X-HALE 2018 Short Film Competition Grant Application Form

Transcription

1 X-HALE 2018 Short Film Competition The X-HALE 2018 Short Film Competition is an exciting opportunity for youth groups to spread the word about the impact of smoking by creating and promoting a youth-led short-film. Every year, the Irish Cancer Society provide funding, resources and training to support youth groups from all over Ireland in making a short film to encourage young people to be smoke free. If you re part of a youth organisation, project, club, services or centre working with young people aged 10-24, we want to hear from you! This year we will have exciting new opportunities for participating young people to develop and showcase their skills, creativity and talents to lead the way towards Ireland's First Tobacco Free Generation. Before completing your application, please refer to the X-HALE 2018 Short Film Competition Information Sheet available for download here The closing date for applications is Wednesday 28th February, you will be contacted by to confirm receipt of your application and following the closing date in relation to the outcome of your grant application. Please note that groups can still take part and receive training, resources and support without grant assistance. For any queries please contact Sarah Chadwick by schadwick@irishcancer.ie or phone: (01) Like X- HALE on Facebook to keep up to date with X-HALE. 1

2 Details of Applying Group Please complete and submit this application form by Wednesday 28th February Please note that your answers on each page are saved when you click "Next". You can start the application and then come back to it later on the same device to complete it by clicking into the application web link provided again. Please ensure you click "Done" at the end of the application to submit your completed application. * 1. Official Group Name (as you will be referred to throughout the competition): * 2. Group Address (competition correspondence will be sent to this address) * 3. Affiliated or Governing Organisation: * 4. Main Contact Name for your application (your name): 2

3 * 5. Main Contact Address: * 6. Main Contact Phone Number: 7. Please provide details of your groups web/social media pages so that we can follow your pages and tag your group in posts throughout the competition. Please say N/A if your group don't have an account/webpage in each case. Group Facebook Page Name or Username (e.g Group Twitter Handle Group YouTube Username (e.g Irish Cancer Society) Group Tumblr Page Address (e.g. m) Group Website Address (e.g Other Group Social Media/Web Page (Please Specify) * 8. Do you give the Irish Cancer Society permission to contact you if other opportunities arise for youth groups or young people? Yes No * 9. Please list the name(s) of staff/volunteer(s) that will be involved in coordinating your X-HALE participation Coordinator Name 1 Coordinator Name 2 Coordinator Name 3 Coordinator Name 4 3

4 * 10. Please detail the number of young people that will be involved in making your film Number of males Number of females * 11. Age category of applying group years (Junior) years (Senior) * 12. Has your group applied for an X-HALE grant in a previous year? Yes No * 13. Has your group received an X-HALE grant in a previous year? Yes No 14. If you answered yes to question 12, will you be working with a different group of young people this year? Yes No 15. If your group entered a film/project into the X-HALE Youth Awards previously, please give the title 4

5 X-HALE Training We recommend that one or more staff members/volunteers that will be coordinating your groups' participation attend a free X-HALE Training session. This session will provide you with the knowledge and materials to address smoking topics within your organisation. * 16. Please Indicate which training session your staff/adult volunteers wish to register for. Places are allocated on a first come first served basis. You will be contacted following submission of your application to confirm if there is space available on your chosen date. Lunch will be provided. Please note if the training dates are gone past, your group will be provided with an X-HALE Training resource manual as part of your X-HALE Short Film Competition participation. Wednesday 17th January 2018, 10am-4pm: Cillín Hill, Dublin Hill, Kilkenny Please Note: This training is being coordinated by Health and Wellbeing CHO5 under the Local Communities for a Healthy Ireland Fund for youth workers based in Carlow, Kilkenny, Tipperary, Waterford and Wexford. A representative will be in touch to confirm if there is space available, contact HealthandwellbeingCHO5@hse.ie with any queries. Tuesday 30th January 2018, 10am-4pm: Riverside Park Hotel, Killarney Rd, Lackaduff, Macroom, Co. Cork Wednesday 31st January 2018, 10am-4pm: Northside Youth Space, V94 TPP3, Ballynanty Road, Ballynanty, Co. Limerick Thursday 1st February 2018, 10am-4pm: SCCUL Enterprise Centre, Castlepark Road, Ballybane, Galway Please Note: This training is being coordinated by HSE Health Promotion & Improvement & Galway City Partnership, on behalf of Galway City Local Community Development Committee and Healthy Galway City, with support from the Local Communities for a Healthy Ireland Fund. A representative will be in touch to confirm if there is space available. Contact eileen.holland@hse.ie or to with any queries. Tuesday 6th February 2018, 10am-4pm: The Irish Cancer Society, 43/45 Northumberland Road, Dublin 4 Thursday 22nd February 2018, 10am-4pm: The Peace Link, Liseggerton, Clones, Co. Monaghan Our X-HALE Coordinator(s) will not be attending an X-HALE Training session (please explain reason below) 5

