Grow creative leadership and programming excellence in NSW ... · Form Preview Making an...

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Country Arts Support Program (CASP) 2021 Form Preview Making an Application Objective The aim of the Country Arts Support Program (CASP) is to support community arts and cultural development in regional NSW through small grants. Overview CASP is an annual small grants program and is guided by the ACFP’s three major objectives: Grow creative leadership and programming excellence in NSW Strengthen NSW arts and cultural activity that drives community and social benefits Showcase NSW as a leader for strategic arts and cultural governance and strong financial management CASP is not a recurrent fund. The fund is delivered in partnership with the 14 Regional Arts Development Organisations (RADO). Closing date Applications close: Tuesday 29 September 2020 at 5pm AEST. Funding Amount Grants of up to either $3,000 or $5,000 (depending on region). Timing Projects are to take place between 1 January 2021 and 31 December 2021. Contact and Support Refer to CASP 2021 Funding Guidelines for more details or contact a staff member if you need any advice between 9am and 5pm Monday to Friday: Telephone: (02) 8289 6520 Email: [email protected] For more details or support contact a Create NSW staff member. Telephone: (02) 8289 6520 Email: [email protected] Accessibility If you are an applicant with disability and you require this information in a format which is accessible to you, or if you require this information in another language, you can contact us between 9am and 5pm Monday to Friday. Telephone: (02) 8289 6520 Email: [email protected] Page 1 of 21

Transcript of Grow creative leadership and programming excellence in NSW ... · Form Preview Making an...

Page 1: Grow creative leadership and programming excellence in NSW ... · Form Preview Making an Application ... CONTACT: Olivia Parker Phone: 6658 9400 Email: communications@artsmidnorthcoast.org

  

Country Arts Support Program (CASP) 2021Form Preview

  

Making an Application

ObjectiveThe aim of the Country Arts Support Program (CASP) is to support community arts andcultural development in regional NSW through small grants.OverviewCASP is an annual small grants program and is guided by the ACFP’s three major objectives:

•  Grow creative leadership and programming excellence in NSW• Strengthen NSW arts and cultural activity that drives community and social benefits• Showcase NSW as a leader for strategic arts and cultural governance and strongfinancial management

CASP is not a recurrent fund.The fund is delivered in partnership with the 14 Regional Arts Development Organisations(RADO).Closing dateApplications close: Tuesday 29 September 2020 at 5pm AEST.Funding AmountGrants of up to either $3,000 or $5,000 (depending on region).TimingProjects are to take place between 1 January 2021 and 31 December 2021.Contact and SupportRefer to CASP 2021 Funding Guidelines for more details or contact a staff member if youneed any advice between 9am and 5pm Monday to Friday:Telephone: (02) 8289 6520 Email: [email protected] more details or support contact a Create NSW staff member.Telephone: (02) 8289 6520Email: [email protected]

Accessibility

If you are an applicant with disability and you require this information in a format which isaccessible to you, or if you require this information in another language, you can contact usbetween 9am and 5pm Monday to Friday.Telephone: (02) 8289 6520Email: [email protected]

 

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Local Government Area and Regional Arts DevelopmentOrganisation* indicates a required field

Local Government Area (LGA)

Applicant Organisation LGA * 

Please select your applicant organisation's LGA based on the organisation's street address i.e.principal place of business. If the LGA is not in this list, your area is not eligible to apply for CASPfunding.

If your organisation is a Local Government Authority or Council facility (museum, gallery etc)or committee, you should enter the Council's name, address and contact details in Name ofApplicant Group/Organisation.If applicable, details of the facility or committee managing the project should be included inAbout Your Organisation and Applicant Contact Person (below).

