0 Culture Builds Community Program 2015 SCCIP Application TERMS AND CONDITIONS OF FUNDING Successful applicants will be expected to adhere to the following: Acknowledgment of funding The recipient shall acknowledge the support of the City of St. Catharines by using the City’s logo in all advertising, publicity, programs, signage, and plaques relating to the organization and/or project to which funds are granted. The recipient and project artists shall not hold the City as a partner or otherwise responsible for any obligations relating to the organization and project. Purpose of funds SCCIP funds shall only be used for the purposes outlined in the letter of approval and any attachments thereto. Changes in the proposal shall only be made with the City’s written approval. Any unused portion of the funds remains the property of the City of St. Catharines, and must be returned to the City. Funding Commitment All grants awarded in one year are not to be considered a recurring funding commitment, as all grant requests in following years must be considered according to prevailing circumstances and available resources. If funding is approved for multi-year funding the second year and subsequent years, are approved in principle only and are conditional upon budget approval. Disposal of assets The recipient shall not sell, lease or otherwise dispose of assets, purchased in whole or part with City funds, without prior written consent of the City. Repayment of funds The recipient and project artists shall repay to the City the whole or any portion of the funds if the recipient: ceases operating during term of funding; fails to complete the project; has knowingly provided false information in their application; uses the funds for purposes other than those detailed in the application; breaches any of the terms and conditions of this Agreement; breaches any of the provisions of the Human Rights Code, in the operation of this organization and/or project; commences, or has commenced against them, any proceeding in bankruptcy or is adjudged as bankrupt; Page 1 of 7 Culture Builds Community Program 2015 SCCIP Application Where required, the funds shall be repaid by cheque, payable to the “City of St. Catharines” and mailed to: Parks, Recreation and Culture Services, P.O. Box 3012, 50 Church Street, St. Catharines, ON, L2R 7C2 Accounting The recipient shall keep and maintain all records, invoices and other documents relating to the Grant in a manner consistent with generally accepted accounting principles and record keeping practices, and shall maintain records for a period of three (3) years. The recipient authorizes the City and its agents at all reasonable times to inspect and copy any records, invoices and documents relating to the Grant, in the possession, or under the control, of the recipient. Reporting The recipient shall provide a report to the City within three (3) months of completion of the project or year, providing all details required by the City and, upon request of the City, shall submit interim progress reports. If the City is not in receipt of a final report within one year of the project’s completion, the recipient may, at the City’s sole discretion, forfeit the 10% of funds withheld at time of approval. Any organization that fails to submit reports will not be eligible for future funding until required reports are submitted. Copyright and payment of artists’ fees Grants are conditional upon the applicant’s compliance with copyright laws and the appropriate payment of artists’ fees. Additional terms The City shall be entitled to impose such additional terms and conditions in its letter of approval, at its discretion. Personal Information Content Personal information, as defined in the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of the Municipal Act, 2001, and in accordance with MFIPPA. Personal information collected on this application form will be used to assist in selecting grant recipients and will be made available to the members of the SCCIP committee and used by City staff for administrative purposes. All information (excluding home addresses and telephone numbers) may be made available to the public. The City reserves the right to verify all information contained in submissions. By completing this application form, you consent to the collection and disclosure of your personal information, and to its use by the City of St. Catharines, as described above. Questions regarding the collection, use and disclosure of this personal information may be directed to Rebecca Cann – Cultural Services Supervisor (905) 688-5601 ext. 5232rcann@stcatharines.ca Page 2 of 7 Culture Builds Community Program 2015 SCCIP Application APPLICANT INFORMATION AND AUTHORIZATION FORM Applicant Name Applicant Address City Province Postal Code Contact Name Position Phone Number Email Website Charitable Registration # Incorporation # Title of Project Amount of request Start date of project End date Confirmation of not-for-profit operations (to be completed if applicant is not incorporated) “I confirm that ____________________________ (name of applicant) operates on a notfor-profit basis, returning all surplus revenues after expenses to future initiatives of ____________________________ (name of applicant).” Signature Print name Date Authorization for Application On behalf of, and with the authority of, the above-mentioned organization, we certify that we have read and understand the program’s Terms and Conditions set out herein. Further, we certify that the information given in this application for funding assistance is true, correct and complete in every respect. Signature Name Lead Applicant Board Chair/ Representative Page 3 of 7 Title Culture Builds Community Program 2015 SCCIP Application APPLICATION REQUIREMENTS: CULTURE BUILDS COMMUNITY PROGRAM The following questions must be answered in order for an application to be considered complete. Use the checklist to ensure you’ve included all necessary information in your application. Please limit the number of pages for the Organizational Profile & Project Description to eight (8) pages. Please type your answers in the fields provided beneath each question. Please consider the Culture Builds Community Program evaluation criteria and the goals of SCCIP when completing this application. Organizational Profile & Project Description 1. Please provide an organizational or individual history. Organizations should include a mandate; the history should position your company, group or yourself in the context of your local community. 