identity sheet of the project partner

INTERACTIVE EXPERIMENTS 2013
APPLICATION FILE
Applicant name / Project supervisor
Project title
A co financing fund for interactive and innovative
projects
At the initiative of
supported by
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www.poleimages.com
The application file consists of two parts
1 / the administrative and financial file:
 The application letter for financial support, completed and signed by
the manager / association filing for support
 The summarized project sheet
 The applicant’s / project supervisor’s identity
 The identity sheet(s) of the partner(s) (one sheet per partner)
 The laboratory’s identity sheet
 A presentation of the design team, accompanied by each member’s
resume
 The author contracts
 The estimated budget (excl. VAT)
 The financing plan (excl. VAT)
 All evidence of private or public financing
 Visual information that can be used for promotional actions Pictanovo
 An extract K bis from the register of commerce and companies.
(declaration on honour for the Belgian companies)
2 / Project Presentation (maximum 30 p.)
 The concept
 Context and initial intention
 Artistic elements of the project
 Interaction and experiment
 Coordination and development of the project
 Management, control of the project
 Stages of the project (preparation, production, experiments, ,
distribution)
Please supply a paper version of the application file to:
Pictanovo
CS 40152
59333 TOURCOING CEDEX
and a complete digital version to:
[email protected]
Deadline for filing application:
First session: April 10, 2013 (before 18 u)
Second session: September 11, 2013 (before 18 u)
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1 / The administrative and financial file
 The application letter for financial support, completed and signed by
the manager / association filing for support
 The summarized project sheet
 The applicant’s / project supervisor’s identity
 The identity sheet(s) of the partner(s) (one sheet per partner)
 The laboratory’s identity sheet
 A presentation of the design team, accompanied by each member’s
resume
 The author contracts
 The estimated budget (excl. VAT)
 The financing plan (excl. VAT)
 All evidence of private or public financing
 Visual information that can be used for promotional actions by
Pictanovo
 An extract K bis from the register of commerce and companies.
(declaration on honour for the Belgian companies)
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Application Form Template
Sir President
Pictanovo
CS 40152
59333 TOURCOING CEDEX
Dear Sir President,
I, undersigned ................................................................................................
.....................................................................................................................
Acting in behalf of the company (or the association) ...........................................
In the capacity of ……………………………………………………
request your support for the amount of:
€
For the co financing of the production of the project in the context of the ‘Interactive
experiments 2013’ with following topic:
□
□
□
Serious game
Audiovisual media and transmedia
Artistic installation and cultural mediation
This projects temporary title is: ........................................................................
I declare to have taken note of the regulations of the fund and I accept all conditions.
I confirm the strict identity of both supplied versions in paper format and digital format.
I declare to have taken note of article 441-6 paragraph 2 of the French Criminal Code
that states hat ‘the fact of filing a false declaration in view of obtaining an allowance, a
payment or an undue advantage from an authority or governmental agency is punished
by a two year imprisonment and a 30.000 euro penalty’, and I certify the accuracy of
all information provided in this application.
I also certify on the honour that the activities of the company are achieved with
regularly employed staff members conform to articles L.143-3 and L620-3 of
the French labour law (and of equivalent articles in Belgium)
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PROJECT FILE
Attention: do not mention confidential information in this frame. These elements can be used
to promote the activity of Pictanovo.
TITLE

ACRONYM (if applicable)

NAME of the
COMPANY/ASSOCIATION

□ Association
□ Walloon SME
□ Flemish SME
□ SME Nord Pas de Calais
□ SME Out of region
Nr. SIREN (nine numbers) or
Company nr. (Belgium)

DESCPRITION OF THE ORIGINAL
CONCEPT
DESCRIPTION OF THE INNOVATIVE
CHARACTER (TECHNOLOGY, USE, …)
THE LABORATORY THEY BELONG TO



INVOLVED SCHOOL(S) OR TRAINING


THE NAME(S) OF THE RESEARCHER(S)
INVOLVED WITH THE PROJECT
THE FINANCIAL PARTNER(S)