Regional Arts Development Organisation: Arts Mid North Coast

Local Government Areas covered by Arts Mid North Coast: Bellingen Shire Council,Coffs Harbour City Council, Mid-Coast Council, Kempsey Shire Council, Nambucca ShireCouncil, Port Macquarie-Hastings Council

Is Mid North Coast the correct Region for your organisation's LGA? *○   YesIf Mid North Coast is not the correct Region please select a different LGA above

Arts Mid North Coast awards CASP grants up to $3,000. Ensure that your applicationdoes not request funding in excess of this amount.It is an eligibility requirement that you contact Arts Mid North Coast to discussyour project before submitting your application:CONTACT: Olivia Parker Phone: 6658 9400 Email:[email protected]

Regional Arts Development Organisation: Arts North West

Local Government Areas covered by Arts North West: Armidale Regional Council, GlenInnes Severn Council, Gunnedah Shire Council, Gwydir Shire Council, Inverell Shire Council,Liverpool Plains Shire Council , Moree Plains Shire Council, Narrabri Shire Council, TamworthRegional Council, Tenterfield Shire Council, Uralla Shire Council, Walcha Council

Is North West the correct Region for your organisation's LGA? *○   YesIf North West is not the correct Region please select a different LGA above

Arts North West awards CASP grants up to $3,000. Ensure that your application doesnot request funding in excess of this amount.

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It is an eligibility requirement that you contact Arts North West to discuss yourproject before submitting your application:CONTACT: Caroline Downer Mobile: 0428 042 622 Email: [email protected] StreetAddress: 16 East Avenue, Glen Innes NSW 2370

Regional Arts Development Organisation: Arts Northern Rivers

Local Government Areas covered by Arts Northern Rivers: Ballina Shire Council,Byron Shire Council, Clarence Valley Council, Kyogle Council, Lismore City Council,Richmond Valley Council

Is Northern Rivers the correct Region for your organisation's LGA? *○   YesIf Northern Rivers is not the correct Region please select a different LGA above

Arts Northern Rivers awards CASP grants up to $5,000. Ensure that your applicationdoes not request funding in excess of this amount.It is an eligibility requirement that you contact Arts Northern Rivers to discussyour project before submitting your application:CONTACT: Phoebe Rose Phone: 02 6621 4433 Email: [email protected]

Regional Arts Development Organisation: Arts Outwest

Local Government Areas covered by Arts Outwest: Bathurst Regional Council, BlayneyShire Council, Cabonne Council, Cowra Shire Council, Forbes Shire Council, Lachlan ShireCouncil, City of Lithgow Council, Oberon Council, Orange City Council, Parkes Shire Council,Weddin Shire Council

Is Central West the correct Region for your organisation's LGA? *○   YesIf Central West is not the correct Region please select a different LGA above

Arts Outwest awards CASP grants up to $3,000. Ensure that your application does notrequest funding in excess of this amount.It is an eligibility requirement that you contact Arts Outwest to discuss yourproject before submitting your application:CONTACT: Tracey Callinan Phone: 02 6338 4657 Mobile: 0418 618 688 Email:[email protected] Street Address: Building 1454, Research Station Drive Charles SturtUniversity Bathurst NSW 2795

Regional Arts Development Organisation: Eastern Riverina Arts

Local Government Areas covered by Eastern Riverina Arts: Bland Shire Council,Coolamon Shire Council, Cootamundra-Gundagai Regional Council, Junee Shire Council,Lockhart Shire Council, Temora Shire Council, Snowy Valleys Council, Wagga Wagga CityCouncil

Is Eastern Riverina the correct Region based on your organisation's LGA? *○   Yes

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If Eastern Riverina is not the correct Region please select a different LGA above

Eastern Riverina Arts awards CASP grants up to $5,000. Ensure that your applicationdoes not request funding in excess of this amount.It is an eligibility requirement that you contact Eastern Riverina Arts to discussyour project before submitting your application:CONTACT: Tim Kurylowicz Phone: 02 6921 6890 Mobile: 0403 878 442 Email:[email protected] Street Address: 98 Fitzmaurice St Wagga Wagga NSW2650

Regional Arts Development Organisation: Murray Arts

Local Government Areas covered by Murray Arts: Albury City Council, FederationCouncil, Greater Hume Shire Council

Is Albury Wodonga the correct Region based on your organisation's LGA? *○  YesIf Albury Wodonga is not the correct Region please select a different LGA above

Murray Arts awards CASP grants up to $5,000. Ensure that your application does notrequest funding in excess of this amount.It is an eligibility requirement that you contact Murray Arts to discuss yourproject before submitting your application:CONTACT: Alyce Fisher Phone: 02 6021 5034 Mobile: 0407 213 034 Email:[email protected]

