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EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 1 June 2016 EXPRESSION OF INTEREST FORM Cultural Protection Fund INTRODUCTION This is the Expression of Interest form for the initial round of the Cultural Protection Fund, which is for applicants with existing partnerships in target countries only, and can be used to apply for both small (<£100,000) and large (>£100,000) grants. Please note that this form must be filled in on a computer and submitted electronically (hand written applications will not be accepted). It is essential that you read the Application Guidance on the Cultural Protection Fund website in full before completing this form. Detailed instructions on how to complete each question are provided in Part four: Expression of interest help notes of the Application Guidance. Please provide concise answers to all of the questions. Once you have completed the application form, submit it to [email protected] (with ‘expression of interest form’ in the subject line). In no more than 15 words, please choose a title for your project. 1a. Legal name and address of your organisation Organisation name: Building name: Street: Town: City: Postcode:

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EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 1

June 2016

EXPRESSION OF INTEREST FORMCultural Protection Fund

INTRODUCTIONThis is the Expression of Interest form for the initial round of the Cultural Protection Fund, which is for applicants with existing partnerships in target countries only, and can be used to apply for both small (<£100,000) and large (>£100,000) grants. Please note that this form must be filled in on a computer and submitted electronically (hand written applications will not be accepted). It is essential that you read the Application Guidance on the Cultural Protection Fund website in full before completing this form. Detailed instructions on how to complete each question are provided in Part four: Expression of interest help notes of the Application Guidance. Please provide concise

answers to all of the questions. Once you have completed the application form, submit it to [email protected] (with ‘expression of interest form’ in the subject line).

In no more than 15 words, please choose a title for your project.

1a. Legal name and address of your organisation

Organisation name:

Building name:

Street:

Town:

City:

Postcode:

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 2

1b. Details of main contact person

Name:

Fill in as appropriate. This person must have official permission from your organisation to be our main contact. We will send all correspondence about the application to this person.

Street:

Town:

City:

Postcode:

Telephone:

Email:

1c. Which of the following best describes the legal status of your organisation?

An academic institution

Tick the box which best describes the legal status of your organisation. Please note that sole traders are not eligible to apply.

A public sector organisation

A charity or voluntary organisation

A non-governmental organisation (NGO)

A company

Other (please specify):

1d. Where did you hear about the Cultural Protection Fund?

Cultural Protection Fund website

Local British Council office

Department for Culture, Media and Sport

Other (please specify):

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 3

2a. Which of the Cultural Protection Fund’s target countries will benefit from your project?

Afghanistan Lebanon Syria

Applications to the Cultural Protection Fund must demonstrate intent to benefit one or more of these countries as their main aim. Tick the country or countries which will benefit directly from your project and indicate whether any part of your project will be delivered in the UK.

Egypt Libya Tunisia

Iraq Occupied Palestinian Territories Turkey

Jordan Sudan Yemen

Will any part of your project be delivered in the UK?

Yes No

2b. Legal name and address of your local partner organisation(s)Partner 1

Applicants are required to deliver the project in partnership with a relevant organisation in one of the Fund’s target countries. Please indicate the name and address of your proposed local partner organisation(s).

Name:

Street:

Town:

City:

Postcode:

Country:

Partner 2

Name:

Street:

Town:

City:

Postcode:

Country:

Partner 3

Name:

Street:

Town:

City:

Postcode:

Country:

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 4

2c. Details of main contact person from local partner organisation(s)Partner 1

This person may be contacted by the British Council as part of the assessment process.

Name:

Street:

Town:

City:

Postcode:

Country:

Telephone:

Email:

Partner 2

Name:

Street:

Town:

City:

Postcode:

Country:

Telephone:

Email:

Partner 3

Name:

Street:

Town:

City:

Postcode:

Country:

Telephone:

Email:

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 5

2d. Which of the following best describes the legal status of your local partner organisation(s)?

Partner 1

Select the box which best describes the legal status of your partner organisation(s). In general there is no restriction on the type of organisation you can partner with; the partnership will be assessed based on its potential for achieving Fund outcomes.

An academic institution

A public sector organisation

A charity or voluntary organisation

A non-governmental organisation (NGO)

A company

Other (please specify):

Partner 2

An academic institution

A public sector organisation

A charity or voluntary organisation

A non-governmental organisation (NGO)

A company

Other (please specify):

Partner 3

An academic institution

A public sector organisation

A charity or voluntary organisation

A non-governmental organisation (NGO)

A company

Other (please specify):

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 6

2e. Is/are your local partner organisation(s) in touch with their local British Council office?

Yes No

If yes, please indicate the name of your partner’s contact and the location of their local British Council office.

Partner 1

Contact name:

Location of British Council office:

Partner 2

Contact name:

Location of British Council office:

Partner 3

Contact name:

Location of British Council office:

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 7

2f. Do you have an established working relationship with your local partner organisation(s)?

Partner 1

Due to time restrictions, applicants for the initial round of funding are required to have established working relationships with proposed project partners. Please describe the nature of your relationship with the partner(s), any work you have undertaken together and any other relevant work you or your partner(s) has/have carried out. Include approximate start and end dates and budgets for all projects. Applicants will be required to attach a partnership agreement signed by all project partners at full application stage.

Yes No

If yes: describe the nature of the work you have carried out with this/these partner(s) and any other relevant work that you or your partner(s) has/have carried out in this country or region.

Partner 2

Yes No

If yes: describe the nature of the work you have carried out with this/these partner(s) and any other relevant work that you or your partner(s) has/have carried out in this country or region.

Partner 3

Yes No

If yes: describe the nature of the work you have carried out with this/these partner(s) and any other relevant work that you or your partner(s) has/have carried out in this country or region.

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 8

3a. Briefly describe the cultural heritage which your project aims to protect.

Provide a brief description of the cultural heritage your project aims to protect. If your project focuses on training people to manage, promote or look after cultural heritage, describe the particular skills that are the focus of this project.

3b. Is this cultural heritage considered to be under threat?

Yes No

4. Provide a brief description of what your project will do.

5. Which of the Cultural Protection Fund’s three outcomes will your project achieve?

Please tick all that apply

Cultural heritage protection

Referring to the outcomes table in Part one of the Application Guidance, tell us which of the Cultural Protection Fund’s three outcomes you expect your project to achieve by ticking all of the outcomes which apply.

Training and capacity building

Advocacy and education

EXPRESSION OF INTEREST FORM Cultural Protection Fund PAGE 9

6. When do you expect your project to start and finish?

Project start date: MM/YYYY

Fill in the start and finish dates for your project. All projects must be completed and grants paid by April 2020. Project activity should therefore be finished by the end of January 2020 in order to allow for the completion of evaluation and the submission of final invoices and completion report.

Project end date: MM/YYYY

7. Please provide an outline of the approximate total costs for your project against the relevant financial year(s)* in the table below.

Financial year £K Total project costs £K2016–17 2017–18 2018–19 2019–20

Programme administration/ management costs

Programme activity costs

Total costs

*Financial year runs from April to March. Financial year 2016–17 means April 2016 to March 2017.

Provide approximate costs for your project, profiling them against the relevant financial years in the table.