PLACE AND/OR MEDIUM OF
DISTRIBUTION


ESTIMATED BUDGET EV

ESTIMATED BUDGET EV OF THE
EXPENSES IN THE REGION NORD-PAS
DE CALAIS

REQUESTED AMOUNT OF SUPPORT

TOPIC
□
□
□
SERIOUS GAME
AUDIO-VISUELE MEDIA EN TRANSMEDIA
ARTISTIEKE INSTALLATIES EN CULTURELE BEMIDDELING
PROJECT SUMMARY/ SYNOPSIS
(maximum 200 words)
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IDENTITY SHEET APPLICANT / PROJECT SUPERVISOR
NAME of the COMPANY/ASSOCIATION
□ Association
□ Walloon SME
□ Flemish SME
□ SME Nord Pas de Calais
□ SME Out of region
Nr. SIREN (nine numbers) or
Company nr. (Belgium)
ADDRESS of OFFICES
ADDRESS of HEADQUARTERS (if
different)
TELEPHONE NUMBER
DATE OF ESTABLISHEMENT
LEGAL FORM
CAPITAL
WORKFORCE
TURNOVER
Of last fiscal year
NAME OF THE MANAGER/CHAIRMAN
PROJECT SUPERVISOR
NAME First Name
Function
Telephone number
E-mail
ACTIVITIES
REFERENCES AND CLIENTS
(Resume of the company or association)
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IDENTITY SHEET OF THE PROJECT PARTNER
(fill in one sheet per partner)
NAME of the COMPANY/ASSOCIATION
□ Association
□ Walloon SME
□ Flemish SME
□ SME Nord Pas de Calais
□ SME Out of region
Nr. SIREN (nine numbers) or
Company nr. (Belgium)
ADDRESS of OFFICES
ADDRESS of HEADQUARTERS (if
different)
TELEPHONE NUMBER
DATE OF ESTABLISHEMENT
LEGAL FORM
CAPITAL
WORKFORCE
TURNOVER
Of last fiscal year
NAME OF THE MANAGER/CHAIRMAN
PROJECT SUPERVISOR
NAME First Name
Function
Telephone number
E-mail
ACTIVITIES
REFERENCES AND CLIENTS
(Resume of the company or association)
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LABORATORY SHEET
(fill in one sheet per laboratory)
NAME of the laboratory
NAME of University, EPST or EPIC
ADDRESS LABORATORY
ADDRESS of HEADQUARTERS (if
different)
TELEPHONE NUMBER
DATE OF ESTABLISHEMENT
EMPLOYED STAFF by the Laboratory
NAME OF THE MANAGER/CHAIRMAN
PROJECT SUPERVISOR
NAMES First Names
Function
Telephone number
E-mail
ACTIVITIES
REFERENCES of the involved researchers
(Resume, publication in report)
What are the skills made by the
laboratory?
How important is the involvement in this
project for the researchers, the
laboratory staff?
Do you think about hiring a stand-in?
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ESTIMATED BUDGET (excl. VAT)
Note: include charges in wage costs
Title of the project:
Quantity
Cost per unit
TOTAL
Amount of
expenses in
the region
Operator
(specify in
case of
performance)
RIGHTS
Authors
Other (specify)
STAGE I : PREPARATION AND DEVELOPEMENT
STAGE II : PRODUCTION
STAGE III : EXPERIMENTS
GENERAL
TOTAL
For information only: STAGE IV : DISTRIBUTION/VALORIZATION/COMMERCIALIZATION
TOTAL
Note: specify the staff dispenses by including them in the social charges
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FINANCIAL PLAN (excl. VAT)
Specify the amount, the financer, and if there are planned, requested or already acquired allowances.
Title of the project:
Cash
Participations
TOTAL
%
Acquired or not
(if acquired add
contracts)
OWN CONTRIBUTION
PUBLIC FINANCING (except request made at Pictanovo)
PRIVATE PARTNERS:
OTHER (presale…) :
FINANCING REQUEST AT Pictanovo :
Pictanovo
TOTAL
You should include the progress of your applications, with already undertaken
measures, the deadline, etc. for not yet acquired financing requests.
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2 / The project presentation
It is imperative to respect the plan below, to not skip any question and to
respond to each question carefully.
1 The concept
1.1 Context and initial intention
 Describe the context in and the artistic, technological, economic, social and
usage challenges in which the project is embedded.
 Can you refer 5 projects as a source of inspiration?
 Do you know any other project close to yours? If yes, what is different about
your project compared to the other(s)?
 An intention note from the literary and graphic authors, in which artistic choices
and specific creative challenges in relation to the chosen medium/media and the
target audience are described. If necessary, an intention note from the
informatics- or technological designers or of the designers.
 What part of your project would you like to develop in the context of this call?
1.2 Artistic elements of the project
 Which are the most important artistic elements to the project: concept,
summary, script, interactive provision in relation to the chosen medium and
target audience.
 A literary and graphic file that describe the characteristics of the project:
 The literary processing, the script (or the writing that originated the
project)
 The graphical bible (for animation projects and serious games)
 A visual description of the digital design, the interactive set or the
interface
 The elements of the script that illustrate the principles of the interactive
story of the game play
1.3 Interaction and experiments
 In what regard is your concept innovative?
 Does this innovation requires research before its introduction?
 What are the assignment for the involved research Laboratories?
 In what regard is your project interactive? What are the interaction principles
between your work/software and the users?
 What is your contribution to new interaction modalities?
 Of what will the experiment consist? What are the methods and criteria of
evaluation?
 What do you expect from these experiments?
 What could be possible obstacles and/or risks of this project?
2 Coordination and development of the project
2.1 Management, control of the project
 Specify the cooperation modalities between the different partners
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 Demonstrate the complementarities
developers, researchers,...)
of
the
partners
(artists,
designers,
 Specify if necessary the type of partner you are looking for
 How are you going to protect your intellectual property?
 Please present a consortium for approval in which the following are specified:
the basic principles, the first design of engagements of each partner, a design of
the division of property rights, a design of the division of exploitation rights and
a design of the division of profit.
2.2 The stages of the project
The different elements and works described in this part have to be directly related to the
requested budget.
Stage 1 : Preparation and/or development
 Describe in detail the different proceedings that have to be completed, mention
the supervisor for these proceedings and the contributing actors.
 Describe in detail the obstacles/technological risks that have to be kept in mind
during the first stage of the project. Do you have an alternative if it’s not
possible to take on these challenges?
 Specify the time plan.
Stage 2 : Production
 Describe in detail the different actions to undertake, the supervisor of these
actions and contributing actors.
 Specify the time plan.
Stage 3 : Experimenting
 Describe in detail de different action to undertake, the supervisor of these
actions and contributing actors.
 Specify the time plan.
 Specify the protocol for the next items:
 The place(s) of experiment
 The ‘testers’, the panel
 The experimental
observation,...)
way
of
working
(questionnaire,
interviews,
 The evaluation criteria, the quantitative and qualitative indicators
 The foreseen analyze
Stage 4 : Distribution/valorisation/commercialization
 Intention note of the producer about the distribution strategy / valorisation /
commercialisation en the seeking of financing.
 The impact on work opportunity and the creation of new activities.
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