Full Name of Applicant:

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* 1. Full Name of Applicant:

Company Name (if applicable)

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* 2. Company Name (if applicable)

Contact Address

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* 3. Contact Address

Email Address

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* 4. Email Address

Phone Number

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* 5. Phone Number

Website (if applicable)

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* 6. Website (if applicable)

Please write a short biography (100 words max)

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* 7. Please write a short biography (100 words max)

Do you have other partnerships in place, or ideas for how to resource your project?

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* 8. Do you have other partnerships in place, or ideas for how to resource your project?

Names of any confirmed collaborators

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* 9. Names of any confirmed collaborators

Please provide a link to your filmed proposal (no more than 3 minutes)

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* 10. Please provide a link to your filmed proposal (no more than 3 minutes)

Password for your film submission (if applicable)

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* 11. Password for your film submission (if applicable)

What is the expected timeline for your project?

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* 12. What is the expected timeline for your project?

Please provide a link up to 3 minutes long of your previous work, which in some way illustrates an aspect of your proposal.

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* 13. Please provide a link up to 3 minutes long of your previous work, which in some way illustrates an aspect of your proposal.

Please explain how the above extract supports the idea you are applying with. (100 words max)

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* 14. Please explain how the above extract supports the idea you are applying with. (100 words max)

Please add links to your previous work: (please send Youtube, Vimeo or similar links)

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* 15. Please add links to your previous work: (please send Youtube, Vimeo or similar links)

Are you available for an interview on 25 October 2017?

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* 16. Are you available for an interview on 25 October 2017?

Are you available for an interview on 23 October 2017?

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* 17. Are you available for an interview on 23 October 2017?

Equal Opportunities Monitoring Form

These monitoring questions are optional. They help us to understand the diversity of our applicants, and assess the effectiveness of our equal opportunities policies. We use this information to report to funders and other stakeholders.
Gender

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* 18. Gender

Ethnic Origin - Other (please specify)

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* 20. Ethnic Origin - Other (please specify)

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