Stephanie Alexander Kitchen Garden National Program
ROUND 4 GRANTS 2011 – APPLICATION FORM
EXECUTIVE SUMMARY
In signing this document, the school is committing to:
- Garden Classes of 45 mins each week (or fortnightly for greaterthan 6 classes)
- Kitchen Classes of 90 mins each week (or fortnightly for greaterthan 6 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 Stephanie Alexander Kitchen Garden Program into the school curriculum
- Demonstrated ability for the school to fund associated staffing and ongoing Program costs
- Required space for an edible garden, kitchen classroom and dining area.
Principal’s name: / ______
Signature: / ______
Date:
- Checklist of Attachments
Click to check
Attachment AGarden plan– A3 1:100 or 1:200 plan
Attachment BKitchen plan – A3 1:100 or 1:200 plan
Attachment CSchool plan (e.g. SAMS)– 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 photographs*
Principal signature on Executive Summary (page 2)
School Council President or equivalent signature (page 15)
State Education Department or equivalent signature (page 15)
-Please do not include CDs or additional items, do not bind or staple; bull dog clips only
-Mailed Applications: submit 3 signed copies of the completed Application Form and attachments post dated 3 June 2011 to
Round 4 National Program Applications Stephanie Alexander Kitchen Garden National Program PO Box 104 Abbotsford VIC 3067
Photos in no larger than A4 format – photocopies are acceptable OR
-Emailed Applications: by 11:59pm on 3 June 2011
Images in jpeg, gif or pdf format only (max 500 KB files sizes)
*Photography requirements:
-Minimum 2 photos of proposed and/or existing garden area
-Minimum 2 photos of proposed and/or existing kitchen area
- 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 / + 61 (Select0203040708) 9999 9999
School fax number / + 61 (Select0203040708)9999 9999
Name of Principal / SelectMiss.Ms.Mrs.Mr.Dr.Prof. First Name Last Name
Principal telephone number / + 61 (Select0203040708)9999 9999
Principal mobile number * / + 61 (04)99 999 999
Principal email address
Name of secondary contact / SelectMiss.Ms.Mrs.Mr.Dr.Prof. First Name Last Name
Title or role
Secondary telephone number / + 61 (Select0203040708)9999 9999
Secondary email address
Name of application compiler / SelectMiss.Ms.Mrs.Mr.Dr.Prof. First Name Last Name
Title or role
* Contact may be required during school holidays
Please select your school type(s):Australian Government School with a primary enrolmentSelectYesNo
Special School with a primary enrolment or curriculumSelectYesNo
Non-government school with a primary enrolment that qualify for the
Smarter Schools National Partnership for Low Socio-Economic Status
School Communities initiativeSelectYesNo
How did you find out about this Program (for example Kitchen Garden Foundation website, State /Territory Education newsletter, friend)?
- School Enrolment – Projectedin 2011/2012
3.1Estimated total student enrolment:
3.2Estimated total enrolment in participating year groups:
If ‘Other’ is selected please explain
3.3Estimated number of classes required for participating year groups:
3.4Please estimate the maximum number of students per classincluded in the Kitchen Garden Program (i.e. each class in Years 3 – 6 or 4 - 7) and list in the table below.
Note: Leave blank for classes not required in your school.
Years included in Kitchen Garden ProgramYear Level/*Composite classes
Class Number / Y 2-3* / Y 3 / Y 3-4 * / Y 4 / Y 4-5 * / Y 5 / Y5–6 * / Y 6 / Y 6-7 * / Y 7
1
2
3
4
5
6
7
8
9
10
11
12
- Infrastructure – Your Garden and Your 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 justgrowing space. (If you have no existing garden, enter zerosquare metres in the first field.)
