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2018-2019 Grants to Professional Arts Organizations Operating Assistance Program Application and Submission Criteria APPLICATION DEADLINE June 29 th, 2018, 4:30PM Staff Contact: Jamie MacLellan Culture and Events maclelaj@halifax.ca (902) 490-1039

Application Form Contact Information Name of Organization: Address: Non Profit Registration #: Date of Incorporation: Contact Person: Chairperson: Executive Director/Primary Staff person: Mailing Address of Organization: (if different than above) Contact Ph. (1): Contact Ph. (2): Contact Email: HRM Professional Arts Grant Program Operating Assistance 2

Organizational Information Category Please Indicate your Organization`s Primary Function by Checking One Presenter Producer Service Organization Total Annual Operating Expenses Amount Requested (2018/2019) $ $ General Organizational Information (At time of submission) # of Members (if Membership Structure) # of Volunteers (if applicable, not including Members) # of Community Members Served in Previous Year (incl. attendees/participants at events, outreach activities) # of events (incl. all performances, exhibitions, workshops, events) Personnel Information Employees F/T P/T Contract Administrative/Management (#FT/#PT) Creative/Artistic/Program (#FT/#PT) Primary Contact: Signature Position Date Board Chair: Date HRM Professional Arts Grant Program Operating Assistance 3

Written Application Please include the following information in the body of your application. Please attach to the application form, above, and submit collectively as your completed application. Please number each answer corresponding to the question number. Please use standard letter (8.5x11 inch) paper with black, 12-point type, printed on one side. Please submit 1 unbound or electronic copy of the full application. 1. Organizational Profile Briefly describe your organization (500 words max). Please include: a) Vision and Mandate b) Geographic Area of Service c) Brief Organizational History Board Structure and Governance Describe the role of the Board within the organization including relationship to staff, role in programming and outreach. Please indicate the frequency with which the Board meets. 2. Description of Programs and Services Provide a brief overview of programs and services offered and/or events presented, and a description of those planned for the application year. Include all artists, performances, presentations and/or exhibits as well as events, workshops, etc. Where possible, please provide dates and brief description of resource requirements as well as estimated number of participants/attendees. Please include reference to: For Previous or Current Operating Year a. Category of service (e.g. PRESENTATION, PRODUCTION, SERVICE); b. Brief description of service; c. Program goals (include reference to performance evaluation of these goals, past results and how results have informed subsequent program planning, where applicable); and d. Expectations for those programs going forward For Current or Upcoming Operating Year (Year for which funding is being requested) For current and upcoming programs and services (April 2018-March 2019) please provide a project description and project goals and an indication of how performance measurement will be addressed. 3. Community Standing HRM Professional Arts Grant Program Operating Assistance 4

Describe the role of your organization within the community it serves including relationships held with other organizations and institutions, sponsors and private donors, and volunteers. Describe the public impact of the organization and its programming. Please highlight any changes perceived over the previous year (e.g. trends in audience development, partnership opportunities, etc.). 4. Organizational Status Please assess the current operating climate of the organization, both internally and externally, including discussion of any opportunities or challenges that your organization is currently facing, and steps your organization is taking to respond. 5. Required Financial Information All applicants are required to submit: a) A statement indicating the organization s effective fiscal year (start and end dates) b) Financial statements signed by the appropriate Board Officer (balance sheet or statement of financial position, and income statement) for the previous three (3) years of operation. Statements prepared by an external party must also include all Notes to the Statements. c) Financial information in a comparative table, formatted as follows: Expenses LINE ITEM ACTUALS (if not complete) (if applicable) Revenue LINE ITEM ACTUALS (if not complete) (if applicable) *Notes on Required Financial Information Funds allocated to this program are derived from the 2018-2019 operating budget and the program is based upon the Municipality s fiscal year (April 2018-March 2019). Understanding that different organizations utilize different fiscal calendars, * herein refers to the previous (or current) year s budget. The current program will provide funding for fiscal years beginning in 2018 and ending in 2019. 2018-2019 Forecast is required for those organizations that are in the midst of their (equivalent) 2018-2019 fiscal calendar at the time of submission. HRM Professional Arts Grant Program Operating Assistance 5

Reports should categorize revenues and expenditures by category. Reports should list all, and differentiate between, sources of government funding (Municipal, Provincial, Federal). Reports may list in-kind expenses and must balance with listed in-kind contributions under Revenues. Notes should be included to items listed on the financial table for the purposes of explaining: Any significant change in a particular category of revenue or expense; Any category subtotals that are particularly large in comparison to other categories; Any significant deficits or surpluses listed (expected) for the coming year s budget; and Any particular items that the applicant wishes to highlight and address. Applicants whose budget for 2018-2019 (or equivalent) projects significant debt (in excess of 5% of the total annual budget for that fiscal year) must include a debt-reduction plan and a brief explanation of what steps are being taken to eliminate the shortfall. Submission Information The Deadline for Applications is June 29 th, 2018 4:30PM Applications must be received by the program officer or designate prior to the deadline as listed. If sent via Canada Post applications must be postmarked on or before June 29 th The program officer will not consider late submissions under any circumstances. Extensions to the stated deadline will not be granted. Completed applications should be clearly labelled Re: Grants to Professional Arts Organizations, Operating Assistance c/o Jamie MacLellan and delivered to: In Person/Courier 3rd Floor Dartmouth Ferry Terminal 88 Alderney Drive, Dartmouth, NS B2Y 2N5 By Regular Mail Culture and Events Parks and Recreation Halifax Regional Municipality PO Box 1749 Halifax, NS B3J 3A5 By Email artgrants@halifax.ca HRM Professional Arts Grant Program Operating Assistance 6