digital adaptation application form · 07 3034 4016 and ask to speak to the digital adaptation arts...

Digital Adaptation Application FormForm Preview

Privacy and Eligibility* indicates a required field

Privacy statement

By completing this application you understand and agree to the way in whichArts Queensland and its third party service providers collect and manage yourpersonal information. For further Arts Queensland privacy information go to https://artsqueensland.smartygrants.com.au/. For information about OurCommunity’s privacy policyand terms of use.

Eligibility

Please read the following to help in completing this form:

• Program Guidelines• Arts Queensland General FAQs• Important Information for Applicants• Data Dictionary• Arts and Cultural Investment Framework found on the AQ website funding page

For general advice on funding applications visit our Arts Acumen page or download theFunding Application Toolkit.

To be eligible for the Digital Adaptation Fund applicants must satisfy a number of eligibilitycriteria. If you are unsure if you are eligible for funding you can contact Arts Queensland on07 3034 4016 and ask to speak to the Digital Adaptation Arts Investment Officer.Please refer to the Digital Adaptation Fund guidelines for the full list of eligibilitycriteria.

Do you or your organisation have an Australian Business Number (ABN)? *○ Yes ○ No

Are you over 18 years of age or if not has your application been co-signed by yourlegal guardian? *○ Yes ○ No

Have you ever been employed by Arts Queensland? *○ Yes ○ NoEmployees of Arts Statutory Bodies and the Department of Environment and Science should consultthe ‘Important Information for Applicants’ document before applying.

If yes, did your employment cease more than six months before applying? *○ Yes ○ No

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Are you or your organisation based in Queensland? *○ Yes ○ No

The Digital Adaptation Fund is only open to individual artists, sole traders ororganisations based in Queensland.

Have you or your organisation received Arts Queensland funding before? *○ Yes ○ No

If yes, under what name?

Have you or your organisation satisfied the reporting requirements of anyprevious Arts Queensland funding? *○ Yes ○ No ○ N/A

Have you satisfied the additional eligibility criteria as outlined in the guidelines? *○ Yes ○ NoLink to the Guidelines

Your application is not saved until you click on the Save Button. Please ensurethat you regularly save your application.

Applicant details* indicates a required field

Applicant contact details

Are you apply as: ○ Individual/sole trader○ Organisation

Applicant name * ○ Individual ○ OrganisationOrganisation Name

Title First Name Last Name

Street address * Address

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If your address is not found, click on - Can't find my address -and fill out the address in the space provided.

Postal address * Address Address Line 1, Suburb/Town, State/Province, Postcode, andCountry are required.If your address is not found, click on - Can't find my address -and fill out the address in the space provided.

Daytime contact number*

Please enter area code

Mobile phone number Must be an Australian phone number.

Applicant website Must be a URL

Primary contact email * Must be an email address.

Legal status (e.g.Incorp. assoc.) *

Contact person for thisapplication *

Title First Name Last Name

Position in theorganisation *

Office contact number * Must be an Australian phone number.Please enter area code

Contact email * Must be an email address.

State Electorate and Local Government Area (LGA)

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Select your State Electorate. To scrollquickly you can start typing the StateElectorate name. *

Search your address on the Electoral CommissionQueensland website to find your electorate.

Select your Local Government Area(LGA). To scroll quickly you can starttyping the LGA name. *

Search your location using the Queenslandplace names search website to find your LocalGovernment Area (LGA).

Australian Business Number (ABN) details

ABN must be registered in the same name as the applicant name – funding cannotbe provided through auspicing arrangements.

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

Must be an ABN.

GST Registered * ○ Yes ○ No

Operating entity ○ For profit ○ Not for profit

Trading name orprofessional name (ifdifferent)?

Statistical information

Information in this section is not used to assess your application. Information you providewill be aggregated and used to review access to Arts Queensland funding programs.Does your organisation primarily exist for any of the groups below? (Tick only those thatapply)

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


Do you or yourorganisation identifywith any of the groupsbelow?

☐ Aboriginal peoples ☐ People from culturallyand linguistically diversebackgrounds

☐ Torres Strait Islanderpeoples

☐ Older people (over 55years of age)

☐ Australian South SeaIslander peoples

☐ Youth (12 – 25 years ofage)

☐ Regional Queenslanders ☐ Children (0-11 years)☐ People with disability ☐ LGBTIQ+

Gender * ○ Male ○ Gender diverse○ Female ○ Prefer not to disclose

Your application is not saved until you click on the Save Button. Please ensurethat you regularly save your application.

