sample - national library of australia2017 community heritage grants application form form preview...

2017 Community Heritage Grants Application FormForm Preview

Applicant Details* indicates a required field

Legal name of yourorganisation

Street address Address

Suburb State Postcode

Postal address Address

Suburb State Postcode

Phone number

Must be 8 digits - e.g. 01 2345 6789 or 0123 456 789

Organisational emailaddress

Website

Must be a URL

Facebook

If your organisation has a Facebook page include the URL here.

Twitter

If your organisation is on Twitter include the URL here.

Registered for GST? * ◯ Yes ◯ NoMust be no more than 1 choice selected

ABN (The ABNmust relate to theorganisation supplyingthe invoice for paymentof the grant.)

The ABN provided will be used to look up the followinginformation. Click Lookup above to check that you haveentered the ABN correctly.

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Information from the Australian Business Register

ABN

Entity name

ABN status

Entity type

Goods & Services Tax (GST)

DGR Endorsed

ATO Charity Type More information

ACNC Registration

Tax Concessions

Main business location

Is your organisation aregistered charity withthe Australian Charitiesand Not for ProfitCommission (ACNC)?

◯ Yes◯ No◯ Not sureMust be no more than 1 choice selected

Name of your federalelectorate

Contact Details

Provide details of the person within the organisation who will be accountable forthe management, reporting and financial control of the project. Please note thatthese details may be published on the Library’s website in the CHG Final ProjectReport.

Contact name Title First Name Last Name

Position withinorganisation

Postal address Address Suburb State Postcode

Phone number (businesshours)

Must be 8 digits - e.g. 01 2345 6789

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http://abr.business.gov.au/HelpTaxConcessions.aspx


Phone number (afterhours)

Must be 8 digits - e.g. 01 2345 6789

Mobile phone Must be 8 digits - e.g. 0123 456 789

Email address

Your Organisation* indicates a required field

Tick one box ONLY whichbest describes yourorganisation: *

◯ Archive ◯ Multicultural communitygroup

◯ Art gallery ◯ Museum◯ Community group ◯ Professional association◯ Genealogical society ◯ Public library◯ Historical society ◯ Religious group◯ Indigenous group ◯ School◯ Local authority ◯ Other:

If your organisation type is not listed please include in the 'Other'box.

Describe yourorganisation’s history. *

Must be no more than 500 words.

Your Organisation's Budget

Estimate below the sources of funding your organisation expects to receive in2017/2018.This table should reflect funding for YOUR organisation, not the parent body of yourorganisation.Click on Add More for extra lines.

Source of funding $ (AUD)Membership/subscription: Admission Fees Fundraising

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Donations Funding from your parent body (if applicable) Local Government State Government Federal Government Grants Private Other Other

What additional cash or in-kind support for your proposed CHG project can yourorganisation provide or obtain from a parent organisation or relevant body?

Attach letter verifyingsupport.

Attach a file:

• Click on the Browse button • Select the file on your computer •Click Open and you will then see the file uploaded.

If your organisation does not receive a CHG grant, will this project, or part of it,go ahead? If yes, provide details.

Has your organisation previously received a Community Heritage Grant?◯ Yes◯ No◯ UnsureMust be no more than 1 choice selected

If Yes, please record previous CHG application number(s) if known (eg 2015/147)

If your organisation has received any grants (other than CHG) for preservationactivities in the last five years, provide details of the latest two projects for whichgrants were awarded.

Project 1 - Source of grant:

Project 1 - Grant period:

Project 1 - Description of project funded:

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Project 1 - Amount received (A$):

Project 2 - Source of grant:

Project 2 - Grant period:

Project 2 - Description of project funded:

Project 2 - Amount received (A$):

Type of Project* indicates a required field

If you are applying for more than one project, use separate application forms for eachproject.The combined value of projects applied for must be no more than $15,000 (inc GST) and youmust be confident you can complete the projects in one year.

Are you applying forfunding for a trainingproject? *

◯ Yes◯ NoIf Yes, the next section you will need to complete is YourProposed Training Project.

Your Proposed Project* indicates a required field

This section is for all projects other than training projects.

Project Title *

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Must be no more than 25 words, eg, significance assessment orpreservation needs assessment of the (name) collection; archivalstorage materials; digitisation etc.

