RYDON Aboriginal Cultural Awareness Arts Grant Application Form 2015 CLOSING DATE NOTIFICATION 13 th February 2015 20 th February 2015 IMPORTANT Please read the RYDON Aboriginal Cultural Awareness Arts Grant Funding Guidelines before completing this application form. If you have any questions that have not been addressed please contact your local Youth Development Officer Applicants are reminded that they should not make any financial commitment in the expectation that they will receive funding. OFFICE USE ONLY Application no: Client name: 1. ABOUT THE APPLICANT 1.1 Applicant type Are you applying as (please tick ONLY ONE): An individual A group/unincorporated body An organisation 1.2 Individual Title: Mr Ms Other (please specify): Given names: Family name: Date of birth:dd/mm/yyyy Do you have Australian citizenship or Yes No permanent residency status? Are you: Male Female 1 P a g e
1.3 Groups Collectives or cooperatives are community groups or groups of artists that are not incorporated, but must be auspiced by an incorporated organisation, including local government, or an individual with an ABN. Name of Group: Please nominate one person as the accountable representative for management, reporting and financial matters. Title: Mr Ms Other (please specify): Given Names: Family Name: Position/role in group: 1.4 Organisation Only arts and cultural notfor-profit organisations and Australian companies that are based in the RYDON local government areas, or able to demonstrate how their project will directly benefit young people from these areas, are eligible. Organisations must be registered under law as either incorporated associations or a company limited by guarantee Legal name of organisation: Details of CEO/General Manager in organisation: Title: Mr Ms Other (please specify): Given names: Family name: Details of project contact person Title: Mr Ms Other (please specify) Ms Given names: Family name: What is your organisation s legal status? (e.g. limited by guarantee, incorporated) 1.5 Applicant contact details Street address: Suburb/town: State: Postcode: Postal address: (If the same as your street address, write as above.) Suburb/town: State: Postcode: Telephone: Work ( ) Home: ( ) Fax: ( ) Mobile: Email: Website address: Have you or your group/organisation previously applied for a RYDON grant? Yes No If yes, under which name? 1.6 Australian business number (ABN) details Will you/your organisation be responsible for the financial management of the grant if this application is successful? Yes provide your ABN details below No an auspice body will be administering any grant that I receive on my/our organisation s behalf. ABN of accountable organisation or individual In what name is the ABN registered? What is your trading name (if different)? Are you registered for GST? Yes No 2 P a g e
1.7 Project summary START DATE of project: FINISH DATE of project: DD/MM/YYYY DD/MM/YYYY Project title: Please describe your project. This description is for reference purposes only and will not be used to evaluate your application. (MAX 40 words) The grant funding will be used towards Where will your project happen? 1.8 Audience numbers and activities projection Please estimate the following (provide a single figure only, not a range): Total number of activities (e.g. performances, workshops): Total number of young people attending event/activity: 3 P a g e
2. ABOUT THE PROJECT what, who, how and why 2.1 Outline your proposed opportunity Please describe your projects activities (MAX 300 WORDS). Please describe your projects objectives (MAX 200 WORDS). 2.2 Contribution to the aims of the RYDON Aboriginal Arts Grant Please use this section to describe how the activities contribute to one or more of the following: Aim 1 Build the skills of Aboriginal and Torres Strait Islander artists and cultural workers, Aboriginal and Non Aboriginal children and young people through education, training and mentoring Aim 2 Build partnerships that deliver arts outcomes and contribute to broader social, cultural, community, youth, health, education or training outcomes Aim 3 Provide opportunities for experienced artists to create new art Aim 4 Supports the transfer of arts and cultural knowledge and skills across generations. Use only the space provided on the form (MAX 300 WORDS). 4 P a g e
2.3 Artistic or cultural merit and innovation Please describe how this project will be innovative (MAX 200 WORDS) Please describe the artists and project workers roles and credentials to undertake this project (MAX 200 WORDS). 5 P a g e
3. PROJECT MANAGEMENT 3.1 Project budget income and expenses Please complete the budget using the template below to account for all costs of your project. Ensure that your budget estimates are as accurate as possible. Ensure that your income and expenses totals are equal. Use whole dollar amounts. Please note: If you are not GST registered, amounts should include GST as this is part of the cost of the project. If you are GST registered, we will pay the grant plus GST. Amounts should be exclusive of GST if you are registered for GST. Income RYDON Aboriginal Arts Grant $ 1000.00 $ $ Total Income $. (Other Funding Source) (Other Funding Source) Expenses Administrative Costs $ Management/Administration Fee $ Audit Fees $ Auspicing Fees $ Telephone & Fax Charges $ Total Administrative Costs $. Project Costs Advertising & Promotion $ Art & Craft $ Computer Expenses $ Consultancy Fees $ Equipment Hire / Lease $ Excursions $ Food $ Printing & Stationery $ Resources & Equipment $ Wages $ Total Project Costs $. Other Costs Health & Safety $ Postage, Freight and Couriers $ Other - $ Other - $ Other - $ Total Other Costs $. (Maximum 15%) (Minimum 60%) (Maximum 15%) Total Expense $. Net Profit (Loss) $.
