Covid-19 Recovery Grants Application Form

Organisation detailsName of your organisation:

Main contact detailsA North West Accredited museum must take the lead in managing partnership bids. The lead museum will be responsible for the grant and will receive grant payments.

Details of main contact personName:Position:Phone number:Email:

Basic details of your project 1) The name of your project

2) The name of your museum and partner organisations if applicable

3) An outline description of the project you are asking us to support, in no more than 50 words. This will be used as the summary of your project for reporting purposes, so please be as clear as possible

Financial information1) How much are you applying for from this fund?

2) How much is the total cost of the project?

Proposal

Please use the headings below to tell us what you want to do and why. The maximum word limit is 1,000 words.

What is the project? Tell us what you intend to do with the funding

What is the need for your project in light of the Covid-19 crisis?

What difference will this funding make to your museum? When will your project start & finish? Please provide a basic

timescale What will the outcomes be for the museum as a result of this

funding?

If you have received any emergency funding from Arts Council England, National Lottery Heritage Fund or Historic England please give brief details.

Project budget Give a breakdown of all the income and expenditure of your project. Only fill in the income and expenditure lines that apply to your project.

Volunteer time should be calculated based on the current national minimum wage of £8.72 per hour.

Income £*Amount of funding requested from Recovery GrantsOther sources of external funding (if any)Match funding from museum(s) (if any)Staff timeVolunteer timeAny other non-cash contributionsTotal income*

Expenditure £**StaffVolunteersProfessional feesRepair and conservation workBuilding modifications workDigital outputsEquipment and materialsTrainingTravelExpenses (out of pocket)

Cost of producing learning materialsOtherPublicity and promotionEvaluationContingencyTotal project costs**

* Please ensure your income and expenditure totals match

** If you are registered for VAT, your figures should not include VAT that you can claim back. If you are not registered for VAT, your costs should include VAT.

Museum commitmentBy applying for a grant you are acknowledging that you will provide MDNW with grant monitoring and evidence of expenditure information, and that you will complete the Organisational Health Check when requested. We reserve the right to claim back funding in the event of non-compliance.

Signature (by person completing the application):I certify that, to the best of my knowledge, the information given in this application is correct:

Signed: Date:

Position:

Email:

Please email completed applications to Abdullah Ahmad, Programme Assistant, abdullah.ahmad@manchester.ac.uk by 5pm Thursday 20th August 2020. Applications received after this time will not be accepted.

You will receive confirmation of receipt of your application by email – please contact us if you do not receive a confirmation within one week of submission.