68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of...

22
To: r JLAN C O " INITY PC i-EWART , ,Ar;LAN 32; A State _Remittance Advice kat TI CI1 AN NITY PO Taxi DI GST No. 81-1 59-1 22 1183 Street Free Phan 1856 8890 pplies.co, LICI L e . 2112/2015 Order Number: Suzanne Invoice Number: 9996 Terms: 20/01/2016 rzci M. (4c-r Total Odo $49. Tax Ir # 99 Total $37 68

Transcript of 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of...

Page 1: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

To: r JLAN C O " INITY PC i-EWART

, , A r ; L A N 32;

A State

_Remittance Advice

kat

TI

■CI1 AN NITY PO

Taxi DI GST No. 81-1 59-1 22

1183 Street

Free Phan 1856 8890

pplies.co,

LICI L e . 2112/2015

Order Number: Suzanne Invoice Number: 9996 Terms: 20/01/2016

r z c i M.

(4c-r

Total

Odo

$49.

Tax Ir # 99

Total $37

68

Page 2: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

GI NZ prouucTion services for potters

330 Aokautere Drive RD1 PALMERSTON NORTH Tel 06 356 9886 Fax 06 354 0427 GST NO. 63 - 976 - 407

SUSANNE PRINZ SPRINZ Tax Invoice INV24886 56 WALLIS STREET RAGLAN 3Y25 09/02/15

Description

SCULPTURE BODY #15 PER TONNE WHITE STONEWARE 1 TONNE PAPER CLAY SW TONNE ABBOTS UNIVERSAL MEDIUM 1 LITRE RAIL FREIGHT RAGLAN PER TONNE RIM DESSERT BOWL(B04) MEDIUM BIRD (N25)

07 825 8800 , ORDER NO

PAGE 1

Quantity Rate Amount

0.20 , 300.00 0.06 1,350U 81.00 0.04 2,250.0 90.00

10.00 10.0 100.00c \ D.34 71.40 108.00

2.00 24.00

SUBTOTAL 774.40

GST 116.16

TOTAL 890.56

69

Page 3: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

74

o f l t h e type

.11,1r a f l o w . , , u s t o prurvit-':

w,2•ratimp., C h i i t h . e n a n d Vs, orkshop,

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ingaroa

hops in 2(.,i ;

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er an

print d a v art. We ,...-mpioY

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a demand ran a courc,:e

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I ‘ 1.

participanl%

nts.

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Page 4: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

11.n,

l i t karl;,1 \

75

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;•-1 a r t ' , 1% : J o s : , c u l t u r e k n o s s l e i t y a , a i d e r c o n u m i n i t s - ssii

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r e e d i a a i l . , o n C h i l d r e n a n d , , h o p s Iron & s t d n r d g planf-d

in.H•ier's inc. I t a n p e o p l e i d e n t i f i e d aft.:1.—.

l H , , a a i i u i c a c o m m u L : , p l z , ! - - u p p o r t s t h e p r o s ision

,..ntre A 'student V O , , . a c t i s i t s h a s be.,

' t i e s s o u t h a r e i n k H

:ihidisedcl:1,=<zesdefln.. L e t i 6 e d a u u p a i e n t s c o n t i n u L it

i. i d s c l a s a n a f t e r s c h o o l classt

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Page 5: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Applicant Details

243

Are you applying as an individual or group?

Individual Group

Full name of applicant

Contact: person (for a groi

Daytime phone number

Jodi Prinz

0274247277

Postal address •frespondence seri.t to Uiis addrLss

Street1P 0 Box Suburb City Email

4095 Statehiglievay 2

RDI Raglan Post Code

miss popinjay(C"tiyahoo.com

Ethnicity of applicant Please tick and provide detail eg Lhoicity: Pacific isiand, DeLi!.. Samoan

N Z European

E Maori

E Pacific Island

0 Asian

0 Middle Eastern/

Latin American/African

0 Other

ge 2 of 15

3295

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Page 6: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

L44

W o u l d you iike t o speak in 5upport o f your application a t the locaf

assessment c o m m i t t e e rneetin

11 you mark ye,;, tofk o yam loco! (CS lt,Ujtui before you go so you know who you will be speaking Lo and ioi how long.

y e No

Bank account name and nurr-rl?ic

E ] No

b e deposfted ;Trier, is successful

N c n c e AColiins (my maid a c e orid artist name

2 Project Details

Project name

nked ub lunk'

rhirir en's ceuw9r1,ishof

Brief Description

ng creative ' )r kids

e c m c V 'e .0« , f .Sho . .p . ' - ; mg r c c o h o { ' H i e y : for

Cremtive upcyciing woik shop in t h e h o u l holidoys as park of ti Sustainable September (wed S -12

-es your project have an arts or creative cu l tu ra l focus? X Yes No

Ii your project

ore.cover ra tc e r t m o thesc, clup,:tiore c r a a y o u r L C , _,irninistrotor.

