Application Form 1. Main Applicant Contact Details Name of the Organisation * Country * France United Kingdom Ireland Name of Main Contact * First Name Last Name Position of Main Contact * Email * Phone * Country (###) ### #### Website (optional) http:// Social Media (optional) http:// 2. Project Title and Summary Project Title * Short Project Summary * Briefly describe the nature of the project, its key stages, and main objectives. A more detailed description will be requested later in this form. (Max. 1000 characters) 3. Tripartite Partnership List the organisations involved in each country and their role in the project. France: Partner Organisation Role in the Project United Kingdom: Partner Organisation Role in the Project Ireland: Partner Organisation Role in the Project 4. Project Description (PDF file upload – max. 4 pages) 5. Estimated Budget (Excel file upload) 6. Documents to Provide Alternatively, if you have a video hosted on a third party (such as YouTube, Vimeo etc) please provide the link here: http:// Checklist Before Submission Please Confirm * My project involves at least one organisation in France and one in the UK and/or Ireland The project will take place between July to December 2026 All partners have been informed and are involved How did you hear about Diaphonique? Social Media Diaphonique Website Recommendation / Word of Mouth Former Laureate Other Thank you!