ARTS AND CULTURAL GRANTS PROGRAM 2017/2018
ROUND 3 APPLICATION FORM
CATEGORY 5: LIVE MUSIC ENTERPRISE (Up to $5,000)
Applications close Friday 16 February 2018 (for projects commencing from April-June 2018).
Applicants are encouraged to discuss their project with the grants officer before applying as they can provide helpful advice on how to complete the application form and any permits that may be required for the project.
Name of ApplicantAddress
Phone
Contact Person
Position
Name of Project
Grant Amount Sought
($5,000 maximum)
ABN
GST status / Registered Not Registered
OFFICE USE ONLY
Date Application Received
File Number
ELIGIBILITY CRITERIA
Please note, your project must meet this criteria in order to proceed to the assessment stage.
Yes No
b) Is your project taking place in one of Adelaide’s Park Lands or Squares?
Yes No
If yes, please confirm you have submitted an ‘Events in the City Booking Application’.
Applications are available from the City of Adelaide’s website –
www.cityofadelaide.com.au/explore-the-city/city-information/city-spaces-and-venues-for-hire/
Yes, I have submitted an ‘Events in the City Booking Application’.
c) Is your project taking place on private property?
Yes No
If yes, please confirm you have approval from the land / building owner.
Yes, I have approval from the land / building owner and a copy has been provided in writing as part of my support material at section 3.5.
d) Is your organisation not-for-profit?
Yes No
e) How is your organisation constituted?
Incorporated Association
Unincorporated group auspiced by an Incorporated Association
A company registered with an Australian ABN or CAN or an organisation as defined by the Corporations Act 2001
Other - Please specify ______
f) How is your organisation / auspicing organisation managed?
Management Committee
Board of Management
Advisory Board
Social Enterprise
Commercial Organisation
Other - Please specify ______
g) Do you / your organisation have any outstanding reporting or debts to the City of Adelaide?
Yes No
If yes please provide details.
h) Working with children
Does the project (at any stage) involve working with children and young people aged under 18 years?
Yes No
If yes, have you read, and do you comply with Arts South Australia's Protocols for Working with Children in Art?
Protocols can be downloaded from:
www.arts.sa.gov.au/protocols-for-working-with-children-in-art/
Yes No
ASSESSMENT CRITERIA 1 - Fully Developed Proposal
(40% of assessment)
1.1 Please select the project type/s that best describes your project
Performance Event/sWorkshop/s
Mentorship/s
/ Multicultural Festival
Community Event/s
Other (please provide details)
…………………………………………………………………………...
1.2 Project Dates / Start Date ______End Date ______
Please note that projects must take place between April and June 2018
1.3 Project Description
Please describe your project, its aims and what it will deliver
1.4 Proposed location(s) of project e.g. where your project is taking place - street(s), venue name, name of Park Land
1.5 Is there a cost for the public to attend your project?
Please note: projects that are free or provide a free component are viewed more favourably. / Free (100%)
Cost (100%)
Combination (please complete percentages below)
What percentage is free? ------%
What percentage is full price? ------%
What percentage is concession or reduced price? ------%
1.6 What is the total anticipated attendance at your project? Please explain how you have calculated your attendance figure.
1.7 Please provide a timeline for your project
Please include dates and times of specific events
1.8 Please respond to the following question(s):
a) How will your project increase opportunities for musicians to play in city venues and/or in the public realm contribute to the City as a welcoming and dynamic place for people to live, work and visit?
AND
b) How will your application support live music small to medium enterprises and/or early career entrepreneurs to start-up and trial new music ventures?
1.9 Please provide details of any consultation you have undertaken with businesses / stakeholders that may be affected by your project
Evidence of this consultation can be provided as support material at section 3.5
1.10 Please provide details on the marketing you will undertake for your project
e.g. social media campaign, printed promotional material distributed, paid advertising, press release distributed, acknowledgement at event
1.11 Please identify how you will acknowledge the City of Adelaide’s support of your project
1.12 Preliminary Risk Assessment
Please identify any risks / hazards associated with your project by completing the form below.
Please see Attachment A for instructions on how to complete this form.
