.creativenz.govt.nz/guides.
To be sent a printed copy, phone Creative New Zealand on (04) 473 0880 or email us at
info@creativenz.govt.nz
Look for the following icons in this application form. They tell you which page of the guide to go to for
information that will help you to complete that part of your application.
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*If you do not submit the correct number of copies of each part your application will be ineligible.
You must be able to answer Yes (Y) to the following statements to ensure
your application is eligible:
I have read the 2014 Guide to Preparing a Quick Response Application
My application meets the general eligibility criteria that cover everyone who applies
for support
My application meets the specific eligibility criteria for Quick Response Grants
5-6
7-9
GST number:
Telephone (day):
Email:
If relevant please complete the following:
Iwi affiliation:
Rohe:
Marae:
Pasifika Group:
Postal Address (all correspondence will be sent to this address)
Street/PO Box:
Suburb:
City:
Postcode:
Country:
City:
Postcode:
Country:
Date of birth:
Telephone (day):
Mobile:
Email:
Postal Address:
GST number:
Gender:
Ethnicity (mark with an X)
New Zealand European/Pkeh:
Pacific Islander:
- Iwi affiliation:
Asian:
- Rohe:
Other:
- Marae:
Contact Details
Tel (day):
Mobile:
Email:
Postal Address
Street/PO Box:
Suburb:
City:
Postcode:
Country:
City:
Postcode:
Country:
Date the project, or the stage of it I am seeking support for, will start:
18/12/20142
Date the project, or the stage of it I am seeking support for, will finish:
20/12/2014
6000
6000
You cannot request more than $7,500 for a Quick Response Grant.
If you are GST registered do not include GST in these amounts.
Have you received funding for this project from other sources? (Y/N)
Have you applied for funding for this project from other sources? (Y/N)
If you answer Yes to either question, ensure that you include this in your budget.
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X
-
Craft/object
Dance
Inter-arts
Literature
Music
Mori arts
Pacific arts
Pan-artform festivals*
Theatre
Visual arts
If your proposed activity does not fit within a specific artform or cultural arts practice
please discuss your application with a Creative New Zealand arts adviser.
*If your application is for a Pan-artform festival please discuss your application with
a Creative New Zealand arts adviser before preparing your application.
Creative New Zealand Funding Type: (select ONE only, mark with an X)
X
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how the practice and results of the project are culturally diverse OR based on
Mtauranga Mori OR based on Kaupapa Pasifika.
the way in which your project is innovative in the creation and/or production of the work.
My project is a short five minute film. The film essentially revolves around the misadventures of two
girls, who are flat mates, and the next door neighbours horrible cat.
The film begins with an encounter between the flat mates and their neighbour. Here we learn
something of the relationship between these three key characters. Mr. Fraser, the neighbour, and
his fluffy ginger cat exit his house. He see Jess (one of the flat mates) waiting on the porch for
Abby, and gives her a seedy smile. Abby, the more street-smart of the two, sees this and gives Mr.
Fraser a cool look in return. Both parties drive off in their cars.
In the next scene, Abby and Jess are driving home together, when, in the midst of an argument, the
two accidentally run over the neighbours cat. The crux of the film occurs now as the two girls try to
come to an agreement over what they should do with the cat. Jess, an animal lover (despite the
cats horrible nature) doesnt want to leave it lying on the road, but cant quite bring herself to tell
Mr. Fraser what has occurred. Abby thinks Jess is mad. Jess decides that they should bury it. Abby
disagrees. In the end Jess persuades Abby to her point of view by admitting that she needs Abbys
help. This is a big moment for the two characters as smart, superior Jess has always looked down
on Abby and her party-going ways.
The girls then go about burying the cat. Abby shovels the dirt, digging a hole, while Jess says a
brief eulogy. Abby becomes increasingly mindful of the time; Mr. Fraser will come from work at
5:30, which is soon. As they replace the last bit of dirt, a pair of headlights can be seen making their
way up the road. The girls head in side, united by their experience.
Mr. Fraser walks to his front door, checking on the way to see if Abby has closed her curtains yet.
As he opens the door, a fluffy orange cat winds around his legs. The flat mates killed the wrong cat.
This project will definitely deliver to the selected outcome: New Zealanders participating in the arts.
As I am a young director hoping to make my debut through the production of this film, I will
undoubtedly be enlisting the help of my film school peers. For me, this project is a chance to
showcase my work at a festival such as Show Me Shorts, where hopefully the film will be seen by a
professional in the industry and liked. If this happens, more work could potentially be generated,
both for me and other key members of my crew, thus allowing more New Zealanders to participate
in the arts.
For my other key crew members, this will be a chance for them to work on creating something that
is unbound by the stringent requirements of university assessments. My Director of Photography,
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Format
OR
I have not supplied any artistic support material with my application
PART V: DECLARATION
You need to read and sign the following:
Subject to its statutory obligations, Creative New Zealand treats all information in funding applications as
confidential. The personal information provided is used solely for the purpose of administering and
assessing the application. (Contemporary popular music applicants should note that Creative New
Zealand, NZ On Air, the New Zealand Music Commission and Te Mangai Paho share information on
applications to ensure that there is no duplication of funding. See page 8 of the separate Music guide for
more information.) We hold any personal information in accordance with the Privacy Act 1993 and, in
particular, the Privacy Principles contained in that Act. Personal information is stored in a secure
environment accessible only by authorised persons for legitimate purposes. You have the right to access
your personal information and ask for the information to be updated or corrected where necessary.
If you are offered a grant, one of the conditions is that Creative New Zealand has the right to publish your
name, a description of the project, and the amount of funding. We may also include a brief description of
your project in our media releases and publications, including on the Creative New Zealand website.
Creative New Zealand is subject to the Official Information Act 1992 and we may have to release
information under that Act to third parties if requested. Creative New Zealand is also subject to the
requirements of the Public Records Act 2005; this includes seeking permission from the Chief Archivist
to destroy records or transfer records to Archives New Zealand.
To the best of my knowledge the information provided in this application is correct.
Signed:
Signed:
(Applicant or arts organisations contact person)
Date:
Date: