WILLIAM AND MARRY KOSTASH AWARD FOR FILM AND VIDEO ARTS
Application Deadline: November 30
Please refer to the William and Mary Kostash Award fact sheet for additional information about this award. English translations must be provided for all application forms and supplementary materials submitted for this ward.



1. NAME

2. ADDRESS

    PHONE NUMBER

3. TITLE OF PROJECT

4. PROJECT DESCRIPTION OR TRAINING PROPOSAL

 

 

 

 

 

 

 

 

5. BUDGET

    Expenses (please itemize):

 

 

 

 

 

 

TOTAL:

 

 

Income (i.e., What revenue sources will you use to offset your project expenses?
Please provide details):

 

 

 

 

TOTAL:

 

6. PROJECT SCHEDULE

 

 

 

 

 

7. How will receiving the William and Mary Kostash Award for Film and Video Arts assist you in completing your project?

 

 

 

 

 

8. Please enclose an excerpt of your work, or if this is unavailable, a sample of work related to a previous project of a similar nature.

 

    List of materials you are sending:

 

 

 

Is this an excerpt from a work in progress?

           a sample of previous work?

Please note: All submitted materials must be clearly lablelled with your name and return address.

10. How do you intend to produce or distribute your work?

 

 

DATE:

APPLICANT'S SIGNATURE:

PLEASE RETURN TO:
William and Mary Kostash Award for Film and Video Arts
c/o Ukrainian Resource and Development Centre (URDC)
Grant MacEwan College
Box 1796, Edmonton, AB T5J 2P2