a / Existing garden space / square metresb / Proposed new garden space / square metres
c / Total garden space / square metres
d / Total area of garden per child in 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 / DatePlanning 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:Please attach an A3 to-scale 1:100 or 1:200 plan with dimensions and photographs of the existing/proposed garden, addressing the guidelines provided in the Application Guideavailable at
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 buildingb / 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 / Total area of proposed kitchen classroom and dining area / square metres
j / Number of work stations / Select34567
k / Total area per workstation / square metres
l / Length of preparation space per workstation / metres
m / Number of sinks / Select34567
n / Number of stovetops / Select34567
o / Number of ovens / Select34567
p / Harvest table / SelectExistingProposedNot proposed
q / Dining tables and chairs / SelectExistingProposedNot proposed
r / Pantry/washing machine area / SelectPantryWashing Machine(s)Both
s / Does sink contain an existing or proposed grease-trap / SelectYesNo
*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 / DateFinal plans complete for kitchen
Permits approved
Demolition kitchen/site preparation
White goods 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: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, addressing the guidelines provided in the Application Guideavailable at
Attachment C:Please attach a copy of a school plan (such as an Asset Management System) which indicates the location of the kitchen classroom or proposed building and garden in the school grounds.
- Managing the Construction Project
5.1Please nominate your allocated Project Manager for the garden construction and describe their relevant experience.
First Name Last Name
5.2Please nominate your allocated Project Manager for the kitchen construction and describe their relevant experience.
First Name Last Name
Attachment D:GARDEN INFRASTRUCTURE BUDGETPlease 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 budget.)
$
5.4The total grant amount sought from the Stephanie Alexander Kitchen Garden Foundation is: (Note: Up to but no greater than $60,000 GST exclusive, or the total projected cost in5.3.)
$
- Ability to Fund Staffing and Program Costs
6.1Please 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 HoursKitchen Specialist / hrs / hrs / hrs / hrs / hrs / wk
Garden Specialist / hrs / hrs / hrs / hrs / wk
Role / Hours /wk / Hourly Rate / Weeks / Year / Annual Cost / Total 2 Year Cost
Kitchen Specialist / hrs / $ / $ / $
Garden Specialist / hrs / $ / $ / $
Program Coordinator / hrs / $ / $ / $
6.2How does your school intend to fund ongoing staffing costs identified in 6.1 for the Garden Specialist and Kitchen Specialist?Maximum 150 words.
Attachment F: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 Program, including staffing costs.
Do not include building costs in this budget. The costs from the above table in 6.1 will help you determine staffing costs.
Refer to the Budget Examples and complete the Budget Templateavailable at:
- 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:
Group training sessions
Other training/PD as required
(Note: Include in your Program Management Budget the capacity to send one or two staff members to regular group training, up to 4 times per year, at a metropolitan location.Include travel, accommodation if required and staff back-fill costs.)
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 school planning?
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 Stephanie Alexander Kitchen Garden Foundation to contribute to Kitchen Garden Program curriculum.
- Commitment to the Program
8.1Please nominate your allocated Program Coordinator of the operational Program, and identify their current role in the school.
First Name Last Name
8.2How many hours per week will be allocated to Program Coordination?
hours per week
8.3How will the school fund the ongoing costs of the Program Coordinator?
8.4How will the school integrate Kitchen Garden Program specialist staff into the school community and teaching program?Maximum 150 words.
Attachment G:Please attach a proposed timetable for the Kitchen Garden Program indicating how kitchen and garden classes will be scheduled.
It is recommended that you review the sample timetable included in theApplication Guide at:
- Experience of Integrated Curriculum Programs
9.1How will you integrate the Kitchen Garden Program into your school curriculum?Maximum 150 words.
9.2Please provide details of prior successful implementation of integrated curriculum programs in your school. Maximum 150 words.
- Examples 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.Maximum 150 words.
Attachment H:Please attach any letters of support received from community partners and sponsors for kitchen and/or garden infrastructure and ongoing Program management costs.
Attachment I:Please attach 4 photos: 2 photos of the proposed and/or existing garden area; 2 photos 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 associated staffing and ongoing 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:
State/Territory Education
Dept Representative or
Reporting Body Equivalent Name: / ______
Title: / ______
Signature: / ______
Date:
1