3. PROJECT MANAGEMENT The information you provide in the following section will be used by RYDON for evaluation, reporting and administrative processes. 4.1 Do you or your group/organisation identify with any of the groups below? Aboriginal person/s Torres Strait Islander/s Person/s from a culturally and linguistically diverse background Young person/s(13 24 years of age) 4.2 Groups which will specifically benefit from the project Aboriginal person/s Torres Strait Islander/s Person/s from a culturally and linguistically diverse background Young person/s (13 24 years of age) The following support material is compulsory. Confirmation of significant partnerships (MAX 300 WORDS). Recognised Evidence of Need for this project (MAX 300 WORDS). Up to three letters of support for your application 1. 2. 3. 7 P a g e
6. CERTIFICATION 6.1 All applicants I, the undersigned, certify that: I have read and will abide by the RYDON Aboriginal Cultural Awareness Arts Grant Funding Guidelines. The statements in this application are true and correct to the best of my knowledge, information and belief. If this application is approved, I consent to the media and New South Wales s State MPs being given information about the funded project and I understand I may be contacted directly by them. Signature: (If you are under the age of 18, your legal guardian must also sign this application) Date: Name in full: Position in group or organisation (if applicable): 8 P a g e
APPLICATION PREPARATION INFORMATION PRIVACY AND RIGHT TO INFORMATION The information you provide in your grant application may be used by RYDON for the following purposes: processing and assessing your application verifying other grant incomes for your project for this purpose, the information may be provided to other funding agencies nominated in your application reviewing and evaluating RYDON Aboriginal Cultural Awareness Arts Grant programs, strategies, plans and services we may contact you for this purpose training compiling statistics. BEFORE YOU SEND IN YOUR APPLICATION MAKE SURE: You have answered all the questions on the application form. You have checked that the proposed project starting date does not fall before the decisions advised date specified on the application form. You have signed the application form You are submitting the original application form You have collated and included in the same envelope or email all the required support material, without staples or binding. You have kept a copy of your application for your own records. If your application is successful, the information you provide in your grant application, the amount of funding you receive, the information you provide in your progress reports or Outcome Report, and text and images relating to your funded activity may also be used by RYDON, including through publication on its website, for the purposes listed above and for the following purposes: processing, paying and administering your grant reporting, including in the RYDON annual report promoting RYDON s youth advocacy work for this purpose, the information (including your contact details) may be provided to New South Wales Government Members of Parliament, the media and other agencies who may contact you directly. PLEASE SENDYOUR APPLICATION INCLUDING SUPPORT MATERIAL TO: Lakin Agnew President Regional Youth Development Officers Network ydo@kkcc.com.au Hand deliveries can be arranged in special circumstances. If you require further information or assistance, contact your local Youth Development Officer or email ydo@kkcc.com.au RYDON treats all personal information in accordance with the Information Privacy Act 2009. The provisions of the Right to Information Act 2009 apply to documents in the possession of RYDON. 9 P a g e