MALTA INNOVATION AWARDS 2016

APPLICATION FORM

CREATIVE INNOVATION

The application is being submitted as an ‘Emerging Innovator’ under the Creative Innovation Award

Yes No

Project Applicant: 1

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Position within Organisation / Company (if applicable):

___________________________________________________________________________

Address: ___________________________________________________________________________

Telephone Number: ___________________________________________________________________________

Mobile Number: ___________________________________________________________________________

Email Address: ___________________________________________________________________________

Website Address: ___________________________________________________________________________

ID Card Number: ___________________________________________________________________________

Main Contact Person:________________________________________________________________________

Position within Organisation / Company (if applicable):

___________________________________________________________________________

Mobile Number: ___________________________________________________________________________

Email Address: ___________________________________________________________________________

1 The Project Applicant will be considered to be the person/s or company receiving the Trophy, Certificate and Financial Reward (in the event of winning). Applications submitted by a group of individuals as a team require to include the details of each person forming part of the team (in all the above 8 fields). Project applications submitted as a team, also require to identify a person within the group, to act as the Main Contact Person.

Title of the Project

Type of Legal Status:

Please tick the applicable box below:

- Individual

- Group of Individuals (Team)

- Company

- Other (please specify)_____________________________________________

Important

Applicants are responsible for the accuracy of the Legal Status declared.

Non-Technical Short Summary of the Project

In the box below, give a short description of the Project Application being proposed (maximum 50/60 words).

Area for which your project is being submitted for consideration

Please tick the applicable box below:

- Artistic

- Audio Visual

- Combination of both the above

Important:

Applicants are encouraged to familiarize themselves with the Guidance Notes, particularly the Project Selection Criteria, to ensure proper completion of this application form.

Provide a description of the Project.Applicants must give a detailed description of the project highlighting their knowledge and skills in their artistic or creative product or process.

Describe how the Project includes the creation of new technology, use of, interaction with or adaptability of technology in the development of the artistic or creative product or process.

State the level of networking and cooperation with other creative individuals, organisations or other industries.

Research and Design PrinciplesIn this section, applicants should describe:

- the artistic or creative experimentation and research methods used to explore the idea or develop the product or process.

- The conceptual and aesthetic principles adopted to develop the artistic or creative idea and/or the efficiency and performance of the artistic or creative product.

Intellectual Property RightsIn this Section applicants should provide information on any Intellectual Property Rights that have been protected or are in the process of obtaining protection in relation to the project contained in the submission.

ImpactIn this Section applicants should explain the impact of the artistic or creative product or process on the sector, industry or society.

I

Development Plan In this section, the applicant should describe the plans for taking their project a step further. Depending on the current stage of the project, the development plan may vary from developing the project idea into a tangible one; commercialising the concept or its internationalisation.

The Development Plan should also include time frames and approximate costs.

Declaration

I declare that this is an original project which has been developed within the last two years.

I declare that this project / idea is my original work; or of the project team; or company highlighted in this application form. Moreover, I declare that my/our current status as at to-date is as highlighted above.

I declare that the entries and the details in the Application Form and any other annexes enclosed are, to the best of my knowledge and belief, correct.

I can also confirm that I am not aware of any reason why this new idea / project may not proceed or be delayed other than any reasons declared and the commitment can be made within the timescales indicated in Development Plan submitted.

I also declare that this project / idea or parts of the project / idea has not already received an award in the past, or is currently under consideration for other awards. Moreover, I also declare that this project is not currently or has been presented for consideration under any other funding / community scheme.

I declare that in the event that I utilized resources available within the ambit of my employment, then participation in the awards, in my name, would be with the knowledge of the entity/organization of my employment.

I understand that if the information included in the Application Form is found to be not factually correct, the application may be rejected.

I understand that if the application is not complete in all relevant detail and every aspect, including this section, it may also be rejected.

I declare that in the event that application is being submitted as an ‘Emerging Innovator’, I/we have been operating in the field for 5 years or less. Furthermore I/we are aware that existing registered companies are not eligible for this award.

Project Applicant / s (Name in Block Letters) Signature and stamp

Date

Checklist:

The following is the list of possible supporting documents mentioned elsewhere in this form or in the guidance notes. It is the responsibility of the Applicant to ensure that all the documents that apply to this application are enclosed. It is also the responsibility of the Applicant to ensure that all documentation presented are properly bound. The Commerce Division will not be held responsible for the misplacement of any unbound documents.

Original signed (in blue) and stamped application form (including supporting documentation) (obligatory)Seven copies (1 Original and 6 Copies) in paper format (including supporting documentation & annexes) (obligatory)Soft copy (on CD - in both Word and PDF format) of the Application Form (including a scanned copy of any supporting documentation) (obligatory)Detailed diagrams/drawings/photographs which will demonstrate clearly the creative/scientific/ technological contribution of the project as well as its uniqueness (Optional but highly encouraged)

Evidence of the IP rights, such as registration certificates and search results, is to be submitted with the Application (If applicable)Copy of Applicant’s ID Card (Applicable only for applications submitted under the ‘Emerging Innovator’ Award)

Other supporting documents - please specify below