Creative Communities Scheme Application Form

The Creative Communities Fund supports and encourages arts activities within the Mackenzie District.

Under the scheme 'the arts' are broadly defined as 'all forms of creative and interpretive expression'. This includes creative participation in dance, performance, visual arts, music, arts education, toi Maori, literary workshops, digital storytelling and more.

The Creative Communities Scheme is a partnership between Creative New Zealand (the national arts development agency) and local councils in New Zealand. Each council takes responsibility for delivering the scheme in its area. Local decision-making is the key to the scheme: applications are considered by assessment committees with knowledge and experience of the arts in their area.

Before you start

Before you prepare your application you should read the Creative Communities Scheme Application Guide. This guide tells you:

whether you are able to apply for Creative Communities Scheme funding for your project
which projects and costs are eligible and ineligible
what information you will need to include in your application

Applications for the first funding round in April have closed. A second funding round will take place later in 2024.

Part 1: Applicant details

Are you applying as an individual or group? (Required)	Individual Group
Full name of applicant (Required)
Contact person (for a group)
Street address / PO Box number (Required) All correspondence will be sent to the above email or postal address.
Venue (Required)
Town (Required)
Email (Required)
Telephone (day) (Required)
Name on bank account (Required)
GST number (If GST registered)
Bank account number (Required)
Ethnicity of applicant/group (Required) You can select multiple options	New Zealand European/Pākehā Māori Pacific Peoples Asian Middle Eastern Latin American African Other
Ethnicity of applicant/group - further details
Would you like to speak in support of your application at the CCS assessment committee meeting? (Required) If you mark yes, talk to your local CCS administrator before you go so you know who you will be speaking to and for how long.	Yes No
How did you hear about the Creative Communities Scheme? (Required) Select one.	Council website Council mail-out Council staff member Creative NZ website Local paper Poster/flyer/brochure Social media Radio Word of mouth Other
If other is selected:

Part 2: Project details

Project name (Required)
Brief description of project (Required)
Venue and suburb or part of town (Required)
Start date
Finish date
Number of active participants (Required)
Number of viewers/audience members (Required)
Funding criteria (Required) Which of the schemes three funding criteria are you applying under? If your project meets more than one criterion, choose the one that is the project’s main focus.	Access and participation: Create opportunities for local communities to engage with, and participate in local arts activities Diversity: Support the diverse artistic cultural traditions of local communities Young people: Enable young people (under 18 years of age) to engage with, and participate in the arts
Artform or cultural arts practice Select one. (Required)	Craft/object art Dance Inter-arts Literature Music Ngā toi Māori Pacific arts Multi-artform (including film) Theatre Visual arts
Activity best describes your project? Select one. (Required)	Creation only Creation and presentation Presentation only (performance or concert) Presentation only (exhibition) Workshop/wānanga
The idea / Te kaupapa What do you want to do? (Required)
The process / Te whakatutuki How will the project happen? (Required)
The people / Ngā tāngata Tell us about the key people and/or the groups involved. (Required)
The criteria / Ngā paearu Tell us how this project will deliver to your selected criterion: access and participation, diversity or young people. (Required)

Part 2b: Project details - budget

Are you GST registered?
See the CCS Application Guide for more detail on how to complete this section.

(Required)

Yes - Do NOT include GST in your budget
No - Include GST in your budget

Project costs

(Required)

Write down all the costs of your project and include the details, eg materials, venue hire, promotion, equipment hire, artist fees and personnel costs.

Item eg hall hire

Detail eg 3 days’ hire at $100 per day

Amount eg $300

Please attach quotes as supporting documents. Applications without quotes are less likely to be granted.

(Required)

Project Income

(Required)

Write down all the income you will get for your project from ticket sales, sale of artwork, other grants, donations, your own funds, other fundraising. Do not include the amount you will be requesting from CCS.

Income eg ticket sales

Detail eg 250 tickets at $15 per ticket

Amount eg $3,750

(Required)

Total Income

(Required)

Costs less income

This is the maximum amount you can request from CCS.

(Required)

Amount you are requesting from the Creative Communities Scheme

(Required)

Tell us about any other funding you have applied for or received for this project

Remember you cannot receive funds for your project from both CCS and Creative New Zealand’s other funding programmes

(Required)

Date applied

Who to

How much

Confirmed / unconfirmed

Tell us about other grants you have received through the Creative Communities Scheme in the past three years.

(Required)

Date

Project title

Amount received

Project completion report submitted (yes/no)

Attach supporting documents

Groups or organisations must provide a copy of their latest financial statement. This can be a copy of the audited accounts, an income and expenditure statement or a copy of the unaudited management accounts.

Please also attach quotes where applicable.

If your group or organisation has reserves which are not being used for this project you should include your reserves statement or policy.

Please upload in either PDF, PNG or JPG formats.

Part 3: Declaration

Declaration (Required) You must read and sign the following. Please select each box to show that you have read the information and agree to each section.	I/We understand that if this application is successful I/we cannot receive funds for the same project from Creative New Zealand’s other funding programmes. I/We declare that the details contained in this application are correct and that I/we have authority to commit to the following conditions.
If this application is successful, I/we agree to: (Required) Related Using the Creative NZ logo	complete the project as outlined in this application (or request permission in writing from the CCS Administrator for any significant change to the project) complete the project within a year of the funding being approved complete and return a project report form (this will be sent with the grant approval letter) within two months after the project is completed return any unspent funds keep receipts and a record of all expenditure for seven years participate in any funding audit of my organisation or project conducted by the Mackenzie District Council contact the CCS administrator to let them know of any public event or presentation that is funded by the scheme acknowledge CCS funding at event openings, presentations or performances use the CCS logo in all publicity (eg poster, flyers, e-newsletters) for the project and follow the guidelines for use of the logo. Logo and guidelines can be downloaded from the Creative New Zealand website I understand that the Mackenzie District Council is bound by the Local Government Official Information and Meetings Act 1987 I/we consent to Mackenzie District Council recording the personal contact details provided in this application, retaining and using these details, and disclosing them to Creative New Zealand for the purpose of evaluating the Creative Communities Scheme. I/we understand that my/our name and brief details about the project may be released to the media or appear in publicity material. I/we undertake that I/we have obtained the consent of all people involved to provide these details. I/we understand that I/we have the right to have access to this information. This consent is given in accordance with the Privacy Act 1993.
Name of contact person/applicant (Required)
Name of parent/guardian if under 18
Date

Checklist

Before submitting your application, complete this checklist

(Required)

My project has an arts focus
My project takes place in the local authority district that I am applying to
I have answered all of the questions in this form
I have provided quotes and other financial details
I have provided other supporting documentation
I have read the declaration
I have made a copy of this application for my records - this will be emailed through upon the form being submitted

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