Project/Program summary* indicates a required field

Funding stream

Which funding streamare you applying to? *

○ Up to $10,000 for equipment and training for individualartists and sole traders○ Up to $20,000 for equipment and training fororganisations

What is the main art form area of your project / program forassessment purposes?

Art form * ○ Classical Music ○ Visual arts, craft anddesign

○ Contemporary Music ○ Writing○ Community Engagement ○ Multi-arts○ Dance ○ Other○ Theatre

Other art form (pleasespecify)

Project/Program summary

Title of project/program*

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Brief project description*

Word count:Provide a short description of your project (Maximum 50 words)

AQ funding request * $This field will populate once you have completed your budget.

Project start date * Must be a date and no earlier than 25/9/2020.

Project end date * Projects must be completed within one year of funding approval.

How many Queenslandartists/arts workers areinvolved in the project/program? *

Only complete the section below if your projectspecifically and directly targets people from one ormore of these groups.

Is your project aimedat specific communitiesas participants and/oraudiences?

☐ Aboriginal peoples ☐ People from culturallyand linguistically diversebackgrounds

☐ Torres Strait Islanderpeoples

☐ Older people (over 55years of age)

☐ Australian South SeaIslander peoples

☐ Youth (12 – 25 years ofage)

☐ Regional Queenslanders ☐ Children (0-11 years)☐ People with disability ☐ LGBTIQ+

Locations* indicates a required field

Locations

Select the number of locations where your project will be delivered. If more than 10locations please contact the Digital Adaptation Fund Program Manager on 07 3034 4016.Please note: If you enter data for a location and then want to remove the locationyou MUST delete the data entered for that location.

Number of Locations *

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Location 1

Select the first location from the dropdown list. If your location is not listed select Otherthen type in the name of the town. Then select the activity types at this location.For definitions of the activity types, please refer to the Data Dictionary.

Location 1 *

Other:

Activity types *☐ Productions☐ Performances☐ Exhibitions☐ Workshops☐ Creative Developments☐ Publications

No. of activities No. of participants No. of attendees

Productions

Performances

Exhibitions

Workshops

CreativeDevelopments

Publications Readership

Location 1 - Totals This number/amount iscalculated.

This number/amount iscalculated.


Location 2

Select the second location from the dropdown list. If your location is not listed selectOther then type in the name of the town. Then select the activity types at this location.

Location 2 * Activity types *

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Other:

☐ Productions☐ Performances☐ Exhibitions☐ Workshops☐ Creative Developments☐ Publications


Productions

Performances

Exhibitions

Workshops






Location 3

Location 3 *

Other:



Productions

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Performances

Exhibitions

Workshops






Location 4

Location 4 *

Other:



Productions

Performances

Exhibitions

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Workshops






Location 5

Location 5 *

Other:



Productions

Performances

Exhibitions

Workshops



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Location 6

Location 6 *

Other:



Productions

Performances

Exhibitions

Workshops






Location 7

Location 7 *

Other:

Activity types *☐ Productions☐ Performances☐ Exhibitions☐ Workshops

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☐ Creative Developments☐ Publications


Productions

Performances

Exhibitions

Workshops






Location 8

Location 8 *

Other:



Productions

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Performances

Exhibitions

Workshops






Location 9

Location 9 *

Other:



Productions

Performances

Exhibitions

Workshops

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Location 10

Location 10 *

Other:



Productions

Performances

Exhibitions

Workshops



Location 10 - Totals

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Overall Totals

Total number of activities(performances, workshops,exhibitions, etc)?


Total number of participants


Total Number of attendees


Project / Program proposal details* indicates a required field

Project / Program Proposal

Please provide a concise outline of your project/program by completing the sections belowto address the assessment criteria and the objectives of the Digital Adaptation Fund. Usea maximum of 1500 words in total for the three sections below. Further detail may beincluded as support material or in your Project Plan.Please Note: If your application is successful the information you provide here will becomethe Funded Activities for the purposes of the Funding Agreement with Arts Queensland. Youwill only be permitted to use the Funding to perform Funded Activities, so you must list allrelevant activities here.Assessment criteriaYour application will be assessed on how well it meets the assessment criteria outlined inthe Digital Adaptation Fund guidelines.For general advice on responding to assessment criteria, download the ArtsAcumen Selection Criteria Toolkit.

