Creative Education Partnerships: Artist in Residence (AIR) Initiative

Creative Education Partnerships: Artist-In-Residence (AIR) Initiative

Pilot (Year 4)

STREAM 1

2012 Application Form

Please detach this page before submitting your application

Before you fill in this form have you:

c Read through the AIR Grants Program Guidelines booklet and associated online information?

c Read through the application form?

Before you submit your application please check that:

c You meet the eligibility requirements.

c You have met at least one of the Key Priorities.

c You have met all the Assessment Criteria.

c Your project does not start before Term 2, 2013.

c Your project meets the minimum residency contact hour requirement.

c You have completed the application in a minimum 10pt font on white single sided A4 paper.

c You have answered all questions on the form.

c You have talked to ArtsEdge and/or sent a draft application to ArtsEdge for feedback? (NB. Draft

submission deadlines are available from the 2012 Guidelines booklet.)

c You have provided all the support material, including budget notes, as requested and have you listed

all items on the Item Submission form.

c Your support material is in the format requested.

c You and your artist(s) have completed and signed the declarations in Section 8.

c You have kept a complete copy of your application.

REMEMBER!

The deadline for STREAM 1 Applications is 5pm, Friday September 21, 2012.

POST to ArtsEdge BEFORE 5.00pm, Friday September 21, 2012 (Regional or Remote Schools take special note of this requirement): ArtsEdge, PO Box 8349, Perth Business Centre, WA 6849. Post-marked applications stamped after 5.00pm, Friday September 21, 2012 WILL NOT BE ACCEPTED.

Please detach this page before submitting your application.

2012 STREAM 1 APPLICATION FORM / INSTRUCTIONS

· Do not use more than the space provided in this form or equivalent to 7 single sided A4 page in Sections 2-5. If you provide more pages your application may be deemed ineligible.

· You must complete all sections in this application.

· Make sure all support material is supplied as requested and in the format requested.

Please provide a description of your proposed AIR project using the following headings as outlined in the following pages:

Section 1: Contact Information (Copy and paste sections if more than one school or artist is to be working on this project)

Section 2: School Community (Maximum answer space = one single sided A4 page)

Section 3: The Artist(s) (Maximum answer space = two single sided A4 pages)

Section 4: The Project (Maximum answer space = two single sided A4 pages)

Section 5: Curriculum Links (Maximum answer space = two single sided A4 page)

Section 6: Budget (Use template as supplied)

Section 7: Support Material (Requirements + Item Submission Form)

Section 8: Declaration (Must be signed by the school/s and the artist/s)

Consider all the questions and answer each as requested.

Please detach this page before submitting your application.

2012 STREAM 1 APPLICATION FORM / SECTION 1: CONTACT INFORMATION
School/Teacher Training Institution:
School Code (if applicable):
Postal Address:
Telephone:
Fax:
Email:
Website:
(please attach a separate list if there is more than one school involved)
Principal/Institution Director or CEO:
Email:
Project Coordinator
(Teacher/Person in Charge of the project):
Mobile:
Email:
Registrar:
Email:
Briefly describe your activity:
(50 words max)
Artist:
Postal Address:
Telephone:
Email:
Website:
(please attach a separate list if there is more than one artist involved)
When is your activity due to start (in Term 2) and finish (Term 2 or 3) provide dates:
What is the total request to AIR (eg. $30,000):
Which ArtsEdge staff member have you spoken to and when:
In which region(s) will your activity take place:
Where did you hear about AIR funding:
SECTION 2: SCHOOL COMMUNITY / Page 1

Provide a brief description about the composition of your school/cluster of schools/teacher training institution.

SECTION 3: THE ARTIST(S) / PAGE 2

Provide a brief outline of the artist’s previous experience working in schools or communities with children and young people (list most recent experience first). Include a description of how the artist(s) will work with the School/Institution Project Coordinator; how the artist(s) will work with the students; and, describe what the role of the artist(s) will be taking in the School/Institution during the project and what professional learning the artist(s) may acquire during the project.

SECTION 3: THE ARTIST(S) Continued / PAGE 3
SECTION 4: THE PROJECT / PAGE 4

Describe your project:

a. What is the proposed AIR project?

b. Who will participate in the AIR project, and why?

c. Why do you want to undertake the AIR project?

d. What is the timeline? Include information to support you have met the minimum contact hour requirement.

e. Describe the role and expectations of the Project Coordinator and how they will be supported?

f. What professional learning will be undertaken and skills/knowledge acquired by teachers as a result of their participation on your AIR project?

SECTION 4: THE PROJECT Continued / PAGE 5
SECTION 5: CURRICULUM LINKS / PAGE 6

Curriculum Links

a. Describe how the AIR project will link with the Curriculum Framework or the course of study in the case of teacher training institutions.

b. Identify the key Learning Areas the AIR project will address.

c. Describe how the AIR project will engage students in a creative activity of their own and with the artistic, cultural and intellectual work of others.