Regional Arts Development Organisation: Orana Arts

Local Government Areas covered by Orana Arts: Dubbo Regional Council, GilgandraShire Council, Mid-Western Regional Council, Warrumbungle Shire Council

Is Orana the correct Region based on your organisation's LGA? *○   YesIf Orana is not the correct Region please select a different LGA above

Orana Arts awards CASP grants up to $5,000. Ensure that your application does notrequest funding in excess of this amount.It is an eligibility requirement that you contact Orana Arts to discuss your projectbefore submitting your application:CONTACT: Alicia Leggett Mobile: 0429 945 811 Email: [email protected]

Regional Arts Development Organisation: Outback Arts

Local Government Areas covered by Outback Arts: Bogan Shire Council, Bourke ShireCouncil, Brewarrina Shire Council, Cobar Shire Council, Coonamble Shire Council, WalgettShire Council, Warren Shire Council

Is Far West the correct Region based on your organisation's LGA? *

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○   YesIf Far West is not the correct Region please select a different LGA above

Outback Arts awards CASP grants up to $5,000. Ensure that your application does notrequest funding in excess of this amount.It is an eligibility requirement that you contact Outback Arts to discuss yourproject before submitting your application:CONTACT: Jamie-Lea Trindall Phone: 02 6822 2484 Email: [email protected] Address: 26 Castlereagh St Coonamble NSW 2829

Regional Arts Development Organisation: South East Arts

Local Government Areas covered by South East Arts: Bega Valley Shire Council,Eurobodalla Shire Council, Snowy Monaro Regional Council

Is South East the correct Region based on your organisation's LGA? *○   YesIf South East is not the correct Region please select a different LGA above

South East Arts awards CASP grants up to $3,000. Ensure that your application doesnot request funding in excess of this amount.It is an eligibility requirement that you contact South East Arts to discuss yourproject before submitting your application:CONTACT: Andrew Gray Phone: 02 6492 0711 Mobile: 0429 909 447 Email:[email protected] Street Address: 32 Church St Bega 2550

Regional Arts Development Organisation: South West Arts

Local Government Areas covered by South West Arts: Balranald Shire Council,Berrigan Shire Council, Carrathool Shire Council, Edward River Council, Hay Shire Council,Murray River Council

Is South West the correct Region based on your organisation's LGA? *○   YesIf South West is not the correct Region please select a different LGA above

South West Arts awards CASP grants up to $5,000. Ensure that your application doesnot request funding in excess of this amount.It is an eligibility requirement that you contact South West Arts to discuss yourproject before submitting your application:CONTACT: Kerry-Anne Jones Phone: 03 5881 7749 Mobile: 0428 886 438 Email:[email protected] Street Address: 122 End Street Deniliquin NSW 2710

Regional Arts Development Organisation: Southern Tablelands Arts

Local Government Areas covered by Southern Tablelands Arts: Goulburn MulwareeCouncil, Hilltops Council, Queanbeyan-Palerang Shire Council, Upper Lachlan Shire Council,Wollondilly Shire Council, Yass Valley Council

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Is Southern Tablelands the correct Region based on your organisation's LGA? *○   YesIf Southern Tablelands is not the correct Region please select a different LGA above

Southern Tablelands Arts awards CASP grants up to $3,000. Ensure that yourapplication does not request funding in excess of this amount.It is an eligibility requirement that you contact Southern Tablelands Arts todiscuss your project before submitting your application:CONTACT: Rose Marin Phone: 0456 566 606 Email: [email protected] Address: Level 1 / 56 Clinton Street, Goulburn NSW 2580

Regional Arts Development Organisation: Arts Upper Hunter

Local Government Areas covered by Arts Upper Hunter: Dungog Shire Council,Muswellbrook Shire Council, Singleton Council, Upper Hunter Shire Council

Is Upper Hunter the correct Region based on your organisation's LGA? *○   YesIf Upper Hunter is not the correct Region please select a different LGA above

Arts Upper Hunter awards CASP grants up to $3,000. Ensure that your applicationdoes not request funding in excess of this amount.It is an eligibility requirement that you contact Arts Upper Hunter to discuss yourproject before submitting your application:CONTACT: Mark Reedman Phone: 6541 4776 Mobile: 0409 382 509 Email:[email protected] Street Address: 142 Bridge St Muswellbrook 2333 (no mail)

