Regional Arts Development Fund (RADF) 2023/24 - Community Grant Application Form

Please read Mareeba Shire Council’s RADF 2023-24 Guidelines for Community Grant Applications before completing the application.

The grant guidelines can be found here: Grants, Sponsorship & Letters of Support - Mareeba Shire Council (msc.qld.gov.au)

Please submit your completed RADF Community Grant Application by Tuesday 31 October 2023.

1.1 - Applicant Details

If other, please specify:

Applicant name: *

Contact person name: *

Position in organisation: *

Postal address: *

Address *

City *

State *

Postcode *

Phone Number: *

Email Address: *

1.2 - ABN and GST Registration

Do you have an Australian Business Number (ABN): *

Yes No

Successful applicants who do not have an ABN will be required to complete a Statement by a Supplier Form.

If yes, what is your ABN:

What is your registered business name:

Are you registered for GST? *

Yes No

1.3 - RADF Grant History

Have you or your group previously applied for a RADF grant? *

Yes No

If yes, has your RADF grant been successfully acquitted?

Yes No

2.1 - Project Details

Project Name: *

In which locations (towns) will the project activities be undertaken? *

Brief description of project *

Total project budget: *

RADF grant amount requested: *

Project start date: *

Project finish date: *

2.2 - Project Type

If other, please specify activity to be delivered:

2.3 - Project Description

Aims and objectives: *

Activities and timeframes: *

Project facilitators, volunteers and other partners: *

Participants and or audiences: *

Locations: *

Other project details: *

Expected outcomes: *

2.4 - Response to RADF Objectives and Local Priorities

Which RADF local priority or objective best describes your project? *

Youth engagementCultural tourismPublic mural partnershipsBuild local cultural capacity, cultural innovation and community wellbeing

How will the project outcomes support RADF objectives or local priorities? *

2.5 - Project Reporting

I am confident if this project is funded by RADF then I will be able to complete the RADF Project Outcome Report? *

Yes No

2.6 - Safety and Permissions

Please outline how you will address risk management, public liability insurance and obtaining other relevant licences and permissions:

2.7 - Acknowledgement

Please outline how you will acknowledge the RADF funding towards your project? *

2.8 - Project Budget

Your RADF application requires a comprehensive budget outlining the proposed income and expenses of your project.

Below is an example of what is required.

Once you have completed your detailed budget, please upload it to the space provided below.

Please upload your comprehensive project budget here: *

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Please list which expenses will be paid from the RADF grant: *

3 - Support Material

Please upload any support material that you are including with your application:

Support Material 1

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Support Material 2

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Support Material 3

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Support Material 4

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Support Material 5

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Support Material 6

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4 - Applicant Agreement

Please read each statement below and sign to confirm your acknowledgement and agreement of these terms:

If the applicant is a group or organisation, I certify that I have appropriate delegation, as authorised by the applicant, to prepare and submit this application on behalf of the applicant.
I have read Mareeba Shire Council's RADF Guidelines for Community Grants Applications and certify to the best of my knowledge the information provided in this form is correct and discloses full and accurate information of proposed income, expenditure and activities.
I understand that if Mareeba Shire Council approves this grant application, I will be required to accept the conditions of the grant outlined in the MSC RADF 2023-24 Guidelines for Community Grant Applications.
I agree to grant Arts Queensland and Mareeba Shire Council an irrevocable, royalty-free licence, to enable Arts Queensland and Mareeba Shire Council, to use work produced in accordance with the RADF Program, for the purposes of publicising the RADF Program or promoting Queensland’s arts and culture.
I understand that use of my work by Arts Queensland and Mareeba Shire Council for the purposes of publicising the RADF Program or promoting Queensland’s arts and culture, does not infringe my Moral Rights.
I understand that Arts Queensland and Mareeba Shire Council acknowledge and agree that Intellectual Property Rights in works created by a RADF recipient, will not transfer to either Arts Queensland or Mareeba Shire Council as a result of this Agreement.
I understand that Mareeba Shire Council and Arts Queensland treat all personal information received and collected in accordance with the Information Privacy Act 2009.
I understand that the provisions of the Right to Information Act 2009 apply to documents in the possession of Arts Queensland and Mareeba Shire Council.

Applicant Signature *

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Name in full *

Position in organisation (if applicable)

Date *

Guardian Signature

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If you are under 18 years of age your legal guardian must also sign this application.

Guardian's name in full

Date:

Personal Information Collection Notice: Mareeba Shire Council is collecting your personal information for the purpose of assessing and processing of your application for funding under the Regional Arts Development Fund and if your application is successful, administering the grant funding. Information will be disclosed to Arts Queensland and where deemed necessary, may be used by Council to contact other agencies to verify their support of and / or involvement in the project. The information may additionally be used for reporting purposes and to support publicising and promoting the objectives of the Regional Arts Development Fund. Your personal information will be handled in accordance with the provisions contained within the Information Privacy Act 2009 (Qld).

Human Rights Compatibility Statement: The Human Rights Act 2019came into effect on 1 January 2020 and will mean fairer laws, policies and practices by public entities when dealing with the community on a day-to-day basis. Council holds an obligation under theHuman Rights Act 2019to make decisions and act in a way compatible with human rights. Council is committed to building a culture that respects and promotes human rights and we will give proper consideration to, and act compatibly with, human rights in our work and daily interaction with all persons.

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