Application Form – Shared Cultural Heritage Initiatives 2015-2016
Embassy of the Kingdom of the Netherlands in Canberra
PROJECT PROPOSALS 2015 - 2016
SHARED CULTURAL HERITAGE INITIATIVES INCL. DIRK HARTOG 2016
1. GENERAL INFORMATION
Applying organisation
Post address (city, street,
postcode)
Contact person
Telephone (contact person)
Fax
E-mail (contact person)
Bank account number
Name of bank
Legal status/entity of applying
organisation
Website / Facebook / Twitter
2. PROJECT INFORMATION
Name of project
Duration of project
Starting date
Ending date
Place of execution
(city/town/village and
county/region)
Name of project co-ordinator
Relation between co-ordinator
and applying organisation
Other people involved in the
execution of the project
(number, position, etc.)
Field the project activity covers
 Dutch-Australian Maritime heritage
 Dutch-Australian Mercantile heritage
 Dutch-Australian Migration heritage
 Dutch-Australian Military heritage
 Connection to Dirk Hartog 2016
3. ABOUT THE PROJECT
Description of the activities planned for the project.
 the objectives at outcome level, including performance indicators;
 for each objective, the results (envisioned impacts and outputs) to be achieved by the
activity
Embassy of the Kingdom of the Netherlands in Canberra
Department of Cultural Affairs and Public Diplomacy
can-pcz@minbuza.nl
Application Form – Shared Cultural Heritage Initiatives 2015-2016
Embassy of the Kingdom of the Netherlands in Canberra


How the project relates to the topic of Dirk Hartog/maritime/mercantile/migrant/military
heritage
The time planning of the project;
4. CRITERIA
Which of the criteria mentioned in the call for proposals have been met with in your project
proposal?
Describe how these criteria have been met.
5. SUSTAINABILITY
 In what way does this activity contribute to a sustainable preservation of the DutchAustralian shared heritage?
 Describe the intended short-term outputs and longer term outcomes
6. TARGET AUDIENCE
 Description of the target audience of the project;
Embassy of the Kingdom of the Netherlands in Canberra
Department of Cultural Affairs and Public Diplomacy
can-pcz@minbuza.nl
Application Form – Shared Cultural Heritage Initiatives 2015-2016
Embassy of the Kingdom of the Netherlands in Canberra
7. PR / MARKETING
 Give a brief summary of your PR/marketing strategy to gain awareness for your activity.
 Explain how the contribution of the Netherlands Embassy will be visible.
8. TIMING
Describe the timing of the planned project activity. Please mention why you have chosen to organize
this project now. Describe the possible urgency to execute the project at this moment.
9. FINANCIAL DATA
Specify budget items in AUD (if necessary, new rows can be added)
Has the project organiser approached other
 Yes, please specify
(potential) sponsors?
 No
Type of cost
Total
amount
(gross)
Required from Own
Embassy
contribution
Covered by
other sources
(specify)
Embassy of the Kingdom of the Netherlands in Canberra
Department of Cultural Affairs and Public Diplomacy
can-pcz@minbuza.nl
Not yet
covered
Application Form – Shared Cultural Heritage Initiatives 2015-2016
Embassy of the Kingdom of the Netherlands in Canberra
Total:
Please specify how the project will deal with possible financial setbacks. If necessary, also indicate
the plans to cover the expenses that are not yet covered.
10. PREVIOUS ACTIVITIES OF ORGANISATION
Please specify the experience of the applying organization with similar projects, as well as the
experience of the different people involved in the execution of the project.
11. REFERENCES
Please specify at least two references that can testify about previous activities of the applying
organization, the professionalism of the organization or the experience of the organization with
similar projects. Please elaborate on the relation between the applying organization and the
reference.
Reference 1:
Reference 2:
12. ENCLOSURES
(if necessary)
Enclosed
Date:
Signature:
Embassy of the Kingdom of the Netherlands in Canberra
Department of Cultural Affairs and Public Diplomacy
can-pcz@minbuza.nl
Application Form – Shared Cultural Heritage Initiatives 2015-2016
Embassy of the Kingdom of the Netherlands in Canberra
Procedure
! The embassy only accepts signed project proposals
Please send your signed application by post to:
Embassy of the Kingdom of the Netherlands
Attn. Department of Cultural Affairs and Public Diplomacy
120 Empire Circuit
Yarralumla ACT 2600
Optional:
Send a scan or copy of your signed proposal by e-mail as well:
can-pcz@minbuza.nl
Please mention ‘Project Proposal’ in the subject line.
Embassy of the Kingdom of the Netherlands in Canberra
Department of Cultural Affairs and Public Diplomacy
can-pcz@minbuza.nl