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APPLICATION FORM 2014

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Project Title



Section 1
i. Applicant Details
Identify the educational institution leading the project, in terms of section E of the Guidelines.

School name

Type of Educational
Institution
(ex. State school primary)


School address



College Principal
(State School)

Head of School

Project coordinator
(if different from Head)

Coordinator Contact details
(tel. + email address)

Website

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Applicant Profile
(Basic information about the
educational institution,
ex. student population and
any other relevant data)








ii. Partnering School (if applicable)
Use additional sheets if necessary.

School name

Type of Educational
Institution
(ex. State school primary)


School address



College Principal
(State School)

Head of School

Website

Partnering School Profile
(Basic information about the
educational institution,
ex. student population and
any other relevant data)








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iii. Creative Practitioners Details
Identify the leading creative practitioner in the project in terms of Section E of the Guidelines. Use
additional sheets if necessary.



Creative Practitioners Name
(Name of person or
organisation)



Type of Organisation
(enterprise; partnership;
cooperative; foundation;
NGO; etc)


Address






Contact Person
(Full Name)



Contact details
(tel+ email address)


Website



Creative Practitioners Profile
(100 words)


















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iv. Higher Education Institutions Details (if applicable)
Identify any partner/s in the project, as per Section E of the Guidelines (higher educational
institutions or life-long learning centres. Use additional sheets if necessary.


Partners name
(Name of
Department / Faculty /
Institute / Centre)



Type of Educational
Institution
(University of Malta; MCAST;
other please specifiy)



Address



Contact Person
(Name and designation within
the educational institution)



Contact details
(tel. + email address)


Website



Partners profile
(100 words)


















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Section 2

Project Description (500 words max)
What is the project about?
What artistic disciplines does it address?
What school and student needs does it address in terms of arts and cultural education?
Was there a process involving dialogue with the creative practitioner/s, other partners and students that
led to identify the projects need?


























Tangible Project Outcomes (200 words max)
What activities, processes and products will the project develop?
Present a Project Timeline, clearly stating duration of project phases, number of activities, and number
of participating school staff, students, creative practitioners, and other partners. Clearly specify their
respective roles in the project, and when and where will this happen.

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Role of Applicant in the Project (200 words max)
What part is the applicant playing in the design and implementation of the project? How is this going
beyond the provision of space and resources?
How will educators employed by the school/college interact with the project?
What is the number of participating educators/school staff assigned to the project?

Include here the role of the Partnering School, if applicable.



















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Role of Creative Practitioner/s in the Project (200 words max)
What expertise will the creative practitioner/s bring which the applicant does not have regular access
to?
What will be the concrete contribution of the creative practitioner/s to the project?
What will be the role of each individual creative practitioner?
How did the creative practitioner/s interact with the school/college, with the students and with other
partner/s to develop the project?
How will the creative practitioner/s interact with the project partners and students for the successful
implementation of the project?





















Role of Students in the Project (200 words max)
State the targeted number of participating students, their age group, and what is their expected role in
the project.
What is the expected number of hours of student involvement?
Have the students been involved in the projects design?
What challenges and innovative tasks will the students be facing and what new skills will the students
acquire through their interaction with the creative practitioners and any other partners involved,
including higher education students?

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Role of Higher Education Partner/s in the Project (If applicable) (200 words max)
What expertise will the partner/s bring which the applicant and creative practitioner/s do not have
regular access to?
What will be the concrete contribution of the partner/s to the project?
How will the partners collaboration with the creative practitioner/s help in the creative growth and in
the acquisition of new skills by the students?
What are the indicated number and specialisations of students involved at higher education level?


















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What makes this Project Innovative? (200 words max)
Does the project allow for practical experimentation and for thematic research?
What methodology will be used that allows participants to gain insights beyond the disciplines and
practices used?
What unique experiences will the project offer to participants?
How is the project going to inspire the wider community that it is based in?





















Target Audience reached through your project

Type of
Audience:
Direct
participants
Indirect
participants: other
students /parents
Community in
the locality
General
public
Tick where
appropriate
with an X

Quantify in
Numbers


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Project Budget
A summary of total project costs should be provided in the table below.

Funds requested from KREATTIV (max. 5,000)
Funds from school budget (if applicable)
Funds from other sources (if applicable)
Total Project Cost ()

Please refer to Annexe 1 - Project Budget to provide an itemized list of the projected costs related to
the project.
Remember also to include with this application all other official documentation (quotations/estimates)
in support of the costs claimed under the project.


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Section 3

Kindly submit a print out of this document.

Project Coordinators Declaration

I, _________________________________, ID No. _________________, hereby declare that I
am the authorised signatory for the applicant school/college, that to the best of my knowledge
the information contained in the Application Form and in the documents/annexes is complete
and correct according to the terms defined in the Guidelines for this call for proposals, that I am
fully aware of the conditions of my role as leader of this project, and that I have read the
Guidelines for the KREATTIV fund.





Date_______________________


College Principals endorsement for applications submitted by State Schools

I, ________________________________, ID No_____________________, hereby endorse this
Kreattiv Application, and confirm that to the best of my knowledge, the information contained
in the Application Form and in the documents annexed to it are correct.



Principals Signature__________________________ Date_______________________






School stamp
and
Head of Schools signature
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Creative Practitioners declaration

I, _____________________________________, ID No _________________, hereby declare
that the information contained in the Application Form and in the documents/annexes is
correct, that I am fully aware of the conditions of my participation in this Project, and that I
have read the Guidelines for the KREATTIV fund.


____________________________ ________________________
Signature Date



Other creative practitioners/ higher educational Institution s declaration

I, _____________________________________, ID No _________________, hereby declare
that the information contained in the Application Form and in the documents/annexes is
correct, that I am fully aware of the conditions of my participation in this Project, and that I
have read the Guidelines for the KREATTIV fund.


____________________________ ________________________
Signature Date





Use additional sheets if the Project involves more Project Partners

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What to Submit:
Except where specified, all documentation should be submitted in digital / scanned copy.

- A digital copy (on USB Stick or CD) of the filled-in, official application form and
Annexe 1 (Project Budget) in an electronic folder named Kreattiv Application
Form.

- A digital copy of any additional documentation (on the same USB Stick or CD)
presented in one electronic folder named Kreattiv Additional Information.
This folder should contain:
o CV/Portfolio of the creative practitioner/s.
o Official documentation (quotations/estimates) in support of the costs
claimed under the project. These could be either electronic documents
or scanned copies of paper-based originals.

The documentation mentioned above should be submitted in the following
format:
- either as a Word Document,
- or as a PDF File


- A printout of Section 3 with all necessary signatures.

The Application is to be submitted in a sealed envelope to either of the following
addresses, and should be received by not later than Friday 16
th
May 2014 at noon
(12.00hrs):

KREATTIV KREATTIV
Culture Directorate Culture Office, Ministry for Gozo
Parliamentary Secretariat for Independence Square
Culture & Local Government Victoria, Gozo
Ministry for Tourism
Auberge dItalie,
Merchants Street
Valletta VLT 1170