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Eligibility *

I have read and understood the eligibility criteria to the left of the form and am eligible to apply.

TELL US ABOUT YOUR TRAVEL IDEA *

Please tick ONLY ONE of the following possible options. Is this application mostly to:

Heighten my experience of art, crafts and history by travelling off-Island

Improve quality of life through art experiences specific to my group or individual needs

Further develop my artistic passions through attending international events

Departure Date *

What date will you leave Jersey? THIS DATE MUST BE AT LEAST FOUR MONTHS AFTER THE APPLICATION DEADLINE.

MM

DD

YYYY

Experience Date *

What date does your experience start?

MM

DD

YYYY

Travel Return Date *

What date will you return to Jersey?

MM

DD

YYYY

Previous funding *

Have you received funding and trip support from the Rivington within the past four years? If yes, please outline the purpose achieved and impact gained

No

Yes

Declaration

To the best of your knowledge, the information you have provided is true and correct

If applying for a group, charity or organisation, you are duly authorised to do so

You have read and understood the The Rivington Fund guidelines

You vouch that you, or the individuals within your group application, do not have the financial means to make this trip possible without such support

Should the application be successful, in full or in part, you will agree to enter into a signed agreement with The Rivington Fund establishing the conditions under which the funding is provided, including provision of trip receipts and the completion of 'give back' to inspire others.

Your Name *

First Name

Last Name