New Brunswick/Québec Cultural Cooperation Grant Program
FINAL ACTIVITY REPORT
1.
Name of project:
_____________________________________________________________________________
2.
Location and date(s) project was carried out:
_____________________________________________________________________________
3.
Organization and Partners
3.1 Applicant organization and grant recipient:
Name :
Address :
City/Town:
Postal Code :
Telephone (Office): (
Telephone (Home): (
)
)
Partner organizations in New Brunswick and Quebec:
3.2:
3.3:
3.4:
3.5:
Note: If you require more space for your response, please attach a separate sheet.
New Brunswick/Québec Cultural Cooperation Grant Program | Final Activity Report
Revised: February 2013
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4.
Description of project carried out:
4.1 Has the project been implemented on schedule and in accordance with the
description appearing on question 6 of your application?
YES
NO
If not, please indicate below how the project implemented differs from the project presented
in the application.
4.2 Key activities and dates of completion (if applicable, attach the program):
5.
Results and success of project. How has this project contributed to the objectives of
the NB/Québec Cultural Cooperation Grant Program? (please attach all documents
pertaining to the project: promotion material, programs, news clippings, etc.):
New Brunswick/Québec Cultural Cooperation Grant Program | Final Activity Report
Revised: February 2013
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6.
Will the implementation of this project create further opportunities for activities under
the cooperation agreement between New Brunswick and Québec? If yes, please
explain :
7.
Has the financial assistance received from the New Brunswick/Québec Cultural
Cooperation Grant Program been used for the purposes for which it was granted?
YES
NO
If not, please indicate below how the project realized differs from the project presented in the
application.
8.
Indicate how and when the financial assistance received has been recognized in your
communications (brochures, publications, advertising, correspondence, etc.). Please
attach pertinent documents to substantiate this :
New Brunswick/Québec Cultural Cooperation Grant Program | Final Activity Report
Revised: February 2013
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9.
Financial Statement (please attach cost sheet and invoices for this activity, if applicable):
Year: 20___ - 20___
Details of Expenditures
(Expenses paid with this funding)
Financial Assistance
Received
Amount received under
the New Brunswick /
Québec Cultural
Cooperation Grant
Program for the year
covered by this report.
$
Accommodation, travel, and transportation
costs within Canada (required to carry out the project)
Travel costs
Accommodation costs
$
$
Project-related communication and
advertising costs
$
Specify (advertising, production of material, etc.)
Registration fees (symposia, conferences, etc.)
$
Miscellaneous supplies and office equipment
$
Specify
Fees (where the organization does not have the necessary
human resources)
Artist fees (limited to $5000, on the understanding that the
amount cannot exceed 50% of the total eligible expenses)
Miscellaneous expenses (taxis, laundry, telephone,
etc.)
$
$
$
Book purchases (in the case of the Author Exchange
Program only)
Total expenditure
$
New Brunswick/Québec Cultural Cooperation Grant Program | Final Activity Report
Revised: February 2013
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10.
Signatures
I certify that the commitments made during the implementation of the project have been
honoured and that all the information provided is accurate.
________________________________________
___________________________________
Name and position of signing officer
Signature
________________________________________
___________________________________
Name and position of project proponent
(if different from above)
Signature
________________________________________
Date
Please forward this completed Final Activity Report to the following address within three
months after the completion of your project.
Arts Development Branch
Department of Tourism, Heritage and Culture
PO Box 6000
Fredericton, N.B. E3B 5H1
Tel: (506) 453-2555
Fax: (506) 453-2416
E-Mail: [email protected]
New Brunswick/Québec Cultural Cooperation Grant Program | Final Activity Report
Revised: February 2013
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