Page 3 of 15

e city o r district where the application is

ir projecr is likely to be ineliENe

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Page 7: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Funding criteria

, Which o ler IPF Please seli ,

If yo ritena, choose me one that is the project's main focu:

Participation: Create opportunities for local communities to engage with, and participate in, local arts activities.

Diversity: Support the diverse arts and creative cultural traditions of local communities.

• N O N * .45 r

participate in, the arts. Enable young people (under 18 years) to engage with, and

If you do not know which of the three fits your project contact your CCS administrator.

What do you want to do?

Last year I ran Funked up Junk' a two day upcycle workshop for kids, it was received extremely well and ran to plan. This year I would like to do the same and run it like I did last year, now that I know what works and how best to run

The workshop will teach kids to reuse rather than having a throw away mentality. The kids by using found objects e.g bits of furniture, cake tins, suitcases, fabrics, wallpaper, nation. I,eographic etc pulling together all these bits and pieces and transforming the objects into pieces of art.

They will learn skills in using hand tools, different methods in paint application, attaching cutting, stencilling e.t.c ,

they will also learn to probler ' solve and a bit of kiwi ingenuity, various methods of creativity.

They all get to take away their own inventions at the end of the workshop, works constructed by none otliff thln themselves.

Pagc 4

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Page 8: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

All tutors and helpers will _reative or teaching background ensuring that they will have plenty of skills to impart onto students.

Choosing not to have too many students so kids get plenty of one on one time with tutors, to create a safe well managed environment where kids get the attention to it make beneficial to them.

Sustainable September — is run through the 1Whaingaroa Environment Centre' once a year, a community based program run for the month of September where there is a line-up of people within the community that offer a large variety of workshops all related to sustainability to pa,-- on their knowledge and share with others involving the wider community,

How will your project benefit your communi

Allowing young people of the Raglan or broader community to have access to a playful but educational holiday programme for kids.

As practicing artists, we will be an encouragement to these kids to take tnese creative skills and resourcefulness learnt and apply them to their own lives and pass it on to their friends and family.

It is also an opportunity for some of us creative adults with in the community to have the opportunity to share in our knowledge and skills and maybe learn a thing or two from the kids.

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Page 9: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

S Appli(

Where, when and how wi Venue/location: Project start and finish dates: Details of how the project will happen:

ct ham

September during Sustainable sept and kids holidays, at the 'Raglan old school art centre 'Wets arts room' and the Kitchen access (morning tea and lunch) 5 Stewart Street Raglan' (I'm looking at the 24 ' and 25th of Sept on a Saturday and Sunday, (if the venue is available and it works with adults involved and nothing is happening in Raglan for kids that weekend that might clash) workshop will run between I 0 -3pm

Tell us about the key people and/or community involved

Joni will be the main organizer of the workshop and tutor.

We will have a technician to assist and supervise children around power tools to create a safe environment to work in. Someone with experience with power tools and joinery to give advice in constructing children's creations.

And adult assistance so all kids get the attention they need and to create a safe

Page 6 or 15

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Page 10: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

supervised environment. Adult assistance that I have used in workshops from previol

years that are familiar to how it will run with an artistic background.

Estimated number of active participants One istant techniciai volunteers (if any available)

Estimated number of attendees Up to 24 kids over the two days

7

How much will it "let?

Are you GST registered?

GST number E1M a

Yes x No

I f you are GST registered, do not include GST in these amounts. I f you are not GST registered, please provide the amounts induding GST.