Proposal details *

Word count:

List the key dates *

Outcomes for the project/program *

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Word count:Describe three things you want the project to achieve in terms of benefits for participants and/orothers (200 words recommended). More detail should be included in your Project Plan and provided assupport material.

Budget - Income and Expenses* indicates a required field

Please complete the budget using the template below to account for all project costs.Summarise where possible, as a budget with greater detail should be provided as supportmaterial for the proposed project.Step 1 - complete the expenditure required to do your projectStep 2 - identify all income sources (cash and in-kind, confirmed or unconfirmed)Step 3 - the difference is the AQ funding requestStep 4 - indicate how much of the Arts Queensland funding will be used for eachexpenditure item in the AQ breakdown column.Budget tips:

• The budget must balance (total income = total expenditure)• Ensure that your budget estimates are as accurate as possible.• Use whole dollar amounts, do not use commas.• For income and expenditure definitions please refer to the data dictionary.• For general advice on developing a budget, download the Arts Acumen BudgetPreparation Toolkit.

• GST:

If you are not GST registered: amounts should include GST as this is part of the cost ofthe project.If you are GST registered: Arts Queensland will pay the funds plus GST; amounts shouldtherefore be exclusive of GST.Your application is not saved until you click the save button; please regularlysave your application.

Expenditure

Enter expenditure items below and indicate if they are cash or in-kind.A. Salaries, fees and allowancesWages or fees for people involved in the project e.g. performers, artists, collaborators,workshop leaders, technical crew, digital programming technical experts/consultants, andproduction staff. Include superannuation and work-cover costs here.

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Salaries, fees andallowances items

Cash / In-kind / Both Amount ($) AQ breakdownamount ($)

$ $

A. Salaries, Fees and allowances total

$This number/amount iscalculated.

A. AQ total amount


B. Activity costsActivity costs including the purchase of equipment and technology, insurances, production,publication, licensing and evaluation costs related to the project.

Activity cost items Cash / In-kind / Both Amount ($) AQ breakdownamount ($)

$ $

B. Activity costs total


B. AQ total amount


C. Marketing Promotion and documentation costsProject-related photography and filming, promotional collateral, website costs and costsassociated with fundraising or sponsorship for the project.Costs associated with social media and online marketing strategies are ineligible for AQfunding.

MarketingPromotion anddocumentation costitems


$ $

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C. Promotion, documentation & marketingtotal


C. AQ breakdown amount ($)


D. Administration costsE.g. Postage, photocopying, internet and telephone, office costs associated with the project.Finance or accounting costs associated with the project. Project-related travel costs for corestaff should be included here.

Administration costitems


$ $

D. Administration total


D. AQ breakdown amount ($)


Total expenditure

Expenditure Total


AQ breakdown total


Income

E. Earned incomeMoney you earn from supplying goods or services e.g. project-related ticket sales,workshops fees, income from selling artistic product or merchandise.

Earned incomeitems

Confirmed funding? Cash/In-kind Amount ($)

$

E. Earned income total


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F. Income from Queensland GovernmentIncome from other Qld Govt sources not including this application e.g. Community BenefitFund, or Tourism and Events Queensland.

Income from QldGovernment items


$

F. QLD Gov income total


G. Sponsorships / Fundraising / FoundationsInclude donations, fundraising income, cash or in-kind sponsorship/ support from businessesor partners, money from non-government grant programs e.g. Tim Fairfax FamilyFoundation.

Sponsorships /Fundraising /Foundations items


$

G. Sponsorship / Fundraising / Foundationstotal


H. Other incomeIncome from Local Government sources (including RADF), Federal funding (includingAustralia Council for the Arts) and any other income.

Other income items Confirmed funding? Cash/In-kind Amount ($) $

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H. Other income total


I. Your contributionCash or in-kind contribution from you or your organisation and from artistic collaborators.Include the value of volunteer time in this section.

Your contribution Confirmed funding? Cash/In-kind Amount ($) $

I. Your contribution total


Budget check

Total Expenditure (A+B+C+D)


Income (E+F+G+H+I)

$This number/amount iscalculated.Income not including AQrequested amount

AQ funding request (expenditure minusincome)

$Expenditure minus income

AQ breakdown amount

$This amount is from yourexpenditure budget.

