Peacocke Dance Trust
Application Form
Name of applicant or nominee
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First Name
Last Name
Email
*
example@example.com
Name of person nominating (if not you)
First Name
Last Name
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Briefly tell us about your passion and ambition?
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Tell us how the support from The Peacocke Dance Trust would be used? Provide details of where the Trust money will be spent to complete your project. Company names, bank account details and amount are all required as the payments are made directly from the trust to these suppliers.
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Show us your work via Social Media / Instagram / Tik Tok / Facebook. Please provide links to videos or social accounts, alternatively we-transfer the video of your performance to hello@dancetrust.co.nz
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Applicants signature: By making this application you agree to the Peacocke Dance Trust terms and conditions, that you allow the trust access to your personal details provided in your application. You allow the trust to showcase your project images and video on the Peacocke Dance Trust website and social pages. You agree to provide feedback to the trust within two months of the project completion.
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Submit
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