RADF Application Form 2023

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Regional Arts Development Fund

APPLICATION 2023-24

Applicant Details

Applicant/Organisation Name *

ABN *

GST Registered?

Individual

Organisation

Group/Collective

Postal Address *

State *

Suburb *

Postcode *

Phone Number *

Email Address *

Name of Principal Contact (First and Last) *

Title *

Mobile Phone Number *

Email *

Auspice Details (if applicable)

*All applicants that do not have an ABN must be auspiced by an individual or incorporated organisation with an ABN. If applicable, please provide details of auspice body below.

Auspice Organisation Name

Auspice Organisation Address

Auspice Organisation Phone

Auspice Organisation Email

Auspice ABN

Registered for GST?

Details of Proposed Project, Activity or Event

RADF 2023-24 Round 1 projects are to be completed by 30 June 2025.

*Please note that projects that are not ready to be completed within this time frame will be classed as ineligible.*

Project Name *

Start Date *

End Date *

Description of project, activity or event *

Location/s of project *

Estimated number of participants in project activities *

What steps you have taken to address issues of workplace and public health and safety (Health and safety, Public Liability Insurance, Risk Assessment etc) *

Your project must meet with one or more of the priorities from our Arts and Cultural Strategy for your application to be eligible for submission. Choose one or more of the priorities below; *

Creative Life: An active, vital creative life with opportunities for all community members to engage and participate according to their needs, interests and abilities. Cultural Vibrancy: A vibrant, cohesive community which values and celebrates its diverse culture and way of life. Sense of Place, Identity and Community Pride: A strong sense of identity and place based on the acknowledgement, preservation and protections of our abundant natural, cultural and built heritage. Animates Places and Spaces: Engaging and appealing public spaces and access to quality arts and cultural facilities. Connectivity and Sustainability: A connected, collaborative and sustainable arts and cultural sector. Cultural and Creative Enterprise: A resourceful, innovative creative and cultural sector that contributes to our dynamic, resilient local economy.

Please explain how your project meets the selected criteria above: *

Choose one or more of the below locally identified priorities that supports your project; *

Reef Awareness and RecyclingChildren and YouthEvents Celebrating our Community Values Professional DevelopmentGovernance skills, Project Planning and Management

Please explain how your project meets the selected criteria above and how this will benefit the Cook Shire region *

Choose one or more of the below Advancing QLD GOV priorities that supports your project; *

Your project must address each of the following RADF objectives. Please explain how;

Quality - Produces or contributes to high quality arts and cultural initiatives for local communities. Proven capacity to effectively support and deliver arts and cultural services. *

Reach - Provides access to and engagement in arts and culture for diverse communities, practitioners, participants and audiences. Evidence of local demand for proposed program/s. Demonstrates community and stakeholder involvement in RADF priority setting, decision making and evaluation. *

Impact - Demonstrates cultural, artistic, social or economic returns on investment. Supports one or more of the Queensland Government priorities for the community including safeguarding our health, supporting jobs, backing small business, making it for Queensland, building Queensland, growing our regions, investing in skills, backing our frontline services, protecting the environment. *

Viability - Evidence of good planning for strong governance and management of RADF at a local level. Evidence of partnership capacity with partners including business and government. Ability to deliver the project, activity or event. *

List each stage of the project from start to finish

Project stage # *

Description *

Expected Start Date *

Expected Finish Date *

Please note you will be required to complete and submit RADF Outcome Report (due no later than 8 weeks after the project end date)

List all professional and emerging artists and arts workers, and their rate of pay involved in the project .

Please attached the following documentation for each professional or emerging artist and arts worker receiving RADF funding:

a resume or CV
written quotes where appropriate
if you require more space than provided please attached a seperate document

Name

Role in Project

Duration

Rate of Pay - please specify per hour or per day

Project Budget

Provide a project budget -

Round all amounts to whole dollars;
Note if an amount is provided in kind;
Please attach any quotes at the end of this application;
Eligible and ineligible costs can be found in the RADF Funding Guidelines;
Click 'Add Item' to create another line for your budget in each different section;
If you have applied for funding from other grants for the project, when listing these sources in Other funding, please note if it has already been approved.