The above two fields must be equal. If theyare not equal please adjust your budget.

$Calculated difference between theabove fields.

Totals

Total Expenditure


Total Income

$This number/amount iscalculated.Includes AQ funding request

Final AQ funding request


AQ funding request as a percentage of totalincome

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Notes to budget

Please outline any information that will assist to clarify or justify the costscalculated in your budget. Include the name of the funding program andnotification date of any funding you have applied for and included in your budget.

Have you applied for Australia Council funding for this project/program? *○ Yes ○ No

If no, please outline your reasons for not applying.

Support material* indicates a required field

Refer to the Digital Adaptation Fund Guidelines to determine what support material isrequired for your application.Please note: Maximum 50MB of support material allowed.

• Letters of support must include an original signature or contact details of the author.• All support material must be clearly labelled to ensure it is easy for the assessors tolocate, open and read.

• Excessive support material will not be read by assessors and as such excluded fromassessment.

• For audit purposes, Arts Queensland is required to retain a copy of the support materialsupplied by applicants.

IF YOU ARE UPLOADING MULTIPLE FILES IT IS RECOMMENDED THAT YOU SAVEYOUR PROGRESS AFTER ATTACHING THREE FILES.

Mandatory support material

1. A Project Plan for your proposed activity. Refer to the Fund Guidelines todetermine the relevant details to be included, however as a guide, your ProjectPlan should include, but not be limited to, clear timelines, milestones, delivery

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partnerships, key outcomes and objectives and a detailed budget. Budgets shouldbe attached as Excel documents, not PDFs. *Attach a file:

A maximum of 5 files may be attached.

2. A list of all proposed key artists, specialised arts workers and creativepersonnel involved in the project. *Attach a file:


3. COVID Safe Industry Plan Compliance Certificate (where applicable)Attach a file:

4. Quotes for significant budget items. *Attach a file:


5. If applying for up to $20,000 for the purchase and installation of equipmentinto a creative studio or performance venue, evidence of ownership or long-term(sole-use) lease arrangements must be provided.Attach a file:

6. Examples of previous work that demonstrates the quality of programming andthe artists, creative personnel or arts workers involved in the project (maximum 3files) or provide links below. *Attach a file:


Links to support material for assessors:

Link 1

Must be a URL.

Link 2

Must be a URL.

Link 3

Must be a URL.

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Mandatory support material if applicable to your project.

7. Confirmation of venues and evidence of interest from potential clients (e.g.venues, organisations, events) This demonstrates demand for your project/programAttach a file:


8. For applications where the activity is occurring in a regional area, letters ofsupport from Council (outlining Councils contribution) would be highly regarded.For definitions please see Arts Investment-Important Information for applicants.Attach a file:

A maximum of 3 files may be attached.Link to Arts Investment-Important Information for applicants

9. For applications involving Aboriginal and Torres Strait Islander people pleaseprovide evidence you have followed required protocols to obtain supportand confirmation of involvement from the relevant people communities andorganisations.Attach a file:


10. For applications involving people from culturally and linguistically diversebackgrounds; people with a disability; children or young people, please provideevidence you have followed required protocols to obtain support and confirmationof involvement from the relevant communities and organisations.Attach a file:


11. Applications involving staff of Arts portfolio statutory bodies or theDepartment of Environment and Science must include a covering letter statingthe relevant employee’s role and employment details, that the application doesnot relate to carrying out duties of their role and how any potential conflict ofinterest will be addressed.Attach a file:

A maximum of 1 file may be attached.

12. Applications that are supported by tertiary educational institutions mustprovide a statement from an authorising officer of the institution that confirmsthe activity is outside of core business and does not receive direct financialsupport from the tertiary institution.Attach a file:

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13. Applications that have significant involvement from an Arts Queenslandshareholder company, Cultural Precinct Arts Statutory Bodies or Major PerformingArts Organisations must provide a letter from an authorised officer confirmingthat the activity is separate from activities already funded through ArtsQueensland.Attach a file:


If applicable, please provide the following support material

14. Confirmation of significant partnershipsAttach a file:


15. Itinerary of travel or tour arrangementsAttach a file:


16. Up to three letters from individuals, or organisations in your area of practicethat provide relevant comment in support of your application.Attach a file:

A maximum of 3 files may be attached.Recommended no more than 5mb per attachment.

