Please read the following to help in completing this form: Projects and Programs Fund Guidelines Arts Investment – Important Information for Applicants Arts and Cultural Investment Framework Arts for all Queenslanders strategy. You can find them on the Arts Queensland funding website at: www.qld.gov.au/recreation/arts/funding. If you would like to apply online visit www.qld.gov.au/recreation/arts/funding Section 1: Applicant Details Please provide details of the main contact person for official correspondence and authority. This is the person who is authorized on behalf of the organisation to sign the contract and the Statutory Declaration 1.1 Applicant Details –. Are you applying as an: Individual , Organisation or Collective/Artist Run Initiative . Title (Mr/Mrs/Ms/Miss/Dr etc) if individual applicant: Name of applicant: (organisation, collective or individual) Street address of applicant: Suburb State Postcode State Postcode Postal Address of applicant: (If same as street address, write ‘as above’?) Suburb Daytime contact number: Mobile: Website: [Type text] [Type text] Email: Have you applied for an Arts Queensland Grant before?(If so, under what name) What is your preferred contact method: Email or post Are you over 18 years of age? (Y/N) [Type text] [Type text] 1.2. For Organisations Legal status (e.g. Incorp. assoc.): Contact person for this application: (if different from above) Position in the organisation: 1.3. For Collective/Artist Run Initiative Authorised representative: 1.4. Australian Business number (ABN) details (ABN must be registered in the same name as the applicant name – Funding is not able to be provided through auspicing arrangements) ABN: GST Registered? (Y/N) In what name is the ABN registered? Trading name or professional name (if different)? [Type text] [Type text] Section 2: Proposed Project/Program 2.1 What is the predominant area for assessment purposes? (please select one only) Visual arts, craft and design Dance Theatre Writing Community Engagement Contemporary Music Infrastructure Classical Music 2.2 Project/Program summary Proposed title of project/program: Project/Program Description (50 words max) Funding request: (use whole dollar only) $ Start date for project/program: (Projects must start at least 16 weeks after Arts Queensland receives your application) Finish date for project/program: Location/s of project/program: (Please include town, city, or country if overseas) 2.3 Statistical Information about the project/program If a question is not relevant please type N/A. How many QLD artists are involved in the project/program? What is the total number of activities (activities, productions, workshops, exhibitions)? What are the total audience/participant numbers expected? Is your project aimed at specific communities as participants and/or audiences? Only complete this section if your project specifically and directly targets people from one or more of these groups, not if your project is generally available to all members of the community but not specifically targeted. (enter below) Aboriginal peoples Older people (55 years or older) Torres Strait Islander peoples People with a disability People from a culturally diverse background People in regional area/s Youth (0-21 years of age) Australian South Sea Islander peoples [Type text] [Type text] 2.4 Project/Program proposal Please provide a concise outline of your project/program by completing the sections below in such a way that they address the assessment criteria. Use a maximum of 1500 words in total for the three sections provided below. Assessment Criteria Your application will be assessed on evidence of how well it meets the following assessment. Note: The indicators listed are a sample of the types of evidence needed to demonstrate achievement of each criterion, and will vary according to the nature of the project or program. QUALITY Artistic achievement, contribution to growing the arts sector and strengthening the community of arts in Queensland. - Evidence of a high standard of artistic and cultural product, processes and/or services. Demonstrates artistic progression and cultural innovation. Contributes to building the capacity of the local arts sector and legacy outcomes. Engages personnel with the expertise and experience to deliver artistic or cultural objectives. REACH The ability to respond to and stimulate demand, providing access to, participation in and positive experiences of arts across Queensland. - Participant or audience numbers or public outcome Demand or need for the project or program Communication and marketing to target audience Accessibility of program to diverse audiences, participants and communities or to a specific target group. IMPACT Articulation of public value, contributing to the cultural profile of Queensland and delivering upon Queensland Government priorities. - Evidence of community and/or industry need and support for the project or program. Demonstrates a good return on investment through cultural, social or economic outcomes. Raises the profile of Queensland arts and culture. Contributes to the liveability and participation in community life for Queenslanders. VIABILITY A viable, value for money proposal. - Evidence of economic effectiveness and value for money. Evidence of good planning and logistics including a sound process to evaluate outcomes. Evidence of financial and in-kind support from sources other than Arts Queensland. Evidence of the calibre of partnerships and collaborations including financial partners. Proposal details Provide a clear description of the project /program for which you are seeking funding from Arts Queensland and the artists involved. Note: If you are successful these deliverables will form part of your agreement with Arts Queensland. [Type text] [Type text] List the key dates for the project/program (e.g. rehearsal periods, exhibition, workshop or performance dates, tour itinerary, studio sessions,) Outcomes for the project/program What are the outcomes of this proposal? How will you know they have been achieved? Include information on how the work contributes to the broader arts and cultural context as well as the public outcomes for the work. You may be interested to look at Arts Queensland’s outcome report templates and related resources at www.qld.gov.au/recreation/arts/funding/reporting/ [Type text] [Type text] [Type text] [Type text] Projects and Programs Budget – Income and Expenses Please complete the budget using the template below to account for all costs of your project. Ensure that your budget estimates are as accurate as possible. Ensure that your income and expenses totals are equal. Indicate how much of the Arts Queensland grant will be used for each relevant item in the AQ grant breakdown column. Enter all funding you have applied for and place an asterisk against approved funding. Use whole dollar amounts. Please note: If you are not GST registered, amounts should include GST as this is part of the cost of the project. If you are GST registered, we will pay the funds plus GST. Amounts should be exclusive