Task or Activity / Potential Hazards/Consequences / Class of
Risk / Action Required to Control Risk/s
INCOME AND EXPENDITURE BUDGET
1.13 Please complete the Income and Expenditure Budget below, indicating in bold what the City of Adelaide’s funds will be directly used for.
Please include fees and charges for City of Adelaide services as the City of Adelaide will not provide in-kind support via the waiving of fees. See ‘Attachment B: Contact and Costing Details for City of Adelaide Services’ for more information.
GRANTS / DONATIONS / WAGES / ASSOCIATED COSTS
City of Adelaide grant / Wages - please provide breakdown
Grants - other / Artist fees - please provide breakdown
Grants - other / Administration fees
Grants - other / Accounting / Audit fees
OTHER INCOME / Other
Applicants $ / HIRES
Applicants in-kind support * / Marquees
Other $ / Furniture
Other in-kind support * / Venue
Exhibition fees / Staging / sound equipment
Stall holder fees / Security
Performance fees / Other
Sales i.e. art works / other / MARKETING & PROMOTION
Membership subscriptions / Advertising - please provide breakdown
Other / Promotion - printed material
Other / Promotion - online / digital
Postage
Other
INSURANCES
Public Liability Insurance
Other
CITY OF ADELAIDE FEES
Development Approvals
Permits
Park Land fees
Venue hire
Waste
Road closure
Other
MISCELLANEOUS
Catering
Art materials - please provide breakdown
Other materials - please provide breakdown
Documentation
Other
Other in-kind support *
TOTAL INCOME / TOTAL EXPENDITURE
Please note -
a) Your total contribution in cash or in-kind must be equal to or greater than the amount being sought from the City of Adelaide.
b) In-kind support (income) also requires a corresponding expenditure item (see sections marked *)
c) Total income must equal total expenditure
Budget detailsPlease provide a detailed breakdown of any relevant budget items here
(e.g. if multiple artists are to be engaged please a breakdown of artist fees)
1.14 Who else is funding the project and what will their contribution be?
City of Adelaide / Grant / Pending
Applicant / Financial
In-kind
Others ^ / Financial
In-kind
Total Amount
^ Others refers to funding partners and other sources of financial and/or in-kind support.
1.15 Could your project proceed if only partial funding was received? Yes No
1.16 Has the City of Adelaide funded you / your organisation over the last two (2) years? Yes No
If yes please provide details below:
2016-2017
2015-2016
ASSESSMENT CRITERIA 2 - Strategic Plan Alignment
(35% of assessment)
Please indicate which of the City of Adelaide’s strategic actions your project addresses.
(Select multiple boxes if relevant and please ensure that details are provided to support your response)
Smart: A smart city with a globally connected and opportunity rich economy
Showcase the City’s unique heritage and character
Bring together the creative, arts, business, university, education and entrepreneurial sectors
Rejuvenate laneways and pedestrian connections
Please provide details on how your project will address the ‘Smart’ actions selected aboveGreen: One of the world’s first carbon neutral cities and an international leader in environmental change
Promote sustainable transport options, such as public transport, cycling and walking
Utilise low carbon or renewable energy sources
Promote environmental issues
Increase public and private greening with trees, gardens, green walls and roofs
Reuse and recycle equipment, consumables and materials
Reduce mains water use through utilising recycled and reused water
Please provide details on how your project will address the ‘Green’ actions selected above
Liveable: A beautiful, diverse city with an enviable lifestyle that is welcoming to people at all stages of life
Develop and celebrate strong and resilient City communities that are welcoming and encourage people of all ages, cultures and means to participate in City life, including through volunteer opportunities
Support vulnerable members of the community
Enable people to use the City safely and seek to reduce crime
Enhance the role of the Park Lands in increasing levels of physical activity and wellbeing through formal and informal sport and recreation opportunities
Please provide details on how your project will address the ‘Liveable’ actions selected aboveCreative: A multicultural city with a passion to create authentic and internationally renowned experiences
Contribute to the development of Adelaide as the premier international arts market, especially within the Asian region
Increase opportunities for live music and performers
Increase the number and diversity of audiences and visitors at festivals and events
Support businesses, community groups and individuals to grow their contribution to the creative, cultural and artistic life of the City
Bring creativity and smart technology into the everyday experience of our City
Partner with cultural institutions to increase visitations in the City and Park Lands
Surprise, delight and attract people through dynamic and changing urban public spaces, heritage, art, laneways, streets, facilities and activities
Promote and showcase multiculturalism and Aboriginal culture
Please provide details on how your project will address the ‘Creative’ actions selected aboveASSESSMENT CRITERIA 3 – Cultural and Creative Value
(25% of assessment)
3.1 What experience do you / your organisation have in delivering similar projects to the one proposed in this application? Detailed CV’s / bios can be attached as support material at section 3.5.