Regional Arts Development Organisation: West Darling Arts

Local Government Areas covered by West Darling Arts: Broken Hill City Council,Central Darling Shire Council, Unincorporated Far West Shire Council, Wentworth ShireCouncil

Is West of the Darling the correct Region based on your organisation's LGA? *○   YesIf West of the Darling is not the correct Region please select a different LGA above

West Darling Arts awards CASP grants up to $5,000. Ensure that your applicationdoes not request funding in excess of this amount.It is an eligibility requirement that you contact West Darling Arts to discuss yourproject before submitting your application:CONTACT: Cathy Farry Phone: 08 8087 9035 Email: [email protected] StreetAddress: Town Hall Facade 256 Argent Street Broken Hill 2880

Regional Arts Development Organisation: Western Riverina Arts

Local Government Areas covered by Western Riverina Arts: Griffith City Council,Leeton Shire Council, Murrumbidgee Council, Narrandera Shire Council

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Is Western Riverina the correct Region based on your organisation's LGA? *○   YesIf Western Riverina is not the correct Region please select a different LGA above

Western Riverina Arts awards CASP grants up to $3,000. Ensure that your applicationdoes not request funding in excess of this amount.It is an eligibility requirement that you contact Western Riverina Arts to discussyour project before submitting your application:CONTACT: Aanya Whitehead Mobile: 0428 882 059 Email: [email protected] Address: 3-5 Wade Avenue Leeton NSW 2705

Create NSW

Local Government Areas covered by Create NSW: Central Coast Council, CessnockCity Council, The Council of the Municipality of Kiama, Maitland City Council, Newcastle CityCouncil, Port Stephens Council, Shellharbour City Council, Shoalhaven City Council, TweedShire Council, Wollongong City Council

Confirm that you are in a non-contributing area based on your organisation'sLGA? *○   YesIf Create NSW is not the correct Region please select a different LGA above

Create NSW awards CASP grants up to $3,000. Ensure that your application does notrequest funding in excess of this amountIt is an eligibility requirement that you contact Create NSW to discuss yourproject before submitting your application:CONTACT: Ian Cifuentes Phone: 02 8289 6415 Email: [email protected] Address:Level 10, 52 Martin Place, Sydney NSW 2001

Please select the organisation that represents your LGA

Regional Arts Development Organisation *○  Arts Mid North Coast ○  Eastern Riverina Arts ○  South West Arts○  Arts North West ○  Murray Arts ○  Southern Tablelands Arts○  Arts Northern Rivers ○  Orana Arts ○  West Darling Arts○  Arts OutWest ○  South East Arts ○  Western Riverina Arts○  Arts Upper Hunter ○  Outback Arts ○  Create NSW

 Eligibility* indicates a required field

It is an eligibility requirement that you discuss your project with the organisation thatrepresents your LGA.

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Have you discussed your project with your Regional Arts DevelopmentOrganisation or Create NSW and confirmed your application is for an eligibleactivity? *○  Yes ○  No

Unable to continue

Based on your response to the Eligibility Have you discussed your project with your RegionalArts Development Organisation or Create NSW? you are ineligible to apply. Refer to CASP2021 Funding Guidelines for more details or contact a staff member if you need anyadvice between 9am and 5pm Monday to Friday:Telephone: (02) 8289 6520 Email: [email protected]

Are you applying as:○   Collective with a nominated Funds Administrator○   Local Government Authority located in NSW○   Not for profit incorporated body○   Other

Unable to continue

Based on your response to the Eligibility You are applying as: you are ineligible to apply.Refer to CASP 2021 Funding Guidelines for more details or contact a staff member if youneed any advice between 9am and 5pm Monday to Friday:Telephone: (02) 8289 6520 Email: [email protected]

Are you applying as:○   Individuals○   Groups and organisations based in Sydney and Western Sydney, or for projects based inthose areas○   Interstate organisations○   Professional touring groups○   Commercial enterprises○   Groups/ensembles and unincorporated associations with no Funds Administrator○   Regional Conservatoriums○   Organisations that have applied for or received Create NSW funding for the same activity○   Previous recipients where the use of the grant did not, in the opinion of the CASP stateassessment panel, conform to the spirit and intentions of these guidelines○   State and federal government departments, including schools (except P&Cs who areincorporated)○   None of the above

Unable to continue

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Based on your response to the Eligibility Are you are applying as: you are ineligible to apply.Refer to CASP 2021 Funding Guidelines for more details or contact a staff member if youneed any advice between 9am and 5pm Monday to Friday:Telephone: (02) 8289 6520 Email: [email protected]

Able to continue

Based on your responses to the above Eligibility Criteria you can now proceed and completeyour application. Confirmation of eligibility will be determined upon submission of yourapplication.