of GST if you are registered for GST. Income Expenditure A. Earned income AQ Grant Breakdown F. Salaries, fees and allowances $ (Please itemise) Subtotal A Subtotal F $ B. Other income $ G. Production/program and direct costs (Please itemise) $ $ # Australia Council Subtotal B C. Your own contribution (Please itemise) (Please advise which are cash and which are inkind?) Subtotal C Subtotal G $ H. Promotion, documentation & marketing costs (Please itemise) Subtotal H $ D. Sponsorships, fundraising & donations I. Administration costs (Please itemise) (Please advise which are cash and which are inkind?) (Please itemise) Subtotal D $ $ $ $ $ Subtotal I $ $ $ $ E. AQ funding (must be the same as funding request in 2.2) Subtotal E TOTAL INCOME (A+B+C+D+E) (must equal total expenses) # $ $ TOTAL EXPENSES (F+G+H+I) Total AQ request (must be the $ same as funding request in 2.2) $ (must equal total income) For information on Australia Council funding, visit www.australiacouncil.gov.au, phone 1800 226 912 or email mail@australiacouncil.gov.au [Type text] [Type text] Notes to budget: Please outline any information that will assist to clarify or justify the costs calculated in your budget. Include the name of the funding program and notification date (or if already confirmed) of any funding you have applied for and included in your budget. Section 3: Statistical information about applicants Information in this section is not used to assess your application. Information you provide will be aggregated and used to review access to Arts Queensland funding programs. Gender …Are you Male Female Do you or your group/organisation identify with any of the groups below? If you are an individual applicant, do you personally identify as belonging to any of the groups below? If you are a group/organisational applicant, does your group/organisation primarily exist for any of the groups below? (Tick only those that apply) Aboriginal peoples Older people (55 years or older) Torres Strait Islander peoples People with a disability People from a culturally diverse background Regional Queenslanders Youth (0–21 years of age) Australian South Sea Islander peoples Have you applied for Australia Council funding for this project/program? YES/NO If NO why not? [Type text] [Type text] [Type text] [Type text] Section 4: Support Material Please note: Maximum 20MB of support material allowed Letters of support must include an original signature or contact details of the author. All support material must be clearly labelled to ensure it is easy for the assessors to locate, open and read. Excessive support material will not be read by assessors and as such excluded from assessment. For audit purposes, Arts Queensland is required to retain a copy of the support material supplied by applicants. The following support material is critical to the success of your application. One electronic copy of application and all the required support materials and scanned signed copy of Section 5 – Certification A brief CV for all key personnel (no longer than one A4 page per person) and written confirmation of their participation (for Organisations just the artistic / creative director). The purpose of this is to enable the assessors to determine the quality and suitability of personnel involved. Up to three letters from individuals, or organisations in your area of practice that provide relevant comment in support of your application For applications where the activity is occurring in a regional area (for definitions please see Arts Investment-Important Information for applicants) letters of support from Council (outlining Councils contribution) would be highly regarded. For proposals involving Aboriginal and Torres Strait Islander people please provide evidence you have followed required protocols to obtain support and confirmation of involvement from the relevant people communities and organisations. For proposals involving people from culturally and linguistically diverse backgrounds; people with a disability; children or young people, please provide evidence you have followed required protocols to obtain support and confirmation of involvement from the relevant communities and organisations Applications involving staff of Arts portfolio statutory bodies or the Department of the Premier and Cabinet must include a covering letter stating the relevant employee’s role and employment details, that the application does not relate to carrying out duties of their role and how any potential conflict of interest will be addressed For Collective/Artist Run Initiative all members of the group must sign a letter to Arts Queensland confirming their involvement and support for the nominated representative. If applicable to your project, please provide the following support material. Confirmation of venues and evidence of interest from potential clients (e.g. venues, organisations, events) This demonstrates demand for your project/program Confirmation of significant partnerships Itinerary of travel or tour arrangements Quotes for significant budget items Examples of previous work that demonstrate the quality of the event, artwork, cultural workers or artists involved in the project /program(maximum 10 minutes length if CD or DVD). Please be mindful assessors will be assessing multiple applications this is limited to two of your best examples. Please provide links below! Links to support material for assessors: [Type text] [Type text] Section 5: Certification 5.1 All applicants I, the undersigned, certify that: I have read and I/my organisation will abide by the Arts Queensland 2015 Projects and Programs Fund Guidelines. The statements in this application are true and correct to the best of my knowledge, information and belief. The supporting material is my own work or the work of the artists named in this application. I consent that information provided in this application may be used for training, systems testing or process improvement purposes by Arts Queensland staff. I give permission for Arts Queensland to verify funding requested from other funding agencies in support of this project and to provide information in this application to those funding agencies for this purpose. I give permission for Arts Queensland to forward my information to the most appropriate industry experts or Government representative. If this application is approved, I consent to the media and Queensland’s State MPs being given information about the funded project and I understand I may be contacted directly by them. I consent to information about the funded project and the amount of funding received being published on Arts Queensland’s website and/or the Queensland Government Open Data Portal. Signature : Date: DD/MM/YYYY (If you are under the age of 18, your legal guardian must also sign this application) Name in full: Position in group or organisation (if applicable): (For organisations/collectives/ Artist Run Initiatives, the person signing warrants they have authority to sign on behalf of the organisation/ collective/ Artist Run Initiative) [Type text] [Type text]