<p>APPLICATION FORM FOR GRANT FUNDING FROM ORGANISERS OF FESTIVALS/EVENTS IN 2018</p><p>1. Name, Location and Description of Proposed Festival/Event: ______</p><p>______</p><p>______</p><p>2. Name, Address Telephone No. & Email of Contact Person: ______</p><p>______</p><p>______</p><p>3. Estimated Cost of Staging the Event in 2018 and Proposed Funding Sources: ______</p><p>______</p><p>______</p><p>4. Date of Festival/Event 2018: ______</p><p>5. Was this event held in 2017: ______</p><p>6. If the event was held in 2017 please outline visitor numbers attracted and estimated added value of the Festival/Event to the local economy: ______</p><p>______</p><p>7. Did your organisation receive grant funding in 2017: Yes No </p><p>8. If yes, please outline how much, from whom and how the Grant was spent: ______</p><p>______</p><p>9. If the event is being held for the first time in 2018 please outline expected visitor numbers and estimated added value of the Festival/Event to the local economy: ______</p><p>______</p><p>10. Is Funding being sought from or approved by other Bodies for 2018 and if so from whom and how much: ______</p><p>______</p><p>_ </p><p>______</p><p>11. Please confirm if an event licence, under the Planning & Development Acts, is required for the event: ______</p><p>12. Is Public Liability Insurance required? ______If Yes, please confirm it will be put in place ______</p><p>13. Please outline details of any other information which you think may be of use to the Council in determining the application:</p><p>______</p><p>_ </p><p>______</p><p>______</p><p>______</p><p>14. Please complete the following section:</p><p>Name of Chairperson: ______</p><p>Name of Secretary: ______</p><p>Name of Treasurer: ______</p><p>15. Financial Details: A Bank Statement showing transactions for the previous 12 months MUST ACCOMPANY this application.</p><p>SIGNED: ______</p><p>DATE: ______</p><p>CLOSING DATE FOR RECEIPT OF COMPLETED APPLICATIONS IS 4:30 PM ON FRIDAY, 16th FEBRUARY, 2018. COMPLETED APPLICATION FORMS SHOULD BE RETURNED TO CLAREMORRIS MUNICIPAL DISTRICT OFFICE, KILCOLMAN ROAD, CLAREMORRIS, CO. MAYO. </p><p>PLEASE NOTE APPLICATIONS WILL NOT BE PROCESSED WITHOUT BANK STATEMENTS & CONFIRMATION THAT PUBLIC LIABILITY INSURANCE IS OR WILL BE IN PLACE FOR THE EVENT/FESTIVAL </p>