3.2 Does your project involve collaborations with other creative and / or cultural practitioners?
Yes No
If yes please provide details, including information on any previous collaborations if relevant.3.3 Does your project involve the creation of new artistic work or incorporate any new and / or innovative approaches? Yes No
If yes please provide details.3.4 If your project has been held in previous years, will you be undertaking anything new / different as part of this proposal?
Yes No N/A (first time project has been held)
If yes please explain how this proposal differs from any previous iterations.3.5 Support Material
Please provide up to 5 attachments to support your proposal.
These may include:
- CV’s / bios for key project personnel (max. 2 pages)
- images / portfolios of relevant creative practitioners’ work (max. 5 images)
- concept rationale / research / designs (max. 2 pages)
- site / installation plans
- URL links to vimeo, youtube or other websites
- letters of support (2 max.)
- reviews (3 max.)
- evidence of consultation with affected businesses / stakeholders
- any other relevant documentation
Please list below the support material attached to your application (5 documents maximum).
a)
b)
c)
d)
e)
APPLICANT CERTIFICATION
I certify to the best of my knowledge that the statements made in this application are true.
I have read the City of Adelaide’s 2017/2018 Arts and Cultural Grants Program Guidelines.
I understand that, should this application be approved by the City of Adelaide, I would be required to accept the conditions of the grant in accordance with the City of Adelaide’s accountability and reporting requirements.
Name of Applicant / Delegated OfficerSignature
Today’s date
An Auspice Organisation receives the grant on behalf of the applicant and is legally responsible for ensuring the project is delivered. If this grant is to be auspiced, please complete the following details for the Auspicing Organisation:
AUSPICING ORGANISATION
Name of Auspicing OrganisationAddress
Phone
ABN
GST status / Registered Not Registered
Name of Delegated Officer
Role of Delegated Officer
I certify that we are to be the auspicing organisation for this project
Signature
Today’s date
CHECKLIST
Please acknowledge the following checklist before submitting your application:
I have read the City of Adelaide’s Arts and Cultural Grants Program Guidelines
I have discussed my project with the Arts and Cultural grants officer prior to commencing my application: Felicity Edwards / Phone: 8203 7435 / Email:
Public Liability Insurance
I am aware that should my application be successful, I will be required to provide a copy of my Public Liability Insurance “Certificate of Currency” (minimum $20million), or my auspicing organisations insurance, noting the City of Adelaide as an interested party
Return to Work SA / Employee Insurance (if paid staff are employed)
I am aware that should my application be successful, I will be required to provide a copy of my Return to Work SA certificate of registration or similar employee insurance policy
I have answered all questions in the application and signed the Applicant Certification
I have submitted two copies of my application by one of the following methods:
By post to -
Felicity Edwards, Senior Partnership & Projects Officer
City of Adelaide, GPO Box 2252, Adelaide SA 5001
(Application must be postmarked on or before closing date)
In person to -
Felicity Edwards, Senior Partnership & Projects Officer
c/o Customer Service Centre, City of Adelaide, 25 Pirie Street, Adelaide SA 5000
(Applications can be lodged in person until 5pm on the closing date)
Please note that late, faxed or emailed applications will not be accepted
I have kept an additional copy of my application for my future reference
ATTACHMENT A: HOW TO COMPLETE A PRELIMINARY RISK ASSESSMENT
The primary objectives of the Preliminary Risk Assessment are to:
· identify hazards associated with undertaking the work
· determine the level of risk
· establish the appropriate risk control measures
Each major or significant task or activity associated with the proposal shall be assessed in terms of the potential risk factors and the most likely outcome as a result of an incident.