<p> APPLICATION FORM</p><p>IMPORTANT INFORMATION TO NOTE:</p><p>Please refer to the Application Guidelines before completing the form. Complete this form on your computer. If you are unable to do so, you may print out the form to fill it in. The form will take approximately 15 minutes to complete.</p><p>When submitting this application, the following information is also required to support the application: (i) Write-up of the project (max 800 words), stating the objectives and including a synopsis of the production and a list of key artists. Information on the target audiences and how the project will engage, inspire and connect audiences through the arts should be included. Translations in English should be provided for non-English projects. (ii) Estimated income and expenditure of the project. All potential sources of funding from government and/or other organisations must be included as well. All budget projection should be as accurate and realistic as possible. Funding consideration for application may be affected if the projected budget is not realistic. (iii) First-time applicants (individuals and informal groups) are required to provide a letter of support from a relevant arts group/institution. </p><p>Applications may be submitted through: (i) Email to: [email protected]; (ii) Post to: Arts Fund Committee, c/o 90 Goodman Road, Goodman Arts Centre, Blk A #01-01, Singapore 439053</p><p>Applications must reach the Tote Board Arts Fund Committee at least 3 months before the commencement of the project and before these closing dates:</p><p>Applications received by: Announcement of Outcome: 28 March 2016 29 April 2016 27 June 2016 29 July 2016 5 September 2016 7 October 2016 7 November 2016 9 December 2016 30 January 2017 3 March 2017</p><p>Revised Feb 2016 APPLICATION FORM</p><p>For Official Use: Ref. No.: Date of Receipt:</p><p>I DETAILS OF PROJECT Title of Project Venue</p><p>Date(s) No. of Activities/Shows</p><p>Time(s) Projected Number of Audiences</p><p>Does your project demonstrate concerted efforts to develop more audiences or target to attract new audiences to partake in the arts? (if yes, please elaborate in your project Please Select write-up) For more details, please refer to Annex A in the application guidelines</p><p>II BUDGET SUMMARY Total Projected Expenditure ($) Total Projected Income ($)</p><p>Surplus / Deficit ($) Value of Grant Required ($)</p><p>III PARTICULARS OF APPLICANT Name of Applicant Type of Applicant Please Select Registration Number (For Organisations)</p><p>Name of Contact Person Salutation Designation of Contact (For Organisations / Informal Groups) Person Please Select Email Address Mobile Number</p><p>Mailing Address Home / Office Number</p><p>Is this the first time you are applying for the Arts Fund? Please Select IV DECLARATION BY APPLICANT</p><p>I declare that the facts stated in this application and the supporting documents (if any) are true and correct to the best of my knowledge and that I have not suppressed any information wilfully. I understand that if I obtain the grant from the Arts Fund Committee by providing false or misleading statements or information, the Committee may, at its discretion, withdraw the grant and recover immediately any amount of the grant that may have been disbursed.</p><p>Submitted by: Designation: Signature: Company Stamp: </p><p>Date: END OF APPLICATION FORM</p><p>Revised Feb 2016</p>