"Professional and Organizational Development in Museology Program Application" - New Brunswick, Canada

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Tourism, Heritage and Culture
Heritage Branch
P
O
D
M
P
ROFESSIONAL AND
RGANIZATIONAL
EVELOPMENT IN
USEOLOGY
ROGRAM
Part 1: Professional Development
Part 2: Organizational Development
For Office Use Only
Grant requested
$
$
Grant approved
1.
APPLICANT INFORMATION
Legal Name of Organization
Address (Org.)
City or Town
Postal Code
Telephone
Telephone (Org.)
(506)
-
(506)
-
(contact person)
E-mail (Org.)
2.
PROJECT DESCRIPTION
Please attach
all documents which describe the proposed workshop, seminar or conference, the
appropriated dates, the name of the facilitator or trainer, the location.
Indicate how it will improve the effectiveness and enhance the professional and/or organizational skills
of those who participate.
3.
PROJECT BUDGET
Expenditures:
Registration fees:
Accommodation (maximum $90. per person per night):
Transportation (airfare, train or bus):
OR
$0.41 x kilometres:
Local transportation (taxi, parking, tolls):
Total expenditures:
$
Revenues:
A- Government contributions:
Provincial government:
Federal government:
Municipal government:
Other (specify):
B- Other sources of revenue:
Financial contribution of applicant organization:
Private sector contribution:
Total revenues:
$
GRANT REQUESTED:
$
1
Tourism, Heritage and Culture
Heritage Branch
P
O
D
M
P
ROFESSIONAL AND
RGANIZATIONAL
EVELOPMENT IN
USEOLOGY
ROGRAM
Part 1: Professional Development
Part 2: Organizational Development
For Office Use Only
Grant requested
$
$
Grant approved
1.
APPLICANT INFORMATION
Legal Name of Organization
Address (Org.)
City or Town
Postal Code
Telephone
Telephone (Org.)
(506)
-
(506)
-
(contact person)
E-mail (Org.)
2.
PROJECT DESCRIPTION
Please attach
all documents which describe the proposed workshop, seminar or conference, the
appropriated dates, the name of the facilitator or trainer, the location.
Indicate how it will improve the effectiveness and enhance the professional and/or organizational skills
of those who participate.
3.
PROJECT BUDGET
Expenditures:
Registration fees:
Accommodation (maximum $90. per person per night):
Transportation (airfare, train or bus):
OR
$0.41 x kilometres:
Local transportation (taxi, parking, tolls):
Total expenditures:
$
Revenues:
A- Government contributions:
Provincial government:
Federal government:
Municipal government:
Other (specify):
B- Other sources of revenue:
Financial contribution of applicant organization:
Private sector contribution:
Total revenues:
$
GRANT REQUESTED:
$
1
Note: For the current fiscal year, the financial contribution may attain 100% of eligible costs, to a
maximum of $1 000 per institutional application. Please keep all receipts in case we ask to see
them
.
Depending on the number of applications, more than one request per institution per year may be
considered.
4.
DECLARATION OF APPLICANT
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 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 Government of New Brunswick has no further commitment to the applicant. The
Government 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 that my project will be
completed by March 15 of the current fiscal year, and a final report will be submitted to the
Department after the project is completed.
I agree to acknowledge the financial contribution of the Government of New Brunswick in all publicity
related to the activities of the proposed project, if applicable.
I certify that this organization is based in New Brunswick, that I have signing authority for the above-
named organization, and that, to the best of my knowledge, the information provided with this
application is accurate.
Name
Title
Signature
Date
Note: The Department may revise Program guidelines or suspend the program without notice if required funds are
not available. Meeting the eligibility criteria does not guarantee that a grant will be awarded. Because of the high
number of applications that may be received and the limited resources available, grants awarded may be smaller
than the amounts requested.
In
the
case
of
disagreement
concerning
the
interpretation
of
its
policies
funding
programs
and their respective components, the Department reserves the right to final interpretation of the intent and implementation
of the program.
This completed signed application and all required supporting material must be
sent electronically to:
museum@gnb.ca
APPLICANT’S CHECK-LIST
Resume (s) of the trainer (s)
Detailed information and objectives on the activity
List of the person (s) participating in the session
Evaluation measures process planned for the objectives session
Heritage Branch
Tourism, Heritage and Culture
Marysville Place
P.O. Box 6000, Fredericton, NB E3B 5H1
2
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