6 17. If your organisation registered your interest in one of the training dates above, please provide details of attendee 1. Name Role Address Phone Number 18. If your organisation registered your interest in one of the training dates above, please provide details of attendee 2 (if applicable). Name Role Address Phone Number 6

7 X-HALE Film Making and Sharing Workshop Each year, the Irish Cancer Society invite groups that are taking part in the X-HALE Short Film Competition to attend a free one day X-HALE Film Making and Sharing Workshop over the Midterm/Easter break. The sessions are delivered by the Irish Cancer Society and the Digital Film School with the aim of giving your staff and young people technical skills, confidence and hands on experience to help you make your film. The workshop also covers how you can share and promote your film during your Online and Community Campaign (May 31st- July 5th 2018). The dates and locations for X-HALE 2018 Film Making and Sharing Workshops are listed below. Participating groups will be invited to register up to 2 staff and 2 young people that will bring the skills they learn back to the remainder of your group. For now, please indicate your groups interest in attending and save the date. In addition to this training opportunity, all participating groups will receive a resource pack, which includes information about the film making and sharing process. * 19. Participating groups will be invited to register up to 2 staff and 2 young people for one of the X-HALE Film Making and Sharing Workshops detailed below, please indicate your groups interest and save the date for now. Additional details to follow. Tuesday 13th February 2018, 9:30am-4pm, Kilkenny (venue details to follow) Please Note: This training is being coordinated by Health and Wellbeing CHO5 under the Local Communities for a Healthy Ireland Fund for youth groups based in Carlow, Kilkenny, Tipperary, Waterford and Wexford) Tuesday 27th March 2018, 9:30am-4pm, Dublin (venue details to follow) Wednesday 28th March 2018, 9:30am-4pm, Macroom, Co. Cork (venue details to follow) Thursday 29th March 2018, 9:30am-4pm, Limerick (venue details to follow) Wednesday 4th April 2018, 9:30am-4pm, Monaghan (venue details to follow) Thursday 5th April 2018, 9:30am-4pm, Galway (venue details to follow) Our group will not be attending an X-HALE Film Making and Sharing Workshop (please detail reason below) 7

8 Details of your Proposed Short Film Please take the time to fully answer the questions below. Your answers will be scored as part of the grant shortlisting process. * 20. Why does your organisation want to take part in the X-HALE Short Film Competition? Tell us about your motivation for getting involved and what your organisation/your group members hope to get out of participating. * 21. How do you plan to explore smoking issues with your group? 8

9 * 22. Tell us about your groups' initial ideas for making a film (refer to the X-HALE 2018 Short Film Competition Information sheet for theme ideas) * 23. How will you ensure that the planning, shooting and editing of your film is led by the young people involved? * 24. What will your group do during your Online and Community Campaign to maximise the impact of your groups work and ensure as many young people as possible benefit from the messages in your film? 9

10 Grant We have a limited number of small grants available to assist groups that need financial assistance. Please note that groups can still take part and receive training, support and resources without a grant. * 25. Does your group wish to apply for a grant to cover costs related to making your short film (equipment, props, travel to training or X-HALE Youth Awards etc.)? Yes No 26. Please indicate your groups distance to Dublin City. Please use google maps or AA road maps to calculate this distance in kilometres. Less than 50km 50km-100km More than 120km Our group do not need a grant for travel/participation costs This application form must be submitted by Wednesday 28th February 2018 Thank you for your application. For any queries please contact Sarah Chadwick on (01) or schadwick@irishcancer.ie For more information about the X-HALE 2018 please visit 10