Project Category (tickthe boxes that bestdescribes your proposedproject/s): *

☐ Significance assessment ☐ Conservation treatments☐ Preservation needsassessment

☐ Digitisation of film & audiotape

☐ Archival storage ☐ Digitisation of documentsand photographs

☐ Equipment ☐ Microfilming☐ Cataloguing software ☐ Other: Must be at least 1 choice selected

IMPORTANT: You MUST read the CHG GUIDELINES to ensure your project is aligned withthe 3 Step Process.

Attach Significance assessment and/or Preservation needs assessment asapplicable. DO NOT scan one page at a time. Please upload whole document.Attach a file:

• Click on the Browse button • Select the file on your computer • Click Open and you will then see thefile uploaded.

Project Description

Describe the type of project you wish to undertake, referring to the specificcollection material to which the project relates. *


How will you manage the project? *


What are the expected outcomes of your project? *


How will the project improve access to the collection? *

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What is the physical format of the material that relates to your application? *☐ Documents☐ Artefacts☐ Audiovisual☐ Other:

Examples of documents include archival records, maps, manuscripts, photographsand pictures. Examples of artefacts include furniture, leather items, textiles, toys andmachines. Examples of audiovisual include sound recordings, videos, film and digital files.

Digitisation

Complete the following questions if you are applying for digitisation funding.

If your proposed projectinvolves the digitisationof original materials forpreservation and access,provide informationabout your overalldigitisation plan.

Must be no more than 500 words. Show that considerationhas been given to preservation of original materials beforedigitisation; that there is a budgeted plan (with supportingquotes) for the digitisation process; that ongoing management ofthe digital copies has been addressed; that the project complieswith copyright law; and that consideration has been given toarrangements for scanning, back up procedures and access todigitised records in local systems.

If your project involvesreformatting of originalmaterial, including:copying of audiotapes and audio-visualmaterial; producingmicrofilm, digital orphotographic printcopies; or migratingdigital data from oldercarriers, provide moreinformation about theprocess and outcomes.

Must be no more than 500 words. Outline how access willbe easier, what is proposed for the original materials afterdigitisation, technical standards which will be used to copy andencode the video or audio material into a file, and how the newdigital content will be accessed and preserved. Refer to CHGGuidelines for the requirements for audio-visual and born-digitalprojects.

Digitisation plan Attach a file:

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Software Purchase

Complete the following questions if you areapplying for funding to purchase cataloguing andcollection management software.

Describe how objectsin your collection arecurrently registered andcatalogued.


Describe the softwarethat you wish topurchase.

Must be no more than 500 words. Provide the name of thesoftware, details of what it does (e.g. cataloguing, collectionmanagement), how it will benefit your collection and why itis the best solution for your collection and the best value formoney. Describe how you will manage ongoing expenses such aslicence fees. Also provide details of other software that you haveresearched/trialled, including shareware.

Describe your softwaretraining plan, howstaff will be trainedand your long termtraining support options.Show that you haveconsidered how youwill manage softwareupgrades.


Your Proposed Training Project

Training Project Title Must be no more than 25 words

Describe thetraining project yourorganisation wishes toundertake.

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Must be no more than 500 words. Include the name of thecourse, name and qualifications of course presenters, topics tobe covered, costs and number of attendees.

Attach CV of trainer. Attach a file:


How will thetraining benefit yourorganisation and yourcollection? Will it benefitother organisations?

Must be no more than 500 words. It is not necessary to have acollection to apply for training funding. However, informationabout the people and the collection/s that will benefit fromthe training is important. If you do have a collection, you mustanswer both the Your Collection and the National Significancesections.

Have you formed apartnership with anyother organisation toapply jointly to host thetraining course? If yes,provide details.


Why is the trainingappropriate for yourorganisation? Providedetails.


How does the trainingrepresent best value formoney?


How will the trainingproject be managed?


Project Budget

DETAIL YOUR PROPOSED PROJECT BUDGET EXPENDITURES IN THE TABLE BELOW.

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Please note the following when completing your budget table:

• Significance assessments and preservation needs assessments will befunded at the standard rate of $4,500 (excluding GST) and this amount shouldbe included in the project budget table.

• Grant total requested must not exceed $15,000 (including GST) in one calendar year.• Your budget items should directly correlate to items mentioned in your projectdescription (Your Proposed Project or Your Proposed Training Project).

• Requested budget items must be eligible. Ineligible items include collection valuations,project management fees, salaries/wages, office equipment/fitout.

• Attach quotes to support all other budget expenditure including associated traveland accommodation costs for assessors. If your organisation is not located in a majorcity you need to include the cost of the consultant's travel to your location plus twodays expenses. Information about calculating expenses can be found in ATO TaxDetermination 2014/15 and the ATO Cents per kilometre method if your consultant willdrive to your organisation.