Would you like to proceed to complete your application?○  Yes ○  No

Unable to continue

Based on your response to Would you like to proceed to complete your application? you areunable to continue and apply. Refer to CASP 2021 Funding Guidelines for more details orcontact a staff member if you need any advice between 9am and 5pm Monday to Friday:Telephone: (02) 8289 6520 Email: [email protected]

 Applicant Organisation* indicates a required field

If applying as a Local Government Authority, the Council's name and contact details shouldbe provided as the Name of Applicant Group/Organisation.If a Council facility (museum, gallery etc) or group is managing the project this informationshould be included in About Your Organisation.If the ABN you're providing is for a Local Government Authority that Council should beshown as the Applicant, and Council's address and contact details provided here. Whereapplicable, other application contact details can be entered blow.

Name of Applicant Group/Organisation *Organisation Name

 

Street Address *Address

  Suburb   State   Postcode

         

Postal Address *Address

  Suburb   State   Postcode

         

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Applicant organisation's principal place of business.MUST be in regional NSW.

Phone *  Email *  Website  

Legal status of your organisation

What is your organisation's legal status? *☐   Not for profit incorporated body  ☐   Local government authority  ☐   Collective Please select one

About Your Organisation

Please provide a short description and history of your group / organisation,including examples of similar projects you have managed (if applicable). *

 Word count:Must be no more than 500 words

Applicant Organisation's ABN * 

The ABN provided will be used to look up the following information. Click Lookup above tocheck that you have entered the ABN correctly. 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

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If the ABN you're providing is for a Local Government Authority that Council should be shown asthe Applicant, and Council's address and contact details provided above. Where applicable, otherapplication contact details can be entered below.

Please upload Public Liability Insurance Certificate of Currency (minimum $10million) *Attach a file:

 

Applicant Contact Person

Contact Name * Title   First Name   Last Name         

Position *  Phone Number (BH) *  

Please provide the contact person's direct business hours phonenumber

Mobile Number  Please provide the contact person's mobile number

Email *  Please provide the contact person's direct email address

Has your organisation previously applied for the Country Arts Support Program(CASP)? *○  Yes ○  No

 Nominated Funds Administrator* indicates a required field

If your organisation type is a collective (groups/ensembles and unincorporated associations)you must nominate a legally constituted body (with both an ABN and public liabilityinsurance) to administer your grant if one is awarded.Please complete the following information and get a signed letter from the nominated FundsAdministrator which you will be required to upload.

Name of Nominated Funds Administrator *Organisation Name

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 Funds Administrator ABN *

 The ABN provided will be used to look up the following information. Click Lookup above tocheck that you have entered the ABN correctly. 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

Please upload the Public Liability Insurance Certificate of Currency (minimum $10million) of your nominated Funds Administrator *Attach a file:

 Signed Letter from your nominated Funds Administrator confirming engagement *Attach a file:

 

Street Address *Address

  Suburb   State   Postcode

         

Postal Address *Address

  Suburb   State   Postcode

         

Phone Number (BH) *  Email *  Website  

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Funds Administrator Contact Person Details

Name * Title   First Name   Last Name         

Position *  Phone Number (BH) *  Mobile Phone Number  Email *  

 About your Project* indicates a required field

Project Title * Must be no more than 10 words.

Brief description of the Project *

 Word count:Must be no more than 50 words.Please provide a short, one or two sentence description of your project. Be sure to include the ‘Who’,‘What’, ‘Where’ and ‘When’.

In what town/locality will the event take place? * Enter one or more towns/localities

Project Start Date 

Must be a date and no earlier than 1/1/2021.

Project End Date 

Must be a date and no later than 31/12/2021.

