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New Century Community Library Grants - Fall 2002New Century Grant Application - Cover SheetRequired ElementsPlease check off all items before submitting application. If all the required elements are not submitted, your application will NOT be reviewed. __________Completed and signed application __________Name, address, and contact people for all collaborating agencies, if any __________Itemized budget request including documentation of cash and/or in-kind match __________Letters of support from all collaborators __________Letter of approval from governing body chair __________Resumes or job descriptions for persons to be employed by the project, if any __________Verification that matching funds are available All libraries submitting applications are encouraged to meet the minimum standards for staff, collection size, and hours open as listed in the Maine Public Libraries Standards, 2000. This will count 10 points in your applications evaluation. A. The library provides no fewer than 6000 volumes.(p.36 of Standards...2000) B. Every library, no matter how small, should have a permanent, paid staff member, scheduled to work a minimum of 25 hours per week and who is responsible for the administration of library services. (p.56 of Standards...2000) C. The library is open 15 hours or more a week D. The library director sends an annual report to the Maine State Library New Century Grant Application -2002The applicant hereby applies for New Century Community Library Grant funds from the allotment available to the Maine State Library for the enhancement of public library services and cultural cooperation. (See enclosed Direction Book and Fact Sheet for available funding.) Application of: ________________________________________________________________________________ (Name of Library) Date Submitted: ________________________________________________________________________________ Verification of 50% matching funds in cash or in kind must be included under #10 in this application. All required elements must be submitted on or before Oct. 16, 2002, by 5:00 p.m. in order for your application to be reviewed. The goal is for evaluators to make funding recommendations to the Maine Library Commission at its January 2003 meeting. Contact Person: ________________________________________________________________________________ Mailing Address: ________________________________________________________________________________ City/Town: _____________________________________________Zip: _________________ County: _________________________________________________ Telephone: _____________ Fax: _______________________________________ E-Mail Address: ________________________________________________________________________________ *Please refer to Fact Sheet and Directions Booklet for grant information. PLEASE RETURN TO: Library Development Maine State Library 64 State House Station Augusta, ME 04333-0064 FOR MAINE STATE LIBRARY USE ONLY: Date application received by Maine State Library: ________________ Date of final action by Maine Library Commission: _______________ 1. Legal Name of Applicant: ___________________________________________________________________ (If the public library is a municipal department, the governing body of the municipality is the applicant. If the public library is governed by a private association, the association is the applicant.) 2. Address: ________________________________________________________________________________ ________________________________________________________________________________ 3. Type of Ownership (Please Check One) _____ Legally Established Library Board _____ Local or Other Unit of Government (Specify) _____________________________________________________ _____ Other (Specify) _____________________________________________________________________________ 4. Name & Location of Library: _________________________________________________________________ ________________________________________________________________________________ 5. Chair Person, Board of Trustees: Name: ___________________________________________________________________________ Address: ________________________________________________________________________ City/Town: _______________________________________________ Zip: ___________________ Telephone: ____________________ Fax _____________________ E-Mail: ______________________________________ Please answer the following questions - Total grant application should not exceed 10 pages. 6. Project Rationale, Implementation and Evaluation: (7a-k 55 points) (See evaluation form for all rating points) a. Please provide a brief (couple of sentences) description of your project. b. What happened and who was involved in recognizing the need for the project? c. Briefly describe what you are trying to fund? (i.e. what do you want to accomplish with this grant?) d. How does the project address a major issue within the library or the library's community? e. What are the time-based and measurable objectives of this project? (i.e. please state the goal or goals of this project and list the time-based, measurable objectives that will be used to achieve each one.) f. What action steps will you have to take to reach these objectives? g. Who has been involved in the planning for the project? (i.e. who are your community stakeholders and strategic partners? List the groups and organizations represented. ) h. Who will carry out the project? (project coordinator, library director, president of the friends) Please be specific. i. What criteria and processes will you use to evaluate the success of this project? (e.g. increase the number of children ages 4-6 having library cards demonstrated by before and after project card holders and their use of materials; increase in the speed of receiving interlibrary loans, demonstrated by record of delivery times before and after project; increase in the number of local history materials donated to the library, demonstrated by materials counts before and after project and use of materials.) j. How will you achieve appropriate public exposure through the media? k. How does the project further community cultural and economic development? 7. Meets Minimum Standards in Staff, Collection Size and Hours open as stated in Maine Public Library Standards, 2000. (10 points) ________Open 15 hours per week (yes or no) ________Permanent, paid staff responsible for administering the library and working at least 25 hours a week. (yes or no) ________6000 volume collection or larger (yes or no) ________The library director has sent in an annual report to the Maine State Library 8. Collaborating Agencies and Funding (5 points) Please attach a separate list of all collaborating agencies, if any. Include a letter of support from each agency that includes a brief paragraph about their specific role, contribution and involvement - the more time-based, measurable and specific, the more accountable they will be to you.
9.Funding Funds: A. What amount of New Century Grant money are you requesting? ________________________________ B. What matching funds (in cash) are available to support this project? ___________________________________ C. What is the dollar value of in-kind support for this grant? ____________________________________________ In kind contributions generally take the form of things difficult to document in accounting. Examples are staff or an individual's volunteered time; travel expenses; the use of meeting space or equipment; and the provision of other goods and services necessary to the project. D. What is the total value of the project you wish to accomplish? _______________________________ (The amount in D should be the total of A, B and C.) E. Please itemize your project budget here. (10 points) F. Please itemize your in-kind budget here. 10. Schedule: A. Estimated Date of Beginning Project: __________________ (e.g. one month after receipt of grant) B. Estimated Date of Completion: ___________________ 11. Person Authorized to Receive New Century Community Library Grant Funds: Name & Title: ________________________________________________________________________________ Address: ________________________________________________________________________________ City/Town: _________________________ Zip: ________________ Telephone: _______________________________ Fax: _________________________ 12. Person Authorized to Requisition & Approve Expenditure of New Century Community Library Grant Funds: Name & Title: ________________________________________________________________________________ Address: ________________________________________________________________________________________ City/Town: _____________________ Zip: _______________ Telephone: _______________________________ Fax: _________________________ 13. Official Accounts of Receipts & Disbursements for Proposed New Century Community Library Grant Project Will Be Maintained By: Name &Title: ________________________________________________________________________________ Address: ________________________________________________________________________________ City/Town: _________________________________________________ Zip: ______ Telephone: ____________________________________ Fax: ________________ 14. The Applicant Hereby Gives Assurance that the Required Matching Funds are Available at the time this application is submitted. __________________________________________________________________________ Signed |
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