Small Grant:Application Form 2014-15

We invite applications for Museum Development Yorkshire Small Grant for the year 2014-15.

Before completing this form, please read the guidance notes (

Contact your Museum Development Officer if you would like to discuss your proposed project.

Applications will be assessed on a monthly basis from July 2014.

Completed forms (electronic or paper) should be sent to Michael Turnpenny at:

Michael Turnpenny

Museum Development Manager

York Museums Trust

St. Mary’s Lodge

Marygate

York. YO30 7DR

1.Applicant

Organisation:
VAT Number
VAT Rate
Contact Person:
Postal Address:
Postcode:
Tel:
Email:

2.Project Title

3.Why do you need this project?

Why do you want to do this project?

What evidence is there that it is needed?

Who will benefit?

Please provide any additional information to assist us in assessing this application

4.Policy Priorities

4.1How does your project address Arts Council England’s Five Strategic Goals?

Further details at:

Comment/Detail:

4.2How does your project help your museum meet and go beyond the expectations of Museum Accreditation?

Further details at:

Does your project also address an Area for Improvement as outlined in your ACE

Accreditation award letter?

Yes / No
Comment/Detail:

4.3Building on Advice

Does your project build on previous programme support from Museum Development Yorkshireor Arts Council England?

Yes / No
Comment/Detail:

5.What is your proposal?

What do you propose to do (activities, programmes, etc)?

How does this fit with your business or forward plan

What will the work achieve? Please specify outputs and outcomes

Who will do the work?

Who benefits from the project?

6.Project Timetable

Task / Who will co-ordinate / Deadline

Please provide any additional information to assist us in assessing this application (to be enclosed ona separate sheet)

7.Financial details

Project costs / Description / £
Total project costs
Cost breakdown enclosed
Project income / Description / £
Cash contribution incl.other grants/donations
Non-cash contributions
Volunteer time
Museum Development YorkshireSmall Grant requested
Total project income

Total project cost and project income must balance

All sources of project income must relate to project costs

Please provide any additional information to assist us in assessing this application8.When will you claim your grant?

Quarter / Months / Year / Claim (tick)
Quarter 2 / July
August, September
Quarter 3 / October, November, December
Quarter 4 / January
February
March

9.Sharing learning and celebrating success

How will your museum promote the learning from this project to other organisations in the region and beyond?

Preference (Click)
Write a case study for the MDY website / YesNo
Present to colleagues at sub-regional forum or subject specialist meeting / YesNo
Presentation to regional meeting (e.g. YH Fed; YMDC) / YesNo
Other support (please describe) / YesNo

10.Declaration

  • I confirm that the information contained in the application is accurate at the time of submission.
  • I will inform Museum Development Yorkshire immediately of any change of circumstance that will affect the project before or during it being undertaken.
  • I am authorised to make this application on behalf of the applying museum (as set out in section 1).

Name:
Position:
Date:

1 of 10

June 2014