Insert your school’s name:

‘Go for your life’ Kitchen Garden Projectwith Stephanie Alexander

PHASE 3 GRANTS 2011 – APPLICATION FORM

Important information:
PLEASE READ THE FOLLOWING CAREFULLY!
  • Before commencing your application, download the following documents from
  • Application Form (this document)
  • Application Guide
  • Budget Template
  • Budget Examples
  • Complete the Application Form after reading the supporting documentation fully. The Application Guide, in particular, should be directly referenced whilst completing the form. It is also strongly recommended that you refer to the Stephanie Alexander Kitchen Garden Foundation website for important additional information.
  • Download the form and save it as a Microsoft Word document.
  • Complete the form by filling in or selecting responses in the grey sections, as indicated. Please observe the word limits provided.
  • Make sure that you complete your application according to instructions. Failure to complete every section of the Application Form and provide required attachments may render your application ineligible.
  • Complete the provided templates for budgets and timelines. Failure to provide full budgets and timelines, as specified, may render your application ineligible.
  • Submit your application in one of the following ways:
  1. MAILthree signed hard copies of the completed Application Form and attachments to
GFYL Phase 3 Applications
Stephanie Alexander Kitchen Garden Foundation
PO Box 104, ABBOTSFORD, VIC 3067
  1. EMAILan electronic copy of all application documents and images to .
  • MAILED APPLICATIONS: Submit three signed hard copies of the completed Application Form and attachments. Mark one copy ‘M’, another ‘A’, and the final ‘B’ in the top right corner of the front page, for administrative purposes. Do not include CDs or additional items please. Do not bind or staple the pages together; bull dog clip only.
  • EMAILED APPLICATIONS: Include images in jpeg or pdf format only. Include approvals from your Principal, School Council President and Regional Facilities Manager by either scanning and sending signed copies of the Executive summary and Declaration sections of the Application Formor providing supporting emails from these individuals.
  • Submit your application prior to the submission deadline of Tuesday12April 2011. Early applications are encouraged.
ONLY APPLICATIONS POST-DATED 12 April 2011 OR EARLIER
OR EMAILED BEFORE 11:59 pm ON12 April 2011 WILL BE ACCEPTED.

EXECUTIVE SUMMARY

In signing this document, the school is committing to:

  • Garden Classes of 45 mins each week (or fortnightly for greaterthan six classes);
  • Kitchen Classes of 90 mins each week (or fortnightly for greaterthan six classes);
  • Employment of a dedicated permanent part-time Garden Specialist;
  • Employment of a dedicated permanent part-time Kitchen Specialist;
  • Attendance and participation in all Kitchen and Garden Classes by the classroom teacher;
  • Sufficient preparation time for the two Specialists outside of class time;
  • Allocation of a Program Coordinator from the teaching staff;
  • Whole school commitment to the philosophy of the Stephanie Alexander Kitchen Garden Program;
  • Whole school commitment to introduce the Kitchen Garden Program into the school curriculum;
  • Demonstrated ability for the school to fund the additional infrastructure andoperating costs of the Kitchen Garden Program;
  • Required space for an edible garden, kitchen classroom and dining area.

Principal’s name: / ______
Signature: / ______
Date:
  1. Checklist of attachments

Attachment AGarden plan– A3 1:100 or 1:200 plan

Attachment BKitchen plan– A3 1:100 or 1:200 plan

Attachment CSAMS plan– A3 1:100 or 1:200 plan

Attachment DGarden Infrastructure Budget

(Use tab in Budget Template provided)

Attachment EKitchen Infrastructure Budget

(Use tab in Budget Template provided)

Attachment FProgram Management Budget

(Use tab in Budget Template provided)

Attachment GProposed class timetable

Attachment HLetters of support from potential partners/sponsors pages

Attachment I4 x photographs*

*Image requirements:

  • Minimum 2 photos of proposed and/or existing garden area
  • Minimum 2 photos of proposed and/or existing kitchen area
  • Provide printed or photocopied photos only, no larger than A4 size
  1. School information

Name of school
Street address – line one
Street address – line two
State / SelectACTNSWNTQLDSATASVICWA
Postcode
Postal address – line one
Postal address – line two
State / SelectACTNSWNTQLDSATASVICWA
Postcode
School telephone number / (Select0203040708)
School fax number / (Select0203040708)
Name of principal
Principal telephone number / (Select0203040708)
Principal mobile number* / (04)
Principal email address
Name of secondary contact
Title or role
Secondary telephone number / (Select0203040708)
Principal mobile number* / (04)
Secondary email address

* Contact may be required during school holidays

How did you find out about theKitchen Garden Program (for example Kitchen Garden Foundation website, Kitchen Garden School, state /territory education newsletter, friend)?
  1. School enrolment – projectedin 2011

3.1Estimated total student enrolment:

3.2Estimated total enrolment in participating year groups:

If ‘Other’ is selected please explain

3.3Estimated number of Kitchen Garden Program classes required:

3.4Please estimate the maximum number of students per classincluded in the Kitchen Garden Program (i.e. each class in Years 3-6) and list in the table below.

