Part A: Applicant Details
Name
*
First Name
Last Name
Pronouns
*
Position Title
Email
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Your Postal Address
*
Street Address
Street Address Line 2
City
State
Post Code
Who are the traditional owners on the lands on which you live and work
Please feel free to add a reference source
What does your time commitment to this project look like? eg. evenings after full time work, this is my full time work, Tuesday every week, weekends etc.
*
There is no right or wrong answer, this is just so that we know how to best support you during development/delivery and can plan ahead in terms of communication.
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About your identity
Please choose all that apply. We ask about these demographics so we can understand the identities of people who participate in our program and how they are impacted.
How would you best describe your gender?
*
Male
Female
Transgender
Non-binary
Agender / No Gender
Prefer not to say
Other
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
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PART B: Organisation, collective, group or auspicing body
Organisation Name
*
Street Address
*
Street Address
Street Address Line 2
City
State
Post Code
Postal Address
Street Address
Street Address Line 2
City
State
Post Code
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 tick one box – please get in touch with the Midsumma team before proceeding.
*
an LGBTQIA+ community, not-for-profit or peak community body based in Regional, Rural or Remote Victoria
an LGBTQIA+ community, not-for-profit or peak community body based in Metro Melbourne and operating in Regional, Rural or Remote Victoria
a social enterprise with a clearly stated purpose or mission related specifically to supporting LGBTQIA+ communities
have a current Australian Business Number (ABN)
have at least $10 million Public Liability Insurance to cover all aspects of the Program, or an auspice arrangement with this insurance cover
don't have any overdue deliverables from other funds provided by Midsumma
a Regionally located LGBTQIA+ artists or art maker who has been auspiced by a relevant organistation
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?
Yes
No
If yes, please detail below the nature of your collaboration and any previous partnerships with them.
Please also include : Organisation name, ABN, if they are GST registered, name of contact person, phone & email address
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PART C: What are you going to do?
Project Title
Short Project Description
*
Max 50 word:
0/50
When will the first session of your project take place?
*
/
Day
/
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Does your project take place over multiple dates
*
Yes
No - just one event/activity or outcome
You've selected that there is more than one project date - please detail additional dates and times below
Where will your project or final outcome take place?
*
Contracts or understandings with venues need to be locked in prior to submission. Please feel free to include traditional owners if this is different to the place you live and work
What are you going to do and who in the LGBTQIA+ community will your project involve? How many people will actively participate?
*
Midsumma champions intersectionality and multi-generational projects. Are you targeting one particular section? Are you looking at intersectionalities?
0/300
How does your project, event, or outcome respond to the theme of “What does Pride mean to you?” or give safe spaces for others to express or explore “What Pride means to them?
*
This could be as an individual or as a community.
0/400
Describe how your project will foster enduring understanding, partnerships, and collaboration across organisations and collectives within your community.
*
Will you partner with other LGBTQIA+ or allied organisations? Will partnerships or collaborations involve donations or in-kind support to enhance your project?
0/250
How can your project have a lasting outcome?
*
This could be a physical sculpture or art piece, a book, video, audio recording or photographs. Or this could be establishing a reoccurring engagement opportunity
0/250
What elements of accessibility and inclusion will be included in your planning?
*
Will your live or broadcast event have an Auslan interpreter? Will your performance be audio described? Will you make accommodations for those with physical access requirements? Will your event be free to attend?
0/200
How will you measure success?
*
What does success look like for your project? Will you be seeking survey responses and anecdotal feedback from participants?
0/300
Have you thought about how your project and community could interact with Victoria’s Pride Street Party?
*
There may be an opportunity to take part in the program's closing event - Victoria's Pride Street Party, which takes place in Melbourne's inner North. Participation could include an exhibition, a stage or street performance, collaboration with a local business, operation of a market stall, or attendance through hired transport to bring your community to the event.
0/300
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PART D: Financials
Cost of total project?
*
Excluding GST
Support/Grant Amount Requested?
*
Excluding GST
Are you seeking financial support from other sources?
Yes
No
To be determined
You've selected that you will or may be seeking financial support from other sources.
Please detail how much and is it confirmed?
File Upload : Project Budget
*
Browse Files
Drag and drop files here
Choose a file
Max 1 page. Template available on request. This budget needs to be excluding GST
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PART E : Supporting Information
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?
*
Where did you hear about this opportunity?
*
Did you get forwarded an email? See it on FB or on artshub?
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PART F : Upload Supporting Documents
Upload 2 x support letters from other members of your community(s) and any additional support links/files or photos
Support Letter 1
*
Browse Files
Drag and drop files here
Choose a file
.pdf and .doc only
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Support Letter 2
*
Browse Files
Drag and drop files here
Choose a file
.pdf and .doc only
Cancel
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Links to photos, websites or videos of similar projects, mood board or other support material
*
Support evidence for your capacity to deliver previous projects and the artistic direction of this project.
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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 my event, activity or outcome has concluded. Any changes will be communicated with the Midsumma team as soon as practicable
*
Check box to agree
Submit
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