17. Evaluation StrategyAttach a file:

Certification* indicates a required field

I, the undersigned, certify that:

• I have read and I/my organisation will abide by the Digital Adaptation Program.• I have read, and I/my organisation is able to comply with, all of the requirements of thefollowing;

a) The Guidelines pertaining to the grant fund as specified in the applicationb) The application and any schedules or attachment

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c) The terms and Conditions as found at; https://www.hpw.qld.gov.au/__data/assets/pdf_file/0011/3422/shortformtermsconditions.pdf

• The statements in this application are true and correct to the best of my knowledge,information and belief.

• The supporting material is my own work or the work of the artists named in thisapplication.

• I acknowledge that, if I am/ my organisation is successful, and I/my organisation will beheld accountable to deliverables outlined in this application, and information providedin this application will form part of the funding agreement with Arts Queensland, alongwith;

a) The Guidelines pertaining to the grant fund as specified in the applicationb) The application and any schedules or attachmentc) The terms and Conditions as found at; https://www.hpw.qld.gov.au/__data/assets/pdf_file/0011/3422/shortformtermsconditions.pdf

• I/my organisation will keep and maintain, for a period of 5 years, the necessary recordsto substantiate the application outlined in this form and any progress and outcomereporting

• I/my organisation consent that information provided in this application may be used fortraining, systems testing or process improvement purposes by Arts Queensland staff.

• I/my organisation give permission for Arts Queensland to verify funding requestedfrom other funding agencies in support of this project and to provide information in thisapplication to those funding agencies for this purpose.

• I/my organisation give permission for Arts Queensland to forward my information to themost appropriate industry experts or Government representative.

• If this application is approved, I/my organisation consent to the media andQueensland’s State MPs being given information about the funded project and Iunderstand I may be contacted directly by them.

• I/my organisation consent to information about the funded project and the amount offunding received being published on Arts Queensland’s website and/or the QueenslandGovernment Open Data Portal.

All applicants

I agree to the above * ○ Yes ○ No

For organisations, the person signing is the personwho is authorised on behalf of the organisation tosign the contract and the Statutory Declaration andwarrants they have authority to sign on behalf ofthe organisation.

Name * Title First Name Last Name

Position

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Date * Must be a date

Arts Queensland ENews

Would you like to receive Arts Queensland email communications? We will add your FirstName, Last Name, Postcode and Email and your responses below to our Vision6 email clientin accordance with our Terms and Conditions (https://www.arts.qld.gov.au/privacy#email).

* ○ I wish to receive Arts Queensland eNews○ I do not wish to receive Arts Queensland eNews

I want to receive emailsabout

☐ All Arts Queensland enews☐ Funding opportunities☐ Arts sector news☐ New Performing Arts Theatre updates☐ Ten Year Roadmap

I am interested inhearing about (select allthat apply)

☐ Arts in schools☐ Circus and physical theatre☐ Dance☐ First Nations Arts☐ Film☐ Literature☐ Music☐ Theatre☐ Visual art

* ○ I consent to Arts Queensland collecting and using myinformation for communication purposes in accordancewith our Terms and Conditions

Terms and Conditions : https://www.arts.qld.gov.au/privacy#email

You are now coming to the end of your application process and before you REVIEW andclick the SUBMIT button please take a few moments to provide some feedback.

Please indicate how you found the online application process:○ Very easy ○ Easy ○ Neither ○ Difficult ○ Very difficult

Did you contact Arts Queensland before or during the application process?○ Yes ○ No

Please provide us with any improvements and/or additions to the applicationprocess/form that you think we need to consider:

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No more than 100 words.

Do you have any other feedback to Arts Queensland on the program you areapplying to?

Contact Us

Arts Queenslandwww.arts.qld.gov.auStreet address: Level 16, 111 George Street, Brisbane QLD 4000Postal Address: GPO Box 1436 Brisbane QLD 4001.Email: [email protected]: +61 7 3034 4016 Toll-free Telephone: 1800 175 531 (outside Brisbanemetro)

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digital adaptation application form · 07 3034 4016 and ask to speak to the digital adaptation arts...

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