GO PITCH FUND APPLICATION FORM We are delighted to confirm that the Go Pitch program will continue for 2016. Go Pitch offers a subsidy to those who have been invited into the Showcase Victoria 2016 program, as well as arts organisations and individuals located in regional and remote Victoria, who would not otherwise be able to attend for financial reasons. As this fund is provided by Creative Victoria it is only open to Victorian artists and organisations for the 2016 event. To apply for Go Pitch funding you need to be: Preferably have not received support previously Living in Victoria. And… Invited to participate in the Showcase Victoria 2016 program. And/or… An artist, or representing an organisation, based in inner or outer regional or remote or very remote Victoria*. And/or… Representing a volunteer managed presenting organisation (venue) located in inner or outer regional or remote or very remote Victoria*. And/or… Unable to otherwise attend Showcase Victoria 2016 due to financial constraints * Make sure you are eligible to apply by checking your Accessibility/Remoteness Index of Australia (ARIA). The Australian Government Department of Health have developed the DoctorConnect website. Among other things it allows you to search by address to find what Remoteness Area you are within using a Google Map interface. This website can be accessed via the following link: http://www.doctorconnect.gov.au/internet/otd/Publishing.nsf/Content/locator How to apply: Carefully read and fill in this form Return the completed form by email by 9:00AM 21 March 2016 to [email protected] Applications will be assessed as soon as possible and you will know if your application has been approved by 24 March March 2016. PLEASE NOTE: Go Pitch is an extremely limited fund. Weighting will be given to those who demonstrate the highest level of need and/or those who are traveling from regional or remote locations to attend. Showcase Victoria and the Go Pitch fund is supported by the Victorian Government through Creative Victoria. Organisation / Artist Name: Contact Person: Role/Job Title: Address: Phone: Email: I have been invited to participate in the Showcase Victoria 2016 program (i.e. you have been invited to present a Pitch, Excerpt, Connection Session etc.) I wish to attend Showcase to represent a volunteer managed venue located in located in inner or outer regional or remote or very remote Victoria. I would like to attend: May 17 May 18 I would like to apply for: My registration to attend Showcase Victoria Subsidy of up to 50% of travel costs to a maximum of $300* Please tell us why you need the Go Pitch fund and what you hope to achieve at Showcase Victoria 2016: * To apply for travel subsidy you must be travelling to attend Showcase Victoria from a regional or remote location within Victoria. You will need to fill out the budget below. TRAVEL BUDGET If you are seeking a travel subsidy you must fill out this budget. You can only apply for up to 50% of your total travel costs. Accommodation costs: Train/vehicle/flight costs: Other*: TOTAL: Amount sought: (you can apply for 50% of your total travel costs to a maximum of $300) Notes (use below to add any explanation you think is required): * If you receive a registration to Showcase Victoria this will include lunch and morning and afternoon tea as well as access to the networking function in the evening of May 17. You will need to cover your breakfast and dinner costs yourself (i.e. these cannot be applied for via Go Pitch). Need help? Gemma Robertson Showcase Victoria 2016 Coordinator Email: [email protected] SEND THIS COMPLETED FORM TO JENNY RYSSENBEEK EXECUTIVE DIRECTOR, VAPAC VIA EMAIL: [email protected] BY 9:00AM 21 MARCH 2016
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