Note: Leave blank for classes not required in your school.

Years included in Kitchen Garden Program
Year level
Class Number / Y 2-3* / Y 3 / Y 3-4 * / Y 4 / Y 4-5 * / Y 5 / Y5–6 * / Y 6
1
2
3
4
5
6
7
8
9
10
11
12

*Composite classes

  1. Infrastructure – your garden and kitchen

The garden

4.1Please provide the following details about your existing and proposedgarden space.Please note that garden space, includes space taken up by water tanks, composting bins, chooks etc., not just growing space. (If you have no existing garden, enter zerosquare metres in the first field.)

a / Existing garden space / square metres
b / Proposed new garden space / square metres
c / Total garden space / square metres
d / Area of garden per child in Kitchen Garden Program / square metres
e / Distance to water supply from garden/proposed garden space / metres
f / Distance to power supply from garden/proposed garden space / metres
g / Greenhouse / SelectExistingProposedNot proposed
h / Shed / SelectExistingProposedNot proposed
i / Orchard / SelectExistingProposedNot proposed
j / Class meeting area/outdoor learning area / SelectExistingProposedNot proposed
k / Tanks / SelectExistingProposedNot proposed
l / Irrigation / SelectExistingProposedNot proposed
m / Chook house / SelectExistingProposedNot proposed

4.2Provide a brief description of the existinggarden space, including labour and material used to build it. (If your school currently has no garden space, please proceed to next question.)Maximum 150 words.

4.3Provide a brief description of the proposed newgarden space, including labour and material which will be used to build it. (If your school has no plans to extend garden space, please proceed to next question.)Maximum 150 words.

4.4Please detail your proposed timeline/milestones for planning and building the garden as detailed in your attached plans and budget. The following templates can be used as a starting point. Headings in the left-hand column can be ignored if they are not relevant. Additional items may be inserted.

Garden infrastructure tasks / Date
Planning infrastructure
Final plans complete for garden
Site preparation – earthworks
Garden bed construction
Irrigation
Tanks
Compost bays
Outdoor seating area
Shed erected
Fencing (if required)
Green house
Chook house
Purchase of garden equipment, hand tools etc.
First garden classes

4.5Outline the water management plan for your existing or proposed garden space.Maximum 150 words.

Attachment A:GARDEN PLAN
Please attach an A3 to-scale 1:100 or 1:200 plan with dimensions and photographs of the existing/proposed garden.

The kitchen

4.6Please provide the following details about your existing and proposed kitchen classroom and dining area.

a / Existing or new building / SelectExisting buildingNew building
b / Building type, e.g. transportable, brick, cladding
c / Has building been checked for presence of asbestos? / SelectYesNo
d / Access to power supply / SelectYesNo
e / Electricity upgrade required* / SelectYesNo
f / Access to water supply / SelectYesNo
g / Access to gas supply** / SelectYesNo
h / Distance of kitchen to existing gas supply* / metres
i / Area of proposed kitchen classroom and dining area / square metres
j / Number of workstations / Select34567
k / Total area per workstation / square metres
l / Length of preparation space per workstation / metres
m / Number of sinks / Select34567
n / Number of stove tops / Select34567
o / Number of ovens / Select34567
p / Harvest table / SelectYesNo
q / Dining tables and chairs / SelectYesNo
r / Pantry/washing machine area / SelectPantryWashing Machine(s)Both
s / Will kitchen require a grease-trap? / SelectYesNo

* The installation of extra ovens and appliances may overload your current system. Please check with an electrician prior to submitting to this application.

**Only complete these questions if your kitchen works include the installation of gas fittings.

4.7Provide a brief description of the new kitchen and dining area and/or fit-out, including labour and material which will be used to build it. Maximum 150 words.

4.8Please detail your proposed timeline/milestones for planning and building the kitchen as detailed in your attached plans and budget. The following templates can be used as a starting point. Headings in the left-hand column can be ignored if they are not relevant. Additional items may be inserted.

Kitchen infrastructure tasks / Date
Final plans complete for kitchen
Permits approved
Demolition kitchen/site preparation
Whitegoods selected/ordered
Plumbing fit-out
Electrical fit-out
Joiner – order cabinets, doors, windows, splash-backs
Plastering
Flooring
Installation of cabinets
Painting
Tiling
Purchase and/or construction of tables and chairs
Pantry stocked with dry goods and equipment
First kitchen classes

4.9Are there any Building the Education Revolution (BER) implications for your kitchen or garden project?

If yes, please outline the implications here.

Attachment B:KITCHEN PLAN
Please attach an A3 to-scale 1:100 with dimensions and photographs of the proposed area in which kitchen classes (food preparation and dining) will be held, including workstation layout.
Attachment C:SAMS PLAN
Please attach a copy of your SAMS (Schools Asset Management System) plan which indicates the location of the kitchen classroom or proposed building and garden in the school grounds.
  1. Managing the construction project

5.1Please nominate your allocated Project Manager for the garden construction and describe their relevant experience.