2. Describe the project you are applying for including plans for partnership and revenue generation. Your project description should include information on the purpose, form and content of the project, your method and process for creating the project and your choice of collaborators. Your budget and organizational resources should support all elements of the project. 3. How will the project engage St. Catharines residents with experiences, interests and/or issues relevant to the community? Please describe the “local community” with whom you are working and include a description of your plans for community outreach and promotion. 4. What outcomes do you anticipate and how will you measure your success, both quantitatively and qualitatively? Do you anticipate this project will change your local community? If yes how? 5. Include a schedule or timeline for all project activities. 6. If you do not get the full amount of funding requested, how will you address the shortfall? Page 4 of 7 Culture Builds Community Program 2015 SCCIP Application For Community Art Projects only 7. Include an artist statement from the appropriate project leader describing the artistic vision for the project, how the artists will work with community members; and the public presentation component of the project. Identify the project leader who wrote the statement. 8. Provide brief bios/descriptions of each of the participating artists and partnering organizations and describe their role in the project. CULTURE BUILDS COMMUNITY PROGRAM - APPLICATION CHECKLIST Please submit one (1) hard copy of: Applicant Information & Authorization Form with original signatures Please submit four (4) hard copies of: Completed Organizational Profile and Project Description Completed Financial Information Form Two letters of support for the organization and/or project, one of which is from within the local community this project will engage Sample promotional materials from past events. Where available, project planning documents and/or examples of artist’s work including but not limited to: Visual, fine craft, multimedia image files: include six (6) to twelve (12) images on CD, DVD or via web-link. All images must be in JPEG format Performance excerpts: Include five (5) to fifteen (15) minutes of a recent work on CD ,DVD or via web-link. Writing samples (up to 10 pages in total) Most recent financial statements approved and signed by your Board of Directors. Minutes from your most recent Annual General Meeting A copy of your letters patent or other incorporation documents (first time applicants only) A list of your board of directors – include name, title and length of service For non-incorporated applicants In lieu of financial statements please provide a simple profit & loss summary from the previous year's operations. Brief bios of all members participating in the leadership of the project. Page 5 of 7 Culture Builds Community Program 2015 SCCIP Application For Community Art Projects Only: Artist statement Bios/descriptions of each of the participating artists Please do NOT use staples when collating your application materials. FINANCIAL INFORMATION All applications must be accompanied by completed financial information forms as provided by the City’s Cultural Services Office. Contact Cultural Services staff or visit our website at www.stcatharines.ca/SCCIP for further information. FINANCIAL STATEMENTS For organizations with revenues of less than $100,000 per annum, unaudited financial statements may be submitted. For other revenue levels, review engagements are required (or audited financial statements, as available). Financial statements should be signed and approved by your Board of Directors. DEADLINE The 2015 deadline for all SCCIP program applications is Friday May 29 at 4:30pm. Applications must be received prior to this deadline to be considered. No late applications will be accepted. Applicants will be notified in writing of the results four (4) months after the deadline. FOR MORE INFORMATION Please visit our website at www.stcatharines.ca/SCCIP or contact Catriona Macfarlane, Culture Coordinator at 905-688-5601 ext. 5229 or cmacfarlane@stcatharines.ca. APPLICATIONS CAN BE MAILED OR DELIVERED TO: SCCIP Committee c/o Catriona Macfarlane Parks, Recreation and Culture Services, City of St. Catharines P.O. Box 3012, 50 Church Street, St. Catharines ON, L2R 7C2 Page 6 of 7 Culture Builds Community Program 2015 SCCIP Application CREDITS FOR COVER IMAGES FROM LEFT TO RIGHT/ TOP TO BOTTOM Niagara Youth Orchestra. Daniel Pagett and Joshua Stodart in Dib and Dob and the Journey Home by David S. Craig. A Carousel Players production, photograph by Barsin Aghajan. Cornucopia by David Elliot, Niagara Artists Centre. Niagara Symphony Orchestra, photograph by Terry Babij. In the Soil 2014, photograph by Lauren Garbutt. Chorus Niagara Singathon 2014, photograph by Jeff Baker. Niagara Folk Arts Festival, 2014. Niagara Symphony Orchestra, photograph by Terry Babij. STRUTT 2014, Niagara Artists Centre. Unstrung by Clelia Scala, STRUTT 2014, Niagara Artists Centre, photograph by Brian Yungblut. Page 7 of 7