Application form Subject specialist network fund 2012/13 – application form Please complete all boxes. Use the provided text and word limits, where included, as prompts for your answers Name of project Subject specialist network Which network are you applying on behalf of? Mission or purpose This can be taken from your business plan, for example Contact details Name Position Telephone Email Contact details for project lead if different from above Number of members in your network This enables us to consider the reach of the project. Project proposal What is your intended activity – focused upon the sharing of knowledge and expertise relevant to your subject specialism? 300 words Achieving great art for everyone/ Culture, knowledge and understanding Which of Arts Council’s five goals will this project help your organisation to meet? See the preceding guidance for a list of the five goals. You must respond to at least one goal and preferably two. 300 words Key activities and outputs Please list specific objectives and tangible outputs which will occur during the project. 200 words Project outcomes Please list short-term and long-term outcomes which are not covered under ‘project proposal’. You should consider how successful delivery of the project will improve the network beyond the life of the project. If relevant, please also consider public benefit in this section. 1 200 words Timeframe When will your project start and finish? Support in kind If you will be receiving any support in kind from member organisations or others, please provide details here. Risk analysis Please outline any risks and your mitigation strategy. 200 words Project management Briefly describe how the project will be managed. 200 words Evaluation How will you evaluate the quality of the project outputs and the success of the project, taking into the account the Arts Council plans to collectively evaluate funded Subject specialist networks’ activities in 12/13? 200 words Overall project costs and amount requested You may apply for any amount between £1,000 and £10,000. Supporting Documents If you are applying on behalf of a network not listed in Appendix A of the guidance document please include: evidence that the network is themed around tangible collections evidence of the need for the network evidence of support from members and their host institutions an outline programme of activity for the year 2012/13, with evidence of ability to sustain the network beyond this funding year has been provide Submit your completed form to: museums.libraries@artscouncil.org.uk We would prefer electronic applications, however should you wish to apply by post please send your completed form to: Subject specialist network grants programme Arts Council England Level 3, 14 Great Peter Street London SW1P 3NQ 2