This budget includes GST

Project costs

rage / of 15

,.. all the costs of yo

This budget does not include GST

pa oject and include the details

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Page 11: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

the CCS Application C

Item

eg Hall hire Adult assistant Materials Graphics and marketing

I Printing [ Venue II —Tutor fees

Materials

Tool hirage Technician fee

A: Total Cost

Page 8 of 15

Detail

eg 3 days hire at $100 per day I $18 pr hr 10 hrs

Materials from Bunnings $25 per hr estimate of 3 hrs spent o designing and distributing posters Posters and flyers Rental charges maximum of $63 per day $25 per hour 16 hrs

Amount

eg $30000 I I RO

Bits of furniture and materials from I Xtreme to use to make artwork from

Usage fee $25 per hour 10 hrs work

$12 $126 $400 $60

$25

I $

29.65

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Page 12: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Project income " ' r i t e down all the income you will get )ur prole( rom ticket sales, sale of artwork,

w i n oe requesting worn Lt....1'

Item

orkshop fees

Materials from Xtreme Tool hirage

terial's by Tutor

B: Total Income

Detail Amou

$15 per child per day kids (10 — 12 kids1 $360 estir: per day) siblings paying a special rate of $25 per day x 2 kids Donated kindly from Xtreme waste $60 Free of charge thanks from Xtreme waste Paint, Fa L , beads, buttons etc

Calculate your request from CCS using this table

A I Total cost of project B Less total income

I C Difference Amount requested t r o m CLS

Page 9 of I 5

$60 $50

$40

! $

$1329.65 $510

$819.65

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Page 13: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Financial background Tell us about any other funding you I

f • k I ' 7 I 1.

I—Date applied

pplied for or received for this project (including

Source of Type of funding funding

eg grant

Date of result Amount

Tell us about other grants you havi ved through CCS in the past three years.

Date I Project titl,

8/9/14

26 — 27 Sep 2015

'Crafty kids maker space'

! `Funked up Junk' kids! upcycle workshon

Have you submitted a project Amount completion report for this project? Yes $966.99

$701

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.

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

Page 1 0 of 15

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Page 14: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Art

Which of Alowing Please select one your proji

See the CCS Application Guide on page ,

Combined arts

Craft/object art

Dance

Film

Literature

ibes your project artfor

each artfon

Maori arts

Music

Pacific arts

Theatre

Visual arts

W h i c h nf the following activities hest describes your project? one

See the S Application Guide on page finitions

H Creation only

r i Creation and presentation

Presentation only (performance o r concert

r i Presentation only (exhibition)

Workshop

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Page 15: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

What the cultural tradii n o f your project!

The cultural tradition of your project relates to the particular heritage that your project is part of. Cultural tradition does not relate to your group's ethnic affiliations or geographical origins

Select _, i f ric.Pde

mple, apo workshop would be Cultural tradition: Eu lish

Cultural Tradition E l Maori

Eli Li

Pacific Island

Asian

Middle Eastern/

Latin American/African

Other

Page 1 2 of I 5

Detail

ion°, Polish dancir

N o particular cultural emphasis, multi-cultural

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Page 16: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Declaration

I/VVe understand that if this application is successful 1/we cannot receive funds for the

same project from Creative New Zealand's other funding programmes.

INVe 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:

• Complete the project as outlined in this application. ;4.4 Complete the project within one 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. Participate in any funding audit of my organisation or project conducted by the local council, if required.

>' Contact the CCS administrator to let them know of any public event or presentation that is funded by the scheme.

p Acknowledge CCS funding at event openings, presentations or performances. vs, 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 www.creativenz.govt.nz\logo.

I/we understand that the Waikato District Council:

• Is bound by the Local Government Official Information and Meetings Act 1987. • I/VVe also consent to it 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. INVe understand that my/our name and brief details about the project may be released to the media or appear in publicity material.

)1> 1/We undertake that 1/we have obtained the consent of all people involved to provide these details. INVe understand that I/we have the right to have access to this information.

• This consent is given in accordance with the Privacy Act 1993.

Page I 3 of I 5

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Page 17: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Name

Signature Position in organisation (if applicable)

Name and signature of parent or guardian if applicant is under 16 years of age:

Name

Signature

Date

How did you hear about this fun(

Council website

Council mail out

Council staff member

Creative New Zealand website

Local newspaper

Poster/flyer

Make sure you have:

Completed all the sections

Checked that your budget balances

Provided quotes and financial details

Attached supporting documents

Submitting your application

Page 14 of IS

Radio

Social media

x Word of mouth

Other (please give details):

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Page 18: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Tax Invoice %loaf Copy

Date

Details / Deption

- . 5 . 1 . NO.