TOTAL INCOME OF PROJECT:

Insert all income *

RADF Funding Requested (max $6,000.00) *

List any funding you or your organisation has received in the past 18 months (Cook Shire Council and other)

Funding #1

Date funding received

Amount

Purpose of funding

Acquittal complete(if no provide details)

Funding #2

Date funding received

Amount

Purpose of funding

Acquittal complete(if no provide details)

Funding #3

Date funding received

Amount

Purpose of funding

Acquittal complete(if no provide details)

KEY TERMS & CONDITIONS

Please read each statement below and sign to confirm your acknowledgement and agreement of these terms:

For applicants who are a group or organisation - I certify that I have the appropriate delegation, as authorised by the applicant, to prepare and submit this application on behalf of the applicant.
I have read the guidelines relating to Cook Shire Council’s RADF Program and certify to the best of my knowledge the information provided in this form is correct and disclose full and accurate information of expenditure and activities proposed.
I understand that approval of the grant is subject to mutual agreement between Cook Shire Council and the applicant.
I agree to ensure all necessary approvals/permits are obtained prior to the project, program or event taking place.
I agree to provide Cook Shire Council with any additional information required to assess this application.
I will provide appropriate insurance to cover the proposed project and abide by all relevant health and safety standards.
I understand that Cook Shire Council does not accept any liability or responsibility for the proposal in the application.
I understand that if Cook Shire Council approves the application, I will be required to accept the conditions of the grant in accordance with Cook Shire Council requirements.
I agree that if funded, I will supply an acquittal form (including a copy of all required receipts and other requested documentation) within eight (8) weeks of completion of the project, activity or event.
I will acknowledge the support of Arts Queensland and Cook Shire Council in all relevant promotional and printed material (as per the acknowledgement guidelines) and invite at least one Cook Shire Councillor to any events, functions or launches as appropriate.
I acknowledge that Arts Queensland and Cook Shire Council may publish the details of the application and subsequent project, activity or event, in promotional material or by way of municipal and/or legislative requirements.

SIGNATURE

Signature *

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Date *

Name *

Organisation Position *

Auspicing Agreement (if applicable)

Please read each statement below and sign to confirm your acknowledgement and agreement of these terms:

I/my organisation agree/s to administer the grant that may be offered to the applicant on their behalf.
I understand that both the applicant and auspicing individual or organisation are considered responsible for ensuring the acquittal of grants and that both could be deemed ineligible to place further applications to Arts Queensland and Cook Shire Council until all grants have been satisfactorily acquitted.
I have read the guidelines relating to Cook Shire Councils RADF Program and certify to the best of my knowledge the information provided in this form is correct and disclose full and accurate information of expenditure and activities proposed.
(If the auspice is a group or organisation) I certify that I have the appropriate delegation, as authorised by the auspice body.

Auspice Signature

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Date

Auspice Name

Auspice Organisation Position

Upload supporting documentation *

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Application Checklist

If applicable, have I provided...

Artist details - portfolio/ resume – this should include any qualificaitons, previous experience or works or envolvement in similar projects. Name and up to date contact details as well as permission to contact as referee is required.
Letters of Support – these should be on letter head from an organisation or business expressing their support of your project and why as well as ability to delivery the proposed project within the time frame.
Quotes – provide copies of quotes in support of attached budget i.e. equipment, artist fees, venue hire.

Privacy Collection Notice

Cook Shire Council is collecting your name, residential address and telephone number in accordance with the Local Government Act 2009 in order to process your application. The information will only be accessed by employees and/or Councillors of Cook Shire Council for Council business related activities only. Your information will not be given to any other person or agency unless you have given us permission or we are required by law.

Acknowledgement

The Regional Arts Development Fund (RADF) is a partnership between the Queensland Government and Cook Shire Council to support local arts and culture in regional Queensland.For further information on RADF, please contact Cook Shire Council, mail@coook.qld.gov.au or 07 4082 0500. For information on other Arts Queensland programs and opportunities, please visit www.arts.qld.gov.au

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