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Select the primary artform of your program: 

Select the secondary artform that better reflects the subcategory of your primaryartform:

 Other:

 

Is your project involving Aboriginal cultural elements, community or heritage?○  Yes ○  NoIf Yes, you are required to provide referees from the relevant communities and/or organisations whoare prepared to speak to your experience and or your proposal. Refer to NSW Aboriginal Arts andCultural Protocol

Project Merit

Describe your project's merit in more detail (do not refer to attachments). Outlinewhat you plan to do and why. *

 Word count:Must be no more than 300 words.

What consultation has occurred with your community/communities? *

 Word count:Must be no more than 300 words.

How will the project be managed? Please include a brief project plan and timeline.*

 Word count:Must be no more than 300 words.

Describe the short-term and long-term benefits of this project for the community/communities involved. *

 Word count:Must be no more than 300 words.

 Project Details - Other Groups and Artists

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* indicates a required field

Other Groups or Organisations involved in the Project

Are any other groups or organisations involved in the project? *○  Yes ○  No

List the other groups or organisations involved in the project and briefly state thenature of their involvement. *

 Word count:Must be no more than 300 words.

Attach letters of support from these groups. *Attach a file:

 

Number of Artists

How many PAID artists will be employed on the project? *

 Must be at least 1

How many UNPAID artists will be involved in the project? *

 Enter 0 if none

Does your project involve working with children under the age of 18 years? *○  Yes ○  NoDetails can be found on the Office of the Children's Guardian website: www.kidsguardian.nsw.gov.au

Details of Artists involved (Complete where the project does notinvolve working with children under the age of 18 years)

Provide details for each artist involved in the project, paid and unpaid - do not refer toattachments. To add another artist click on ADD MORE.

Artist Name *  Name of artist involved in the project

Brief Role Description *  Word count:Must be no more than 50 words

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Relevant Experience *  Word count:CV extract outlining their relevant experience. Must be no morethan 100 words

Details of Artists involved (Complete where the project involvesworking with children under the age of 18 years)

Provide details for each artist involved in the project, paid and unpaid - do not refer toattachments. To add another artist click on ADD MORE.

Artist Name *  Name of artist involved in the project

Working with ChildrenCheck Number *  

Details can be found on the Office of the Children's Guardianwebsite: www.kidsguardian.nsw.gov.au

Brief Role Description *  Word count:Must be no more than 50 words

Relevant Experience *  Word count:CV extract outlining their relevant experience. Must be no morethan 100 words

 Budget for your Project* indicates a required field

Budget

Your Income should equal your Expenditure . Refer to FAQs for more details

Total Cost of the Project (total expenditure including both CASH and IN KIND) *$Must be a whole dollar amount

Total Amount Requested from CASP (excl GST). *$Must be a whole dollar amount and not exceed the limit for your Region.

Income

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Income (excluding the CASP requested amount)$Must be a dollar amount.

CASP Expenses

Please provide details of what the CASP funds will be used for. Remember that CASP shouldmainly go towards Artist/Artsworker fees and expenses.Refer to the CASP 2021 Funding Guidelines for details of expenses that CASP will notfund.The total of these amounts must be the same as Total Amount Requested from CASPand must not exceed the limit for your Region.Add 0 for any that are not relevant.

Fees and Allowances - Artists *

$Must be a dollar amount.

Fees and Allowances - Arts Workers *

$Must be a dollar amount.

Total Artist Fees and Allowances *

$This number/amount is calculated.

Artist Fees and Allowances - Details

 Can also include travel, accommodation expensesand living allowances

Total Production Costs *

$Must be a dollar amount.

Production Costs - Details

 Can include materials, venue hire, equipmenthire, costumes, fees for production staff (eg stagemanagers, lighting and sound technicians, setconstruction workers)

Administration - Amount *

$Must be a whole dollar amount exclusive of GST

Administration Expenses - Details

 Can include general printing and stationery, auditfees, insurance, telephone, fax and other officeexpenses, travel (other than artists), auspice fee,fees for administrator / coordinator

Marketing - Amount *

$Must be a whole dollar amount exclusive of GST

Marketing Costs - Details

 

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Can include costs of printing promotional material,media advertising, video production, fees formarketing or promotional officer

TOTAL EXPENSES$This number/amount is calculated.

