"Business and Professional Development Program for Publishers Application" - New Brunswick, Canada

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Arts Development Branch
BUSINESS AND PROFESSIONAL DEVELOPMENT
PROGRAM FOR PUBLISHERS
- APPLICATION FORM -
To be considered complete, this application form must be filled out using the format
that has been provided.
1- P
S
ROJECT
UMMARY
Project description:
Location:
Dates:
Grant requested: $
(maximum of $2,500 / year / applicant)
2- P
I
UBLISHER
NFORMATION
Company name:
Contact person:
Title:
Only complete the remainder of this section if these details have changed since
your last funding application was submitted to our Department
Address:
City or town:
Postal Code:
Phone
Fax:
E-mail:
Website:
Revised: February 2006
Reset
Arts Development Branch
BUSINESS AND PROFESSIONAL DEVELOPMENT
PROGRAM FOR PUBLISHERS
- APPLICATION FORM -
To be considered complete, this application form must be filled out using the format
that has been provided.
1- P
S
ROJECT
UMMARY
Project description:
Location:
Dates:
Grant requested: $
(maximum of $2,500 / year / applicant)
2- P
I
UBLISHER
NFORMATION
Company name:
Contact person:
Title:
Only complete the remainder of this section if these details have changed since
your last funding application was submitted to our Department
Address:
City or town:
Postal Code:
Phone
Fax:
E-mail:
Website:
Revised: February 2006
3- P
D
(use separate sheets if more space is required)
ROJECT
ESCRIPTION
What is the purpose of this project?
How will participating in this project benefit the company?
Participants
Name each traveller for whom this grant is being requested and their roles within the firm.
Use a separate sheet if more space is required:
Name
Corporate Role
Revised: February 2006
4- B
D
UDGET
ETAILS
Please record the following:
[A] # of travellers requesting funding
[B] # of full days of travel
[C] Total hotel expenses
[D] # of nights billeting
(Sum for all travellers)
[E] Registration/booth fees
[F] Total airfare/train/bus costs
[G] Total distance using own car
(Only if > 200 km)
[H] Taxi/parking/road toll expenses
[I] Third-party packing/shipping costs
For Office Use Only
Calculation of eligible expenses
Using the data recorded above, perform the following calculations. Note that each letter in a
formula corresponds to a data entry above.
Eligible Living Expenses
Formula
Per Diem ($25/traveller/day)
(A x B x $25)
Hotel expenses
(C x 60% up to $70/night)
Billeting costs
(D x $15)
Eligible Event, Transportation and Shipping Costs
Registration/booth costs
(E x 60%)
Airfare/train/bus costs
(F x 60%)
Driving charges
(G x $0.25)
Taxi/parking/road tolls
(H x 60%)
Packing/shipping costs
(I x 60%)
Total eligible expenses
Revised: February 2006
5- S
F
OURCES OF
UNDS
Aside from this grant request, is any other funding being requested or provided to help
offset the applicant’s expenses for this trip (i.e., by the event host, other government
grants, the private sector, etc.)?
_____________ (Yes/No)
If “yes”, on a separate sheet of paper, identify for each additional source of funds:
• The name of the organization providing the funding
• The $ amount being requested or provided
• Whether the funding has been confirmed
• The general purpose of the funding and any limitations on how it can be used (i.e., to
cover airfare, only for lodging expenses, etc.).
6- E
H
D
(if applicable)
VENT
OST
ETAILS
Name of host organization:
Contact person:
Title:
Address:
Province/State:
Country:
Postal/Zip Code:
Telephone:
Fax:
E-mail:
Event website:
7- A
C
PPLICANT
HECKLIST
Before this application will be considered for funding, the following information must
be submitted to the Arts Development Branch:
This application form with any additional sheets that were required, completed and
signed;
For training sessions, a letter of confirmation of enrolment;
Detailed information on the event, as provided by its organiser, where applicable.
Revised: February 2006
8- D
ECLARATION
I hereby agree to provide all requested information as well as any other supporting
documents needed to evaluate this application. I understand that my application may be
disqualified if it is incomplete, and that projects or parts of projects started or completed
before the application is received will not be funded retroactively.
I recognize that applications are approved subject to availability of funds, and beyond the
provision of a grant, the Province of New Brunswick has no further commitment to the
applicant. The Province will not be held responsible for the completion of an activity.
I understand that the funds must be used as specified in the application and approved
project, and that I will reimburse the funds in the case of a cancelled project.
I agree to acknowledge the financial contribution of the Province of New Brunswick in all
publicity related to the activities of the proposed project, if applicable.
By signing this document, I understand that contact information on the organization that I
represent (name, address, phone and fax numbers, e-mail and the contact person of the
organization) may be available upon request to outside individuals or organizations.
I also understand that the grant obtained and the amount awarded becomes public
information.
Name:
Position/Title
Signature:
Date
O
,
NCE COMPLETE
RETAIN A COPY OF THIS FORM AND ANY ACCOMPANYING DOCUMENTATION FOR
.
:
YOUR RECORDS
SUBMIT THE ORIGINAL TO
Arts Development Branch
Department of Wellness, Culture and Sport
PO Box 6000
Fredericton, NB E3B 5H1
Tel:
506-453-2555
Fax:
506-453-2416
E-Mail:
Artsnb@gnb.ca
Website:
www.gnb.ca
(Keyword: Arts)
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Revised: February 2006
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