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Midsumma Festival
History: Midsumma 2022
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Regional Activation Grants
Regional Activation Grants Application
PART A: APPLICANT DETAILS
First name
*
Surname
*
Pronouns
Position title
Email
*
Your postal address
Your contact number
*
ABOUT YOUR IDENTITY
How would you best describe your gender?
Male
Female
Transgender
Non-binary
Agender/No gender
Other
Prefer not to say
How would you describe your sexual identity?
Lesbian
Gay
Bisexual
Heterosexual
Asexual
Queer
Pansexual
Other
Do you identify as any of the following?
Culturally diverse or Person Of Colour
Aboriginal and/or Torres Strait Islander, First Nations, Bla(c)k, Indigenous
Person with disability
Caring for a person with disability
Deaf
Hard of hearing
Autistic/neurodiverse
Blind/low-vision
Person living with chronic illness and/or chronic pain
Person living with a mental health issue
Prefer not to say
PART B: ORGANISATION, COLLECTIVE, GROUP OR AUSPICING BODY
Organisation name
*
Street address
*
Postal address
If different to street address
Contact number
*
ABN
if applicable
Are you registered for GST?
*
Yes
No
I don't know
Eligibility
*
Please select all that apply. If you only ticked one box – please get in touch with the Melbourne Pride 2021 team before proceeding.
Not for profit LGBTQIA+ centric collective
Not for profit LGBTQIA+ centric community group
Not for profit LGBTQIA+ centric organisation
LGBTQIA+ individuals (Auspice arrangements for requests over $5,000)
Ally and/or supporter working closely with LGBTQIA+ individual or organisation
Reside in Regional or Remote Victoria (outside of Metro Melbourne - check your postcode in the information above)
If your project involves arts activity, please select those you are incorporating
Select all that apply
PERFORMANCE EVENTS • Cabaret • Circus • Comedy • Dance • Interactive • Performance • Puppetry • Musical • Spoken Word • Theatre Variety
SCREEN BASED ART
DIGITAL ARTS
MUSIC • Jazz • Blues & Roots • Classical • Popular Music
VISUAL ARTS • Exhibition • Public Art
FILM
TALKS, TOURS AND WORKSHOPS
COMMUNITY & CULTURE • Faith • Market
PARTIES & SOCIAL EVENTS • After Party • Party • Social Event
SPORTS
Are you using an auspicing body?
If so, please detail below the nature or your collaboration and any previous partnerships with them.
PART C: WHAT ARE YOU GOING TO DO?
Project title
*
Short project description
*
Max 25 words
What are you going to do (in detail), how does it relate to the commemoration of the 40th anniversary of decriminalisation or reflect on what PRIDE means to you or help you celebrate PRIDE in your community?
*
Max 300 words
Who from LGBTQIA+ communities will your project involve? How many people will actively participate?
*
Max 200 words
How will your event provide an opportunity for regional connection/regional representation for Pride 2021?
*
Max 250 words
Describe how your project will foster enduring understanding, partnerships and collaboration within your community?
*
Max 250 words
Will your project have a lasting outcome/legacy? What will this be?
*
Max 200 words
How will you measure success?
*
Max 150 words
PART D: FINANCIALS
Cost of total project?
*
Including GST
Grant amount requested
*
Are you seeking money from other sources? If so, how much, and is it confirmed?
PART E: SUPPORTING INFORMATION
Where will your project take place?
List any organisations, community groups, collectives you will be partnering with and if these are confirmed?
Do you foresee any risks involved in your proposed project/activity? If so what are your mitigation plans?
PART F: UPLOAD SUPPORTING DOCUMENTS
Support letter 1
Please ensure to upload as a PDF
Support letter 2
Please ensure to upload as a PDF
Upload your project budget
Max 1 page. Template in information above
Links to photos, websites or videos of similar projects, moodboard or other support material
(if applicable)
PART G – ACKNOWLEDGEMENT
Check box to agree
By ticking this box, I, the Applicant Contact, am authorised by my group/organisation to complete this application. I confirm that all information is correct as at the time of submission and certify that if successful:
- I will only spend the grant funds in accordance with the approved budget and return any funds not spent on agreed activities.
- I will undertake the project as described in this application.
- Adequate record-keeping and documentation will be adhered to throughout the project
- I will deliver a financial acquittal and written reflection no later than 14 days after your event, activity or outcome has concluded.
- The project/event meets relevant COVIDSafe requirements
- Any changes will be communicated with the Melbourne Pride 2021 team as soon as practicable
Principal Partners
Major Partners
Gold Partners