Most Significant Change Worksheet

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Michigan Humanities Council Heritage Grants Program & [Grantee] for [Project]
Significant Change Experiences
Background
The Michigan Humanities Council and [Grantee] would like to capture stories of significant change that
may have resulted from [Project Title]. This will help us to improve what we are doing through the
Heritage Program, and to understand how your involvement has affected you.
The stories and information that you provide will be used for a number of purposes including:
•
to explore what has changed through the project
•
to help [grantee] and the Michigan Humanities Council understand what people
engaged in Heritage Program efforts value, and support more of these sorts of
outcomes
•
to acknowledge and publicize what has already been achieved.
Contact details
Name of storyteller* ________________________________________(your name is not required)
Location _________________________________________________________________________
Today’s date______________________________________________________________________
Confidentiality
We may like to use your stories for reporting to our funders, or sharing with other people in the region –
such as other people participating in the Heritage Program, or those who view digital or other products from
this grant.
Do you, (the storyteller):
•
•
•
want to have your name on the story (circle one)
consent to us using your story for publication (circle one)
Are you 18 years of age or older? (circle one)
Yes
Yes
Yes
No
No
No
Note: if you are not at least 18, your name will not be used in any publication emerging from this work.
Questions
1. Tell how you (the storyteller) are involved with this project:
2. What has been the most significant change that you have seen emerge from the project? Note:
A significant change probably happened to you. It might have happened to someone else, but if
you’re going to write about a change in someone else, it should be something you have direct
knowledge of – not a guess. It may involve changes in thinking (perspectives, beliefs, or
feelings), relationships and connections, behaviors or choices, or something else. It is significant
if it feels important to you. Please tell your story of change in as much detail as you can.
3. Why was this change important for you?
Michigan Humanities Council Heritage Grants Program & [Grantee] for [Project]
Significant Change Experiences
Background
The Michigan Humanities Council and [Grantee] would like to capture stories of significant change that
may have resulted from [Project Title]. This will help us to improve what we are doing through the
Heritage Program, and to understand how your involvement has affected you.
The stories and information that you provide will be used for a number of purposes including:
•
To explore what has changed through the project
•
To help [grantee] and the Michigan Humanities Council understand what people
engaged in Heritage Program efforts value, and support more of these sorts of
outcomes
•
To acknowledge and publicize what has already been achieved.
Contact details
Name of storyteller* ________________________________________(your name is not required)
Location _________________________________________________________________________
Today’s date______________________________________________________________________
Confidentiality
We may like to use your stories for reporting to our funders, or sharing with other people in the region –
such as other people participating in the Heritage Program, or those who view digital or other products from
this grant.
Do you, (the storyteller):
•
•
•
want to have your name on the story (circle one)
consent to us using your story for publication (circle one)
Are you 18 years of age or older? (circle one)
Yes
Yes
Yes
No
No
No
Note: if you are not at least 18, your name will not be used in any publication emerging from this work.
Questions
1. Tell how you (the storyteller) are involved with this project:
2. What has been the most significant change that you have experienced from being involved in this project?
(For example: in your ideas about yourself or your community, your friendships, what you hope for in your
future, or something else.) It is significant if it feels important to you. Please tell your story of change in as
much detail as you can.
3. How will this change affect you in the long term?
Audience-appropriate options (short-term connection, visited an exhibit, etc.)
What, if anything, has changed for you as a consequence of this [exhibit/performance/experience]? Please be as detailed
as you can.
How did this [show/exhibit/performance/art] affect your thinking, beliefs, or knowledge about the experience of [group X]
in this community?
What did you learn about yourself or your community from [show/exhibit/performance/art]?
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