Cultural Exchange Grant

Application Form
(Valid for applications submitted by the closing dates on
31 March, 30 June, 3 October 2023 and 2 January 2024)

1 This Application Form is for Cultural Exchange Grant only and can be downloaded from the HKADC
website (http://www.hkadc.org.hk).
2 Please read the Information for Project Grant Applicants and the Cultural Exchange Project Grant
Assessment Guidelines before you fill in this Application Form.
3 The Cultural Exchange Project Grant has been divided into two categories: I) Trial Version and II)
General Version. Applicant / organisation can only apply for one of the versions for the same project
at the same time.
4 “Venue Subsidy Scheme” is introduced to subsidise artists / arts groups in booking venues for arts
activities and rehearsals in Hong Kong. Interested parties, please read carefully the “Application
Guidelines” and fill in the designated application form. Completed form should be submitted together
with this Application Form in duplicate to HKADC.
5 For submission in person, please deposit the application in the collection box located at HKADC, 10/F,
1063 King’s Road, Quarry Bay, Hong Kong by 6p.m. on the application deadline. Submission by post
will only be accepted if postmarked no later than the closing date. Email submissions are only
accepted if the electronic date and time printed is no later than the closing date.

Title of Project: (English)

(Chinese)
Name of Applicant: (English)
(Chinese)

Application Category (Please choose one only)

Cultural Exchange (Trial Version) Cultural Exchange (General Version)

Art Form (Please choose the most appropriate one)

Dance Music Film & Media Arts
Literary Arts Visual Arts Xiqu
Cross / Multi-Disciplinary Arts Drama

Project Type (Please choose the most appropriate one )

Performance Exhibition Screening
Residency Programme Competition / Open Meeting / Scholarly Activities
Other Activities, please specify

For Official Use Only

Date Received Art Form Processing Officer

Applicant Number File Number Supervising Officer

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 Cultural Exchange Grant Application Form
*Please delete as appropriate Confidential when completed
I Applicant Information (Paragraph 3 of Information for Applicants)
Individual Applicant
1 Name in English Name in Chinese HKID Card No.
(as on HKID card) (Miss/Ms/Mr/other title*) (as on HKID card) (Miss/Ms/Mr/other title*) (Alphabet and first 4 digits)

Name of Bank Account Holder (if different from the above)

2 Residential Address (both in Chinese and English) HK/KLN/N.T.

Correspondence Address (if different from the above) HK/KLN/N.T.

3 Telephone Number Fax Number

(Office) (Home) (Office) (Home)

4 Mobile Phone Number 5 Email Address

6 Current Employment 7 Employer

OR Organisation Applicant
8 Organisation’s Name in English (as on registration document) Organisation’s Name in Chinese (as on registration document)

Name of Bank Account (if different from the above)

9 Registered Address (both in Chinese and English) HK/KLN/N.T.

Correspondence Address (if different from the above) HK/KLN/N.T.

10 Email Address

11 Head of Organisation (Miss/Ms/Mr/other title*) Post & Title Telephone/ Fax / Email Address
Name in Chinese Name in English Mobile Phone

HKID Card No.(Alphabet and first 4 digits)

12 Person-in-charge of the Project (Miss/Ms/Mr/other title*) Post & Title Telephone/ Fax / Email Address
Name in Chinese Name in English Mobile Phone

HKID Card No.(Alphabet and first 4 digits)

13 Project Contact Person (Miss/Ms/Mr/other title*) Post & Title Telephone/ Fax / Email Address
Name in Chinese Name in English Mobile Phone

HKID Card No.(Alphabet and first 4 digits)

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Confidential when completed
14 Please use separate sheet to describe the aim, structure and establishment of your organisation, how many members it has, and key
activities it has previously organised (whether or not they were supported by HKADC). Please attach a copy of the organisation's
official registration document, its constitution / Articles of Association, and a list of its key members / Board of Directors.

Past Activities’ Record

15 Applicants are encouraged to provide URL containing introduction or records of their past key activities, in place of printed documents,
for reference.
Website:

II Project Budget
Applicants can fill in this Application Form OR use separate sheet to show the budget, including breakdown of each expenditure and
income item, total expenditure, total income and grant amount sought. Please ensure the contents of budget (item 16 & 17), fees for key
personnel involved (item 25), grant amount sought in Venue Subsidy Scheme application form and attached information (if any) are
consistent and accurate.

Only applicable to Cultural Exchange (Trial Version)

⚫ Expenditure should only include the following items - 1) transportation, 2) freight, 3) insurance, 4) production of video/ CD-R on
exchange activity.
⚫ Income may include donation or contribution from the applicant or its parent organisation. Please also indicate income source and
name(s) of the sponsor.

16 Estimated Expenditure HK$

(Please read paragraphs 4.8-4.10 of the Information for Project Grant Applicants)

i Transportation i

ii Freight ii

iii Insurance iii

iv Production of video / CD-R on exchange activity iv

Estimated Total Expenditure

17 Estimated Income HK$

(Please read paragraph 4.12 of the Information for Project Grant Applicants)
i Box Office i
(Average Ticket Price $ X Estimated No. of Audience X No. of Shows )

ii Estimated sales ii
(Estimated Copies ; Estimated retail price $ )
Remark: Please refer to Guidelines on Income and Expenditure of the relevant artform’s Project Grant Assessment Guidelines
when filling in the estimated sales income of publication.

iii Donation or Sponsorship (please specify) iii

iv Cash sponsorship or remuneration provided by host or collaboration unit iv

v Contribution from the applicant or its parent organisation v

vi Amount sought in Venue Subsidy Scheme (if applicable) vi

vii Others (please specify) vii

Estimated Total Income

18 Amount Sought *
(Estimated Total Expenditure - Estimated Total Income)
Please round to the nearest hundred

*The grant amount sought should not exceed the stipulated grant ceiling set by HKADC.

