Alberta Historical Resources Foundation Heritage Preservation Partnership Program. Research Grant Application

Transcription

1 Alberta Historical Resources Foundation Heritage Preservation Partnership Program Research Grant Application Annual Application deadlines: First working day of February and September 1. Read the program guidelines before completing this application. These guidelines are also available at 2. Fill out the forms completely and attach all required supporting documents. 3. Staple or clip applications together. Do not bind applications. Do not submit double-sided documents. Make a copy for your records. 4. Drop off your application or send by mail/courier to: Alberta Historical Resources Foundation Old St. Stephen s College Building Street Edmonton, Alberta T6G 2P8 5. If you have any questions, contact the Program Coordinator at (780) , toll-free in Alberta by first dialing Office hours are from 8:15 a.m. to 12:00 and 1:00 to 4:30 pm.

2 Alberta Historical Resources Foundation For Office Use Only Heritage Preservation Partnership Program File No. : R- Research Grant Application Assessor: Date received: SECTION A: PROJECT TITLE Project type research on a topic about Alberta s history municipal heritage building survey, inventory or management plan oral history other SECTION B: APPLICANT INFORMATION Have you applied previously to the Alberta Historical Resources Foundation? Yes No If so, what was your last application? Month/Year of Application Applying as an individual Name of Project Name(s) Mr./Mrs./Ms. If a grant is approved, this individual will be receiving the grant. Address Unless otherwise specified, this address will be used for all correspondence and remittance of funds. Street / P.O. Box No. City / Town Postal Code Bus. Ph. ( ) Res. Ph. ( ) Cell ( ) Fax No. ( ) Applying on behalf of an organization Name of Organization If a grant is approved, this organization will be receiving the grant. Registered Mailing Address Unless otherwise specified, this address will be used for all correspondence and remittance of funds. Street / P.O. Box No. City / Town Postal Code Bus. Ph. ( ) Fax ( ) Contact Person Mr./Mrs./Ms. Position / Title Bus. Ph. ( ) Res. Ph. ( ) Cell ( ) Fax No. ( ) Website

3 Background/Profile of Applicant If applying as an individual, include your resume and/or summary of experience/qualifications If applying as an organization, provide: background/profile of your organization list of current executives and/or board of directors, including name, position/title and phone number Incorporation document SECTION C: PROJECT DESCRIPTION AND RESEARCH PLAN On a separate page, provide a complete and clear picture of your project. Attach supporting materials that will help assess the merits of your project. Your application must include the following information: Project description: - Clearly describe/define the end-product or project deliverable - If the research will result in a publication: Include a Table of Contents. Project objectives - why this project is being undertaken; how will it preserve, interpret Alberta s history/heritage - who will benefit from this project, what are the benefits If the project is part of a larger initiative, briefly describe the entire initiative and how this project fits in. Approach or strategy - Outline your research methodology, theoretical framework - Specific sources of primary and secondary information that will be consulted, e.g. archives, libraries, private collections, oral interviews, existing books Public access: how the end product(s) will be made accessible to the public or intended audience Resume or information on experience/qualifications of researcher(s) and other individuals involved in the project If the applicant is the researcher, this would be the same as background/profile of applicant (see above). Main activities and a time/task schedule: Indicate what will be done, who will do it and when it will be done Source of cash and in-kind donations - If there are other funding programs contributing, describe the type of expenses they will cover, or, in general, what portion of the project they are funding. This information relates to Sections D, E and F of this application. - Submit quotes/estimates of major expenses described in Section D of this application. Community support: Submit signed letters from individuals or organizations demonstrating broad community support for the proposed project. Provide additional project details, if applicable: Oral History: Indicate whether the oral recordings will be transcribed, annotated or indexed Building Survey: Describe how you are recording/documenting the results of the survey. Municipal Inventory / Management Plan: The approach to be used in selecting sites, evaluating significance / developing municipal heritage management processes Research projects by post-secondary Institution: Evidence of ethics approval, if applicable.

4 SECTION D: CASH EXPENSES Enter your information on this form or use as a template. Use additional or separate sheets, if necessary. Develop a detailed project budget. List anticipated cash expenses. These expenses must be directly related to the project for which funding is being requested. Expenses already incurred at the time of application are not eligible. See list of eligible and ineligible expense on Funding Guidelines. Attach supporting quote/estimates. When budgeting for travel expenses, use the current travel rate for the Government of Alberta: 50.5 cents per km and meal allowance as follows: breakfast , lunch , dinner When budgeting for gifting to Elders and knowledge keepers for Indigenous heritage projects, use the standard Government of Alberta rates. Enter total cash expenses in section F line 1. Item Describe the cash expense as it relates to the project Details Provide sufficient details including breakdown of each expense item Total with GST, if applicable (0.00) Total cash expenses Enter in section F, line 1

5 SECTION E: DONATED LABOUR, SERVICES, MATERIALS AND EQUIPMENT Enter your information on this form or use as a template. Use additional or separate sheets, if necessary. List the volunteer labour, services, materials and/or equipment that will be donated to the project and their estimated value. These must be directly related to the project for which funding is being requested. Those related to fundraising, administration, time spent preparing the grant application, planning or attending meetings, financial reporting and similar activities are not eligible. In-kind donations received before the application was submitted are not eligible. See list of eligible and ineligible items on Funding Guidelines. The current standard for volunteer time is 15/hour for unskilled labour and 30/hour for skilled labour, other donations at fair market value. Enter total in-kind donations in section F, line 2. Item Describe the service, material or equipment Details Provide sufficient details including breakdown of each donated item Value of donation (0.00, excluding GST) Total in-kind donations Enter in section F, line 2

6 SECTION F: PROJECT BUDGET EXPENSES 1 Cash expenses from Section D 2 Donated labour, services, materials, equipment (in-kind donations) from Section E 3 Total project value: line 1 plus 2 REVENUE Identify only the funds associated with the cash expenses listed in Section D. Confirmed Pending In-kind donations from line 2 above Municipal, federal and other external funding sources Indicate program name Applicant cash Includes applicant s own cash, cash from donations & fundraising 4 Total applicant contribution: at least 50% of line 3 Other provincial government funding sources Indicate program name Grant requested from AHRF Up to 50% of total project value in line 3 above, maximum of 25,000 5 Total provincial government funding: up to 50% of line 3 6 Total revenue: line plus 4 plus line 5 - must be equal to line 3

7 SECTION G: DECLARATION STATEMENT If applying as an organization, a duly authorized representative having legal and/or signing authority for the organization must sign this form. The personal information collected in this application is required for the administration of the Alberta Historical Resources Foundation, Heritage Preservation Partnership Program. This information will be shared with Alberta Culture and Tourism which provides consultative and technical assistance to this program, and manages the grant information system within the ministry. The information will not be disclosed to any other third parties except as allowed by the Freedom of Information and Protection of Privacy Act or the applicant. I am the applicant or the authorized representative of the applicant. I have reviewed the attached application and accompanying documents and to the best of my knowledge and belief, the information herein is true and accurate. I have read the program policies and hereby agree to comply with the conditions of the program under which I am applying; I agree not to hold Her Majesty the Queen in Right of Alberta, as represented by the Minister of Culture and Tourism and his/her employees or agents, responsible should the application or supporting material be lost or damaged. Signature Address ( ) ( ) Print Name Bus. Ph. Res. Ph. Title/Position Date Name of Applying Organization