SECTION 5: CURRICULUM LINKS Continued / PAGE 7
SECTION 6: BUDGET
Expenditure / Unit / Total / Income / Unit / Total / c/
Administration1 / $ / $ / Earned5 / $ / $ / nc
Sub-total / $ / Sub-total / $

Marketing, Promotion & Documentation2

/ In-kind6 confirmed (c) or not confirmed (nc)
wsseservices)
Sub-total / $ / Sub-total / $
Project Costs3 / Sponsorship/ Donations7 confirmed (c) or not confirmed (nc)
Do not include AIR grant funds
Sub-total / $ / Sub-total / $
Artist fees and On Costs, Relief Teacher wages etc4 / Other Income8 (specify)
Sub-total / $ / Sub-total / $
Total Expenditure (A) / $ / Total Income (B) / $
Request to AIR (subtract B from A) / $

1 Project Coordination prep time, Stationery, Photocopying, Phone etc

2 Flyers, Posters, Publicity, Design, Printing, Photography, Filming etc

3 Materials, Costumes, Hire of equipment etc (excludes purchase of capital equipment)

4 Artist’s fees, Superannuation, Workcover, Travel, Wages for Casual Relief Teachers

5 Ticket sales, sale of products, eg. DVDs

6 Non cash support, eg. volunteer labour, relief teacher costs paid by the school/institution

7 Donations or Financial contributions from local businesses etc

8 Direct financial support from the school, Fundraising, P&C cash support

SECTION 7: SUPPORT MATERIAL

YOU MUST PROVIDE THE FOLLOWING SUPPORT MATERIAL FOR YOUR ARTIST/S:

· A Curriculum Vitae for each artist working on your AIR project (Maximum length of each artist’s CV is two single sided white A4 pages; provide one CV for each artist).

· One item of support material that illustrates the work that each artist has produced in the last three years. (Select the format of the support material required from the list below; provide x1 item for each artist working on your AIR project).

· One A4 page of Budget notes to explain how you have calculated your Budget. (As you have submitted in this application in Section Six).

FORMAT OF VISUAL/AUDIO SUPPORT MATERIAL:

The amount of material supplied for each artist is limited to ONE of the following, as relevant to your proposed AIR project:

o Up to five minutes of video material on DVD (Please ensure you test your DVD prior to submitting. You must ensure your DVD can be played on a standard PC).

o Up to five minutes of audio material on CD (Please ensure you test your audio CD prior to submitting. You must ensure your CD can be played on a standard PC).

o Up to five pages or equivalent of a website or interactive work (Please present on CDROM or DVD and include a planned navigation path for assessment. You must ensure the disc supplied can be played on a standard PC).

o Up to 20 images on CDROM or DVD. The format of your images must be either JPEG or TIFF at a minimum of 72dpi, each image being identified with a title, date of creation, medium, artist and dimensions. Supply this information on a separate sheet of paper if necessary.

NB. Do not send original materials as support material will not be

returned to you.

Complete the support material submission information on the next

Page.

SECTION 7: SUPPORT MATERIAL / ITEM SUBMISSION FORM

Please list each item of support material which has been attached to this application. Please refer to the list of required material provided on the previous page of this application form.

Item
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SECTION 8: DECLARATION / SCHOOL/INSTITUTION

Declaration- For Schools/Teacher Training Institutions

Privacy and Freedom of Information

Full listings of grant recipients will be published on the ArtsEdge website and may be included in the Department of Culture and the Arts (DCA) and Department of Education (DoE) Annual Reports. The funding bodies (the Australia Council for the Arts, DCA and DoE) may also publicise recipients in ArtsEdge and/or departmental newsletters and publications. You will be required to acknowledge the funding bodies in all your marketing and/or publicity materials. You will be required to submit an Acquittal Report at the conclusion of your project. Images/vision/audio or other documentary support material submitted with your application and/or acquittal may be used for promotional purposes.

According to the Freedom of Information Act (1992), any information held by us, including your application is accessible by you. The information you present to us may be reviewed by staff and external panel members. The information you supply may also be made available to those assessing any other grant applications you make. By submitting your application you waive any right to raise any type of proceedings against the funding bodies as a consequence of, or in contemplation of, any disclosure of the contents of your application in response to an information request made under the Freedom of Information Act (1992).

Data held in the funding bodies’ systems may be used for, but not limited to, the following purposes: promotional use, statistical reporting, application assessment, media enquiries, accounting purposes and for contacting you. The details of your grant will be public information including the names of the participating artists, school principal and/or school project coordinator(s). However, your personal contact details will only be accessible by our staff, appointed auditors, individuals or organisations who may help us assess or monitor grants and those participating schools/artists from previously funded projects.

Your signature on this application means you have read, understood and accepted the use of your information as outlined above and you also agree to giving ArtsEdge staff and/or representatives from the funding bodies access to in-school visits for project reporting and program research purposes including photographic opportunities. Your signature confirms that this is the formal and final submission of your application for assessment by the Panel.

I, the undersigned, certify that:

1. I have read the AIR Grants Program Guidelines 2012.

2. I have worked in partnership with the artist(s)/arts and cultural organisation(s) identified in this application to develop our AIR project concept and they have assisted in the writing of this application (where possible).

3. I acknowledge that this application will not be accepted if it is late, faxed, emailed, or subject to outstanding acquittals.

4. The statements in this application are accurate to the best of my knowledge and the supporting material is the work of the artist(s)/arts or cultural organisation(s) named in this application.

5. I understand decisions are made by an assessment panel and information provided by ArtsEdge staff is feedback advice only.

6. I agree to accept the decision of the panel assessing this application.

7. I have read and understood the section on Privacy and Freedom of Information and accept the terms.

PLEASE NOTE THAT IT IS THE RESPONSIBILITY OF THE APPLICANT TO INFORM ARTSEDGE OF ANY CHANGE IN THE STATUS OR CIRCUMSTANCES OF THE APPLICATION BETWEEN THE TIME OF ITS LODGEMENT AND ITS ASSESSMENT.

Please sign here: (if more than one school, duplicate table and ensure all Principals/Institution Directors and Project Coordinators sign)

Title / Name (please print) / Signature / Date
Principal/Institution Director or CEO
Project Coordinator
SECTION 8: DECLARATION / ARTIST

Declaration- Artist(s)

I am aware of the special responsibilities associated with working with children. I declare that I do not have a criminal record and that there are no other circumstances or reasons that might preclude me working with young people aged under 18 AND that I have a Working with Children Check (card). / YES / NO

Privacy and Freedom of Information