APPLICATION FOR FUNDING FORM YOU MUST COMPLETE ALL SECTIONS

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2013 EDUCATION AND OUTREACH GRANTS APPLICATION FORM

If you wish to make an application for funding to Dancers’ Career Development please fill out this form and send it to:

APPLICATION FOR FUNDING FORM YOU MUST COMPLETE ALL SECTIONS

Application for Funding Form


You must complete all sections of this form or we will be unable to process your application. Please contact us via phone on 020 7831 1449 or e-mail [email protected] should you have any questions or require assistance with your application.


Personal Information:


Title: First Name(s): Surname:


Professional name: Maiden Name:


Nationality: Country of residence:


Address:


Postcode:


Telephone: Mobile:


E-mail: Date of birth: ___ / ___ / _____


Professional career:

No of years worked as a professional dancer

(excluding any work done whilst training):


No of years with worked in the United Kingdom:


Currently performing Unemployed Retired


Dance forms worked in (please tick all that apply)

Small contemporary or classical dance companies Cruise Ships

Musical Theatre Folk dance

Commercial Community dance work

Film/TV/Video South Asian Dance

Other_____________________________________


Have you ever performed with any of DCD’s Partner Companies? Yes * No

*If yes please tick all that apply and state the total number of years performed with each company:


Birmingham Royal Ballet From: To:

English National Ballet From: To:

Northern Ballet From: To:

Phoenix Dance Theatre From: To:

Rambert Dance Company From: To:

Richard Alston Dance Company From: To:

Scottish Ballet From: To:

The Royal Ballet From: To:


If you have performed with one of the above companies for five years or more, your application will be referred to the Company Fund.


If you have performed with the above companies for less than five years, or not at all, then your application will be referred to the Independent Fund.


A complete CV with full career history is mandatory and your application will not be considered without it. You should also include a professional reference where possible.


Education:

Please list schools & colleges attended


Years: - Qualification:


Years: - Qualification:


Years: - Qualification:

Please list all non-dance related vocational qualifications and professional experience you may
already have obtained and which are relevant to your retraining application:


Years: - Qualification:


Years: - Qualification:


Years: - Qualification:

Other non-dance related employment (if relevant to your retraining application).


Employer Position


Years: -


Years: -


Years: -


Are you seeking eligibility on Medical Grounds?

(e.g. you do not yet fulfil our eligibility criteria but had to retire due to injury or illness)

Yes * No


*If YES, please note that at least two medical letters/certificates are mandatory.


In order to present your application to the Grants Committee we need a complete application from you. Please check that you have completed all sections of this form as well as all other requested materials, tick the boxes of materials you have included


Read the Guidelines for applying to the Company Fund or Independent Fund

Completed ALL SECTIONS of this Application Form

Undertaken a confidential One-to-one conversation with a DCD staff member


Included a Personal Statement to the Trustees outlining your retraining plan

Included a complete Budget

Included an up-to-date dance CV

Included relevant course information n/a

Included equipment description(s) & costs n/a


How did you hear about Dancers’ Career Development?




Data protection and communications:


Applications to Dancers’ Career Development are treated in strictest confidence. However,
information given in this form may be shared with other support organisations if it is considered to be of benefit to the applicant. If you do not want your information shared in this way, please tick.


If you are member of one of the Partner Companies and do not wish your company to be aware of your application, please tick.


 We’d love to keep you informed of DCD’s support services, news and inspiring stories in our free monthly e-newsletter. If you do not wish to receive this, please tick.


Correspondence concerning your award will be sent by email. If you would prefer to receive formal correspondence by post, please tick.


Dancers’ Career Development will record the data provided for internal use only and it will not be shared with any third parties for marketing purposes.


Please read the following section carefully and thoroughly before signing:


I understand that awards cannot be made retrospectively (e.g. if moneys have been paid out prior to the awards decision date) and that all payments, where possible, should be made through DCD.


I understand that I will be required to fill in and return a DCD Funding Agreement before an award can be activated.


I am aware that I will be required to complete a mandatory Grant Follow Up meeting following the completion of any DCD funded retraining programme.


I will notify DCD of all address changes during the entirety of any funding period with DCD and for 3 years after completion of my award.


I confirm that all information given in this form is correct and I understand that any award can be withdrawn should I knowingly make false statements.


I understand that all awards are given according to individual retraining need and at the discretion of the Grants Committee and the Board of Trustees.


Last but not least, DCD wishes you good luck, enjoyment and success in your retraining.


Please do not hesitate to contact the DCD office should you have any questions, need further advice, wish to make changes to your application or have any other educational needs DCD can help you with.



Signature: Date: __



Please send your application by email to [email protected]

Or why not drop it in in person? We love visitors!

Dancers’ Career Development

Plouviez House

19-20 Hatton Place

London EC1N 8RU


We look forward to receiving your application!

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