Funds Allocation - this should equal $0 *$This number/amount is calculated.

Outline how you have arrived at those figures *

 Word count:Must be no more than 300 words.

 Budget Information (IN KIND SUPPORT)In Kind Support

Non cash items donated to your project. You will only be able to provide estimates of theirvalue but they are important to include as it shows the ‘real cost’ of your project.

Estimated number of volunteers

 Must be a number

Estimated total number of volunteer hours

 (all volunteers combined)

Estimated value of volunteer time

$This amount is calculated.

Local Government - goods, services that council provide without a fee$eg venue, rubbish service, admin support, excluding GST

Local Business - goods, services that local business provide without a fee$eg paints, materials, advertising, excluding GST

Other community groups - goods, services that other groups provide without afee$eg venue, excluding GST

Total In Kind Support

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$This amount is calculated.

 Attachments and Support Material* indicates a required field

Attachments - Applicant Financial Information

This information is not required from Local Government Authorities or collectives

Applicant organisation'sfinancial report *

Attach a file: 

Please provide the most recent financial reports you have,preferably the latest audited financial statements

Attachments - Funds Administrator's Financial Information

Funds Administrator'sfinancial report *

Attach a file: 

Please provide the most recent financial reports you have,preferably the latest audited financial statements

Letters of Support

'If you have any additional letters of support (other than from groups or organisationsinvolved in the project) you may upload them here.

Attached Letters of Support hereAttach a file:

 

Letters of Support - For proposals involving Aboriginal people orcommunities

You are required to provide at least one letter of support from the relevant Aboriginalcommunities and/or organisations who are prepared to speak to your experience and oryour proposal.

Attached Letters of Support here *Attach a file:

 

Samples of Work

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You may choose ONE of the following support material options to support your application.Please indicate by selecting the relevant TYPE below.

•  Up to 5 pages of written material (e.g. excerpts of published writing, press coverage orresearch), OR

• Up to 5 photographs, OR• A link to video footage of work, hosted on YouTube/Vimeo/DropBox - Provide URL andpasswords to view video on external website.

Type Relevance to the Project   

Please provide support material documents in .pdf format where possible. Zip files cannotbe accepted.

Attach written materialor photographs here *

Attach a file: 

Files must not exceed 25MB

Link/URL *  Password *  

If the material is not password protected, write ''None''

Description *  

 Declaration* indicates a required field

Declaration of the Applicant Organisation

Before you can complete and submit an application you must accept the followingconditions by declaring:I certify that:

•  Authority: If the applicant is a group, I have the authority to complete and submit thisapplication on the group’s behalf.

• Valid information: All information supplied as part of this application will be true andaccurate to the best of my knowledge.

• Legislative requirements: All activities proposed by this application will beconducted in accordance with current legislation, including but not limited to, complyingwith Working with Children legislation.

I acknowledge that:

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•  Deadline: Application and any additional materials cannot be submitted after 5pm onthe advertised closing date.

• Investigation: Create NSW has the right to investigate any information provided inthis application and/or to request for additional information

• Errors and Omissions: It is solely my responsibility to ensure my application iscorrect and complete before submitting. Create NSW does not check, amend or updateapplications. Applications cannot be modified after being submitted.

• Support: Create NSW staff are available 9am-5pm Monday to Friday during the grantround to provide technical and general guideline advice. Staff are not able to provideadvice on content or choices required within my application.

• False declarations: Create NSW has the right to withdraw any offer of funding ordemand the return of funds already paid if my declaration is found to be incorrect ormisleading.

I agree that:

•  if successful, images relating to this project can be reproduced by Create NSW forthe purpose of promoting this grant, acquittal and annual reporting in the 12 monthsfollowing the completion of this project.

Do you understand and acknowledge these conditions? *○  Yes ○  No

Full Name * Typing your name will be taken to be as binding as a signature.

Title/Position * General Manager, Chair, Executive Officer etc.

Date * 

Please keep a saved copy of your application form and any relatedmaterial for your records

A PDF of your submitted application form will be emailed to the registered email address ofthe person submitting this application.Please keep a copy of the PDF and related material that you attached/uploaded to theapplication in a common area within your organisation. If your application is successful, youwill need to refer to it during your acquittal process when the project is completed.

 

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