• For conservation activities and collection management projects, itemise all proposedtreatments, storage, equipment and software purchases.

• Click on Add More for extra lines.

Budget table

Project BudgetItems (tasks,activities andmaterials)

Column A: Grantrequest (excludingGST)

Column B: GST Column C: Grantrequest includingGST

$

Total grant request (excluding GST):$This number/amount is calculated.Amount automatically totalled from Column A in the budget table above.

Quotes are not required for significance assessments and preservation needsassessments as these are funded at the standard rate of $4,500 (ex GST). Attachquotes for all other requested budget items including any required travel andtraining projects.Attach a file:

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Your Collection* indicates a required field

Describe in detail your organisation’s entire collection, including the size and thetypes of material. *

Must be no more than 1,000 words. It is not necessary for the applicant to have a collection to applyfor training funding. However, information about those likely to attend and their collection/s that willbenefit from the training is important. If you do have a collection, you must answer both the YourCollection and the National Significance sections.

Attach supporting documents if applicable.Attach a file:


Describe how your collection is managed, including who manages or isresponsible for the collection, if it is catalogued or indexed and how it is storedand exhibited.


Attach supporting documents if applicable.Attach a file:


Describe how your collection is made available to the public and who uses it.


If your collection is digitised, is it available in Trove?◯ Yes

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◯ NoMust be no more than 1 choice selected

Describe any current or planned preservation activities, including condition ofitems, deterioration risks, urgency of treatment.


Attach supporting documents such as Preservation Policy or photographs of itemsmost in need of treatment (limit of 6).Attach a file:


Does your organisation own the collection?◯ Yes◯ NoMust be no more than 1 choice selected

If no, your application must include a signed letter of consent from the legalowner and their contact details below.

Contact nameTitle First Name Last Name Organisation (if applicable) Contact Phone Number

Attach letter of consent.Attach a file:


National Significance of Your Collection

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When describing national significance, you may consider whether your collection meets thefollowing criteria:

• historical significance: whether it is associated with an important historical event, orcontributed to changing the course of Australian history;

• whether nationally prominent people are represented;• research value;• social, spiritual or cultural impact;• provenance: whether its previous owners or how it was used is documented;• uniqueness; and• condition of the material; whether it is complete or intact.

Why do you think your collection is of national significance?

Must be no more than 750 words. It is not necessary for the applicant to have a collection to applyfor training funding. However, information about those likely to attend and their collection/s that willbenefit from the training is important. If you do have a collection, you must answer both the YourCollection and the National Significance sections.

Attach supporting documents such as photographs of the most significant items(limit of 6), details of publications, reports or testimonials that justify yourclaims.Attach a file:


Declarations* indicates a required field

All applicants must print a copy of the Declaration Form below. This must be signed by theDirector/President of the organisation and the Project Manager if different from the Director/President. The document should then be scanned and uploaded to this grant application asan attachment.

• Declaration Form

Attach signedDeclaration Form: *

Attach a file:


Attachments Checklist

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Attachments included with your application help our assessors to understand your collectionand fully assess your application.

Tick all the listeddocuments that youhave attached to thisapplication:

☐ Significance Assessment☐ Preservation Needs Assessment☐ Photographs☐ Letters of support (for the project)/References☐ Quotes☐ Letter of approval from collection owner☐ Preservation Policy☐ In-kind support letter☐ Collection description documents

List and attachany other relevantdocuments.

Attach a file:


Feedback

How did you hear aboutCommunity HeritageGrants?

☐ CHG flyer - emailed ☐ NLA website☐ CHG flyer - paper copy ☐ Politician's mailout☐ Funding workshops ☐ Previous recipient☐ Internet research ☐ Professional network (inc.

consultant)☐ Local government ☐ Social media☐ Local media ☐ Word of mouth☐ Museums & libraries ☐ Other: ☐ Newsletter Please tick all applicable boxes

How would you ratethis online applicationprocess?

◯ Excellent◯ Good◯ Fair◯ Poor

Have you usedSmartyGrantspreviously?

◯ Yes◯ NoMust be no more than 1 choice selected

Did you experience anydifficulties in completingthis application?

◯ Yes◯ NoMust be no more than 1 choice selected

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If yes, explain here. Please provide anyadditional commentsand/or suggestions here.

Thank you for your feedback on the CHG applicationprocess.

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