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stART Grant Program Expression of Interest - Google Forms
Page 1 of 12
Section 1 of 7
A!s Queensland stART Grant Program Expression of InterestAdministered through Metro Arts (Brisbane region)
Email address *
Valid email address
xpression of Interest
Questions
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stART Grant Program Expression of Interest - Google Forms
Page 2 of 12
After section 1
Section 2 of 7
*Eligibility
Please tick all that apply. You must tick all options in order to meet eligibility criteria and continue with your expression of interest.
Complete this application, including uploading a bio, to your Delivery Partner (Metro Arts) by 22 June 2020
Have been employed in Queensland as an independent creative artist, producer, designer, technician or art…
Have remained as a Queensland resident during COVID-19 and plan to continue to reside in Queensland ov…
Reside in the same region as the Delivery Partner you have submitted your application to.
Have only submitted one application to the stART Grant Program.
Provide a sound explanation of how you lost income as a result of COVID-19.
Not be eligible for the Federal Government's JobKeeper package.
Have a current ABN registered under your name or your company.
Not be a current Arts Queensland employee or former employee who ceased employment less than six mo…
Undertake the proposed activity in Queensland.
Does not have permanent employment in an organisation.
You can demonstrate, your employment or participation in the arts industry since 2018 (provide your bio w…
Lodge your application to QMusic if your application relates to music.
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stART Grant Program Expression of Interest - Google Forms
Page 3 of 12
After section 2
Section 3 of 7
What is the stART Grant Program's funding purpose?The stART Grant Program has been established to support Queensland independent creative practitioners including artists, artist collaborators, producers, designers, technicians, freelance and other arts workers impacted by the Coronavirus (COVID-19) pandemic.
The stART Grant Program is a competitive funding program, with a total of $500 000 made available to support independent creative practitioners across Queensland. Eligible creative practitioners can apply for;
$3,000 (ex GST) to undertake activities including, but not limited to:o First stage development work including ideation, research, scoping and development of pitch towards futureopportunity.o Creative development of new work, existing work, digital or technical work including but not limited to,script-writing, recording, dramaturgy, planning and design.o Producer services including project management and grant application writing.o Artist, technician or creative collaborator fees to enable activity.o Purchasing of equipment relevant to your activity.
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Applicant Details
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stART Grant Program Expression of Interest - Google Forms
Page 4 of 12
*Which region / delivery pa!ner are you applying to:
Music - Statewide
Brisbane
Gold Coast
South East Queensland (North)
Central Queensland
Ipswich and Logan
South West Queensland
Far North Queensland / Cape York
North Queensland
Western Queensland
*First Name
Short answer text
*Last Name
Short answer text
*Street Address
Long answer text
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stART Grant Program Expression of Interest - Google Forms
Page 5 of 12
*Postal Address
Long answer text
*Mobile Phone Number
Short answer text
*Applicant Email
Short answer text
*ABN
Short answer text
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stART Grant Program Expression of Interest - Google Forms
Page 6 of 12
After section 3
Section 4 of 7
*Do you identify with any of the following groups:
Aboriginal Peoples
People from culturally and linguistically diverse backgrounds
Torres Strait Islander Peoples
Older People (over 55 years of age)
Australian South Sea Islander Peoples
Youth (12 - 25 years of age)
Regional Queenslanders
Children (0 - 11 years of age)
People with disability
LGBTIQ+
None
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*
Application
How has the COVID-19 pandemic impacted your income and why are you ineligible for JobKeeper?
Long answer text
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stART Grant Program Expression of Interest - Google Forms
Page 7 of 12
*Activity Title
Short answer text
*Brief description of the Activity
Maximum 30 words
Long answer text
*Activity Sta! Date
If successful, must commence within 14 business days of approved payment.
Month, day, year
*Activity End Date
If successful, must be completed by 18 September 2020.
Month, day, year
*
Other…
Please select which a! form your activity relates to
Music
Theatre
Dance
Visual Arts, Crafts and Design
Writing
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stART Grant Program Expression of Interest - Google Forms
Page 8 of 12
Where will your activity take place (suburb)? *
Short answer text
Which LGA does your activity take place? *
https://www.ecq.qld.gov.au/electoral-boundaries/where-is-my-electorate
Short answer text
Which Electorate does your activity take place? *
https://www.ecq.qld.gov.au/electoral-boundaries/where-is-my-electorate
Short answer text
To assist the assessment process, please provide the following information:
Please describe your proposed activity in more detail *
Maximum 150 words
Long answer text
Tell us about your experience as an a!ist / a!s worker *
Maximum 150 words
Long answer text
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stART Grant Program Expression of Interest - Google Forms
Page 9 of 12
After section 4
Section 5 of 7
After section 5
Section 6 of 7
*How will this payment assist your activity, and what key deliverable will it suppo!?
Maximum 100 words
Long answer text
*At your activity end date, as pa! of your acqui"al repo!, what will you provide as evidence that the activity has been completed?
Examples could include, but are not limited to, a recording / short video / provision of draft script etc.
Long answer text
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Budget
How do you intend to spend the one o# payment? *
Please upload as a PDF, using the spreadsheet template found here: https://bit.ly/2MP4iJy
Add !le
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Suppo!ing DocumentationPlease provide the following documentation as part of your application
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stART Grant Program Expression of Interest - Google Forms
Page 10 of 12
Please provide your bio *
Please demonstrate your participation or employment in the arts industry since 2018. Maximum 300 words.
Long answer text
Please provide up to 2 referees to assist with assessment of application
Referee 1: Name *
Short answer text
Referee 1: Contact Number *
Short answer text
Referee 1: Contact Email *
Short answer text
Referee 1: Relationship to you *
Short answer text
Referee 2: Name
Short answer text
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stART Grant Program Expression of Interest - Google Forms
Page 11 of 12
After section 6
Section 7 of 7
Referee 2: Contact Number
Short answer text
Referee 2: Contact Email
Short answer text
Referee 2: Relationship to you
Short answer text
Continue to next section
Ce!i$cationI, the undersigned, certify that:
• I have read and I will abide by the stART Grant Program guidelines.• The statements in this application are true and correct to the best of my knowledge, information and belief.• The supporting material is my own work or the work of the collaborating artists named in this application.• I acknowledge that, if I am successful, information provided in this application will form part of my fundingagreement with the Delivery Partner and I will be held accountable to deliverables outlined in this application.• I have read, and am to comply with, all of the requirements of the Program• I understand that if the application for funding is approved, I will be required to report on the activityundertaken as per this application at the Activity End Date.• I consent that information provided in this application may be provided to Arts Queensland, and used forreporting, training, systems testing or process improvement purposes by Arts Queensland and the DeliveryPartner.• I give permission for the Delivery Partner to forward my information to the most appropriate industryexperts (for assessment purposes).• If this application is approved, I consent to the media and Queensland’s State MPs being given informationabout the funded project and I understand I may be contacted directly by them.• I consent to information about the funded project and the amount of funding received being published onthe Delivery Partner, Arts Queensland’s website and/or the Queensland Government Open Data Portal.
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stART Grant Program Expression of Interest - Google Forms
Page 12 of 12
*I agree:
Yes
No
*Name
Short answer text
*Today's Date
Month, day, year
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