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Project Budget
OR
Only applicable to Cultural Exchange (General Version)
⚫ Please provide breakdown of each main expenditure item (e.g. salary, venue rental, sets, costume, printing, transportation, etc.)
⚫ Income may include donation or contribution from the applicant or its parent organisation. Please also indicate income source
and name(s) of the sponsor.

19 Estimated Expenditure HK$

(Please read paragraphs 4.8-4.10 of the Information for Project Grant Applicants)

i Fee for Participating Personnel (please give breakdown) i

ii Air Fare / Accommodation (please give breakdown) ii

iii Production Cost (please give breakdown) iii

iv Venue Cost iv

v Marketing & Promotion costs (please give breakdown) v

vi Others (please specify) vi

Estimated Total Expenditure

20 Estimated Income HK$

(Please read paragraph 4.12 of the Information for Project Grant Applicants)
i Box Office i
(Average Ticket Price $ X Estimated No. of Audience X No. of Shows )

ii Estimated sales ii
(Estimated Copies ; Estimated retail price $ )
Remark: Please refer to Guidelines on Income and Expenditure of the relevant artform’s Project Grant Assessment Guidelines
when filling in the estimated sales income of publication.

iii Donation or Sponsorship (please specify) iii

iv Cash sponsorship or remuneration provided by host or collaboration unit iv

v Contribution from the applicant or its parent organisation v

vi Amount sought in Venue Subsidy Scheme (if applicable) vi

vii Others (please specify) vii

Estimated Total Income

21 Amount Sought *
(Estimated Total Expenditure - Estimated Total Income)
Please round to the nearest hundred

*The grant amount sought should not exceed the stipulated grant ceiling set by HKADC.

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 Cultural Exchange Grant Application Form
Confidential when completed
III Project Information
22 Project Content (Please use no more than 1,000 words)
a Project Summary and the expected outcome of the project

b Please briefly outline the format / method used to achieve the objectives on cultural exchange and its
importance.

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c Project timeline (please specify estimated project start and completion date)
Project start date: Y M D
Project completion date: Y M D

Project timeline (please list out in chronological order)

d Cultural exchange destination (Country / City)

e Information on collaborative organisation(s) outside Hong Kong (including establishment date of the
organisation / event, key / recent track records, sources of funding, background of responsible personnel,
website)

f Target group and promotion plan

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IV Project Details
23 Activity Details
Category：
Gross Site Area/ Expected No. of
Performance/ Expected no. of
Date and no. of Audience/
Exhibition/Screening/ Venue Seating Capacity exhibits/shows
sessions Beneficiaries
Residency/Others (if applicable) (if applicable)
(if applicable)
(Please specify)
1st Jan – 1st Feb
e.g. Exhibition XXX Centre 120m2 600 25
2021
1st Feb 2021 80
e.g. Screening XXX Square 50 seats /
(2 sessions) (80% attendance)
1

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V Key Personnel Involved (Paragraphs 4.14 – 4.15 of the Information for Project Grant Applicants)

24 The total expected number of arts practitioners involved in this project (including artists; creative,
production and technical staff; and arts administrators, etc) is: persons
25 Please list key personnel involved in the project and attach their curriculum vitae.
Sign to Confirm
Name (as on HKID card; Post &
Participation
please also indicate stage/pen Qualifications/Experience Involvement in Fee
(E-signature is
name, if applicable) this Project
acceptable)

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Confidential when completed

VI Declaration and Warranty (Paragraph 4.16 of the Information for Project Grant Applicants)
a I have read and agreed to the Information for Project Grant Applicants and the Cultural Exchange Project
Grant Assessment Guidelines.

b I hereby declare and warrant that all information given in this application is correct and will not be amended
without the written approval of HKADC.

c I hereby declare and warrant that neither the project set out in this application nor any part of it has been
included in other grant application(s) or collaboration proposal(s) to HKADC or other organisation(s) or
sponsor(s). Yes No

If the answer to this is “No”, please indicate other sources of grant(s) or name(s) of the collaborating
organisation(s) (including those to be confirmed).

d I declare that, if the application is approved, I will engage the following venue and service providers which
are related to myself or other key personnel of the project: Yes No

If the answer to this is “Yes”, please list the name of the relevant project staff, the expense item and the
amount involved:

e (If applicable) I hereby list all current HKADC Member(s), Arts Advisor(s), Examiner(s) and staff who will be
involved in this application:

f I have submitted the following supporting documents with this application:

(If applicable) A copy of the organisation’s official registration document, constitution / Articles of
Association, and a list of its key members / Board of Directors (please refer to item 14 of this application
form).
Curriculum vitae of key personnel involved in the project.
Samples of works (please provide effective URL for the works such as story line of the play, play-script,
photos / sketches of the exhibits, catalogues or media reviews, etc.).
The information / material submitted with URL (such as curriculum vitae or price quotation) does not
contain personal information of applicant and participating personnel, including Hong Kong Identity Card
number, date of birth, correspondence and residential address, contact number and email address.
Invitation or approval from the collaborative organisation(s) outside Hong Kong with relevant documentary
proofs.
Price Quotations (rental of equipment, transportation expenditure for overseas’ travel).
Two identical copies are provided for the application of ‘Venue Subsidy Scheme’.
Submitted the application under confidential cover and mark ‘Cultural Exchange Grant’ on the envelope.

Official Chop of the Organisation Signature

(Not applicable to Individual Applicant. Applicant or Head of Organisation (For registered societies, the head of organisation
For Organisation Applicant, please specify if there must sign the application form and the Grant Agreement on a personal capacity to
is no official chop.) assume full responsibilities of the project)

Name in English

Position (if applicable) Date