5.2Please nominate your allocated Project Manager for the kitchen construction and describe their relevant experience.

Attachment D:GARDEN INFRASTRUCTURE BUDGET
Please complete and attach details of your proposed Garden Infrastructure Budget.
Attachment E:KITCHEN INFRASTRUCTURE BUDGET
Please complete and attach details of your proposed KitchenInfrastructure Budget.

5.3The total projected cost for completing full garden, kitchen and dining facilities:

(Note: This equals the ‘Totals Sections 1-6’ of your Garden and Kitchen Infrastructure Budgets.)

$

5.4The infrastructure grant amount (of up to but no greater than $12,500) sought from the Stephanie Alexander Kitchen Garden Foundation is:

$

  1. Ability to fund Kitchen Garden Program costs

6.1How does your school intend to fund ongoing staffing costs for the Garden Specialist and Kitchen Specialist?Maximum 150 words.

6.2Please fill in the following two tables to calculate the total cost of staffing:

Role / Contact time / Recess/lunch / Clean up/set-up / Prep/ shopping / Total hours
Kitchen Specialist
Garden Specialist
Role / Hours/wk / Hourly rate / Weeks/year / Total cost
Kitchen Specialist
Garden Specialist
Program Coordinator

6.3The salaries grant amount (of up to but no greater than $50,000) sought from the Stephanie Alexander Kitchen Garden Foundation is:

$

(Note: This figure must not exceed the total cost of the Kitchen Specialist, Garden Specialist and Program Coordinator, equivalent to figures in 6.2 above, and in Attachment F.)

Attachment F:PROGRAM MANAGEMENT BUDGET
Please complete and attach details of your proposed Program Management Budget for a two year period, detailing how you will fund ongoing costs of the Kitchen Garden Program.
  1. Commitment to the Kitchen Garden Program philosophy

7.1Please indicate your school’s preparedness to take part in a formal evaluation of the Kitchen Garden Program.

7.2Please indicate your school’s commitment to attend the following training:

Kitchen Garden Foundation training sessions

Other training/professional development as required

7.3Why does your school want to implement a Kitchen Garden Program?Maximum 150 words.

7.4Please provide details of other related programs or initiatives in your school.Maximum 150 words.

7.5Are you prepared to include the Kitchen Garden Program in your strategic planning?(Yes/No)

7.6How will the Kitchen Garden Program support your school’s strategic plan?Maximum 150 words.

7.7Please indicate your school’s preparedness to collaborate with Kitchen Garden Program staff from other schools and representatives from the Kitchen Garden Foundation to contribute to supporting curriculum.

  1. Commitment to the Kitchen Garden Program

8.1Please nominate your allocated Program Coordinator of the operational Kitchen Garden Program, and identify their current role in the school.

8.2How many hours per week will be allocated to Program coordination?

hours per week

8.3Please indicate your school’s preparedness to form a Kitchen GardenCommittee to support sponsorship and fundraising.

hours per week

8.4How will the school integrate Kitchen Garden Program specialist staff into the school community and teaching program?Maximum 150 words.

Attachment G:PROPOSED CLASS TIMETABLE
Please attach a proposed timetable for the Kitchen Garden Program, indicating how kitchen and garden classes will be scheduled.
  1. Experience of integrated curriculum programs

9.1How will you embed the Kitchen Garden Program into your school curriculum?Maximum 150 words.

9.2Please provide details of any prior implementation of integrated or embedded curriculum programs in your school. Maximum 150 words.

  1. Experience of community engagement

10.1What is the extent of current volunteer activity in your school? How does the school propose to source and retain sufficient volunteers to support the Kitchen Garden Program?Maximum 150 words.

10.2Please list your school’s existing community partners, if any.Maximum 150 words.

Attachment H:LETTERS OF SUPPORT
Please attach any letters of support received from community partners and sponsors for kitchen and/or garden infrastructure and ongoing Kitchen Garden Program management costs.
Attachment I:PHOTOGRAPHS
Please provide 4 photos in jpeg format or as A4 prints: 2 of the proposed and/or existing garden area; 2 of the proposed and/or existing kitchen area.

Declaration

By signing this application, I acknowledge that:

  • There is a whole school commitment to the philosophy of the Stephanie Alexander Kitchen Garden Program;
  • There is a whole school commitment to introduce the Stephanie Alexander Kitchen Garden Program into the school curriculum;
  • There is a demonstrated ability for the school to fund ongoing Stephanie Alexander Kitchen Garden Program costs;
  • The school has required space for kitchen garden, kitchen classroom and dining area; and
  • The school has a demonstrated ability to manage the project, and build the required infrastructure to the timelines outlined.

School Council President name: / ______
Signature: / ______
Date:
Regional Facilities Manager name: / ______
Title: / ______
Signature: / ______
Date:

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