Sub Total

5.S.T / Tax TOTAL

1 Rate

85

Page 19: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

cement for L'so.:

. N f j g r a l l C o r n atq l i t ty A r t s CountiC

Old School Arts Centre

Ill RE O F r R E , ( . . ; A L L F R N , ' „ k 7 A R I S A R T s ' i t ; 1)10 A N D B \ C K GARDEN

. / Name of Hirer : c J 1 t o n 2

Organisation:

Rooln(s) Required: T H E k T R E / G A L L E R Y / ST LAZARUS K I T C H E N / W E T A R T STUDIO i BACK GARDEN

Ittiv got t ciit tDritt) it (4-7

Times (including set-tio & pack-do-No) • h a l f flit:, Murstinas • b a l l (fa ) - Afternoon,. 11;:f - 5nici • ha l f d a ) - 'he hour-. a ' ; ] ,m — 11pm (6 13]:.: • p a r t d a y : , of 8am - „ipm hrs)

Contac t Person:

Cont.act Phone:

.-71m —12pm (5 hrs)

-

;%lobile: 02-S1- 42., 4:7-2-t-7-

CC

F r o m I;,..‘priI 2W 4, t h e hire of hue room nii7i0 us,: or walcoffec iii nkin2, b e a s lottows tall prtees include UST

Stn0dard I atc Oricie only hire orpoanoi.-. function OR lba a commercial activiy(... participalt ' Cs moi-0 ',hen S3(I ilin;): S6,0 half day, or evenir0,., use / $120 for a full day/Sit*, for 8am-:

111 ;IS pe r the Special Condo s on attached page

(D:te CCie br a not ibt tired I coo:maul-nue t:t,rottp ..tt a tint ph-,nnirw; shop O F L A C I A I d i i l i ; )■ ;_ ; . i !7/7 iJ - a „ . o c i s h o o 1 wian part icapani CC, ,

5,00 for a half day, or eve000:i use / S60 far a full dny15,S50 for 8.1n--.3prn

at ;Member rate: for Old Ser. Arts Centre: members who use the centrc on CO on-going basis a r t s r e i a t e d evcilry ren

o r ancipe clay,: in a ria,v.(t muilip evenin. ire-i' 5,40 for a full day/S;'i

One due a month roe 3 an 3110,70 MOTIAlS OR three •' 11:1515 LITTaM.',Ci.f Or tfIC WhOIC 'yes •r. 5501--3pin

.5,20 loan hnif .da‘,

usc: or .Kitchen: 530 t.ter hall Payer evening use,/ $60 for a full day

u s : i I Back Garden \ outds,ii \ Cilairs. 5 ;noi S30 per half day or et ening w..;;:: $60 for a full day

1H00 of Equi1)niii00. S25 extra

Him of PA Soki0i? .•!isrstriiii see s

ova. r an

e.qtre

• roan-tont for r a t e s a n d conditions

S ::counts:-

,Ste TeCt .70,q1,-.711 3225 ;one: ri)7) 825-0023 t re. as: u.s 11.;:fr 6: 'art ci"t• ..:171arirscewtre.c:,.nz

86

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111111111

Date: 2441' and 256 of September 2016

DESCRIPTION

1

up filtatir°

Helpers- assisting with workshop Technician

Workshop co-ordinator-Jodi Collins 4095 State highway 23

RD1 Raglan

0274247277 [email protected]

QTY COST

$18 x 10 hr S180 $25x 10 hr $250

Total $430

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Page 21: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

natlie ' -up Juitir'

Date: 24th and 25th of September 2016

DESCRIPTION

l iaorial hours-preparation, course design, workshop hrs Graphic design and marketing

Jodi Collins 4095 State highway 23

RD I Raglan

0274247277 [email protected]

QTY COST

16 hrs x S25 S400 3 hrs x $25 $75

Total $475

88

Page 22: 68...Applicant Details 243 Are you applying as an individual or group? Individual Group Full name of applicant Contact: person (for a groi Daytime phone number Jodi Prinz 0274247277

Wish Lis0;Bunnings Warehouse http://www.bunnings.co.nz/wish-lists/detairld=03012fdf-0165-4c9b„.

illts IR-Nearest

sty> 446 Te Rapp J

Access your Wish List anywhere, anytime A Bunnings profile allows you to create, save and edit multiple Wish Lists. You can also manage VVish Lists across your smartphone, tablet and desktop computer.

Sign up Already have a profile?

sh List You currently have 14 items in your VOsh List

Desc

1 o f 3

Ption

00129' -'

OziND

p.1111111-1N

i l i i i rs

SKI.1

51x 7 Scavenger Head Loose Self

Quantity Item Pr i Sub Total

$7.15 EACH

$15.79 EACH

$9.90 EACH

$12.08 EACH

$12.48 EACH

$715

$7579

$ 0.90

!AO

72.48

/ ( 1 1 1 1 1 1 1 K 10:33 an:

89