PROTECTED B once completed

Museums Assistance Program (MAP)

Application Form 2014-2015
IMPORTANT:
To complete this form electronically, please enter data in shaded areas. You may also print the form and complete Sections A and B manually and
attach a separate hard copy of your answers to Sections C and D. This Application Form, the Project Budget Form, and the Application
Checklist are integral parts of the application: the three documents must be completed and submitted with the supporting documents listed in the
Application Checklist. Please sign the Application Form and the Application Checklist.
Once completed, this form must not be transmitted electronically to the department in order to ensure confidentiality of your personal/private
information.
A. Applicant Identification (please print)
Applicant Information
Full Legal Name of Organization (as per incorporation documents) (required)
Scugog Shores Museum
Usual Operating Name (optional) Former Legal Name (as per incorporation documents) (if applicable)

LEGAL STATUS (required)
Incorporated as a non-profit organization
Yes Federal No In process
Provincial/Territorial Date applied

Registration Date Corporate registration No.

Official Incorporated Name (Governing Authority)

Registered with Canada Revenue Agency as a charitable organization (required)

Yes Registration No. No In process

Registration Date Date applied
Scope of organizations activities (required)
Local Provincial/Territorial National
Municipal Regional International
Applicant Address (required)
Street City Province/Territory Postal Code
1655 Reach Street Port Perry Ontario L9L 1P2
Mailing address if different from above (if applicable)
Street City Province/Territory Postal Code P.O. Box

Web site
Telephone Ext. Fax E-mail
http://www.scugog.ca/en/live-and-play/Scugog-
(-905) 985-8698 () mail@scugog.ca
Shores-Museum-Village.aspx
Contact for Official Correspondence (required)
Name Title
Shannon Kelly Curator
Mailing address if different from above (if applicable)
Street City Province/Territory Postal Code P.O. Box

Telephone Ext. Cellular Telephone No. Fax E-mail
() () ()

Official Language of Choice

In which official language do you wish to communicate? (required) English French
Do you belong to or serve an Official Language Minority Community? Yes No

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Summary Organization Information
Type of organization (required)

Museum (specify) Heritage Service Organization Municipal Government

History (national/provincial/territorial) Regional Authority
Science & Technology Heritage Service Organization Provincial/Territorial Government
(professional/sectoral)
Art Educational Institution
Aboriginal Organization / Aboriginal
Nature Governing Body (specify) Archives
Aboriginal Heritage Other (specify)
Other (specify)
Number of Staff (required) Attendance (optional) Fiscal Year of the Organization (required)

Full Time Paid 2 Number of visitors per year 4070 01/01 to 31/12
Part Time Paid 4 Number of external users per year (DD/MM) (DD/MM)
Full Time Volunteer 4 (e.g., through electronic outreach, extension
Part Time Volunteer 2 services and activities, outreach programs, etc.)

Past Funding
Did the project receive any funding from MAP in the past? If yes, please provide more details (project title, year, amount received, etc.) No

Did the project receive any funding from other Canadian Heritage programs in the past? If yes, please provide more details (program, project
title, year, amount received, etc.) No

B. Project Summary
MAP component selected (check one box only) (required)
Access to Heritage Collections Management
Exhibition Circulation Fund Aboriginal Heritage
Project Title (required)
Wigwam reconstructing project

Project Description (required)

Provide concise summary of the project and final results (Who, What, When, Activities)
[max. 250 words]
(If your application is successful, this information may be used on the Departments Web site)
The Scugog Shores Museum is planning to reconstruct it's Wigwam onsite to preserve the culture of the Ojibwe people in the area. This project
will be done in partnership with the Mississaugas of Scugog Island First Nations, who will be able to use the wigwam for ceremonial events in
future, the first being a traditional feast to celebrate the completion of this project. The Chief of the Scugog Island First Nations has agreed to
have 2 Elders present at the ceremony. The goal is to make repairs to the Wigwam outside so that the community can watch as the repairs are
made. We have made arrangements with the Mississaugas of Scugog Island First Nations to provide us with a Traditional Knowledge Holder
who has the skills to make the necessary repairs. Dan Denby is willing to take on the repairs to the Wigwam as a volunteer. Dan built the
Wigwam several years ago and is prepared to complete the project within the time frame that we have set out. The museum will be able to hire
two First Nations youth to work on the project with Dan, since Dan is working pro-bono.
We have set a budget of $20,000.00 which will cover all expenses for the project. This includes travel expenses, the cost to pay two First
Nations youth for five months, the advertising of the project in the local schools as well as an ad in the local paper inviting the community to the
grand reopening of the Wigwam.

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Which of the following objectives does your project address? Facilitate Canadians access to our heritage
(required)

Foster the preservation of Canadas cultural heritage

Foster professional knowledge, skills or practices related to key museum

functions
Describe how your project meets the objective(s) selected above? (required)
The reconstruction of the wigwam at the Scugog Shores Museum will enable the continued facilitation of traditional knowledge of the
Mississaugas of Scugog Island First Nations. As part of the Truth and Reconciliation Report we are devoted to work in partnership with the First
Nations peoples. The project will take place during the fall, allowing for school groups to visit the site while the repairs are being made. This
allows for children of all cultural backgrounds to learn about traditional skills and build techniques first hand.

Will the products that are to be presented to the public be Yes No

bilingual?

Are there any existing Web pages about the project? Yes No
If yes, indicate URL

If applicable, what are the space requirements for the proposed
exhibition? 7.5 m ft Not applicable

Project Start Date (required) Project End Date (required)

01/08/18 01/12/18
Total Cost of the Project (required) Total Funding Amount Requested (required)

Project Manager

Shannon Kelly Curator (905) 985-8698 103

Name (required) Title (required) E-Mail (required) Phone number (required) Ext.

C. Project Detail
(Please limit your responses to no more than 6 pages for this section with a minimum font size of 12)
For some of the answers, if additional information is contained in an annexed document, please indicate the document title and the page
number in the appropriate answer box and in the checklist.

1. Relevance of Project (required)

Describe and explain how the idea of undertaking this project came about.
b) How your organization will benefit from the results?
Who are the final results aimed at? Identify the target audience
a) The initial idea for this project developed from the deteriorating state of the Wigwam which is currently located in
the heritage village.
b) By repairing the Wigwam, Scugog Shores will continue to be relevant for school groups to come to for field trips.
The museum will also benefit by providing the educational programmer the opportunity to learn first hand about
Aboriginal construction techniques.
c) Our results are aimed at the visitors to Scugog Shores Museum.
2. Expected results
Itemize all products (outputs). Itemize short term and long term results (outcomes) of the project. Provide the expected attendance (if
applicable).

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The final product which will be produced is a 7 meters square wigwam. In the short term the building of the wigwam
will educate Mississauga youth on traditional skills and building techniques. In the long term, the wigwam will be used
to educate visitors to Scugog Shores Museum, including school groups. At the present time Scugog Shores Museum
has over four thousand visitors per year. We hope that the new wigwam will increase visitor attendance by five
hundred people in the coming year.
3. Community Engagement (if applicable)
Describe how your project engages and involves the community or other institutions or develops partnerships.

The revitalization of the Wigwam at Scugog Shores Museum will involve the Mississaugas of Scugog Island First
Nations. The project will highly involve and engage this community from beginning to end. The community selected
the Traditional Knowledge Holder who would be responsible for reconstructing the Wigwam. The project will also
employ two Aboriginal youth from the area. When the project is completed, the Chief of the Mississaugas of Scugog
Island First Nations will provide two elders to go the Scugog Shores Museum to feast the Wigwam.
Furthermore, while Dan is harvesting materials in the Mattawa area, he will be forging ties with the people of that
area. These are useful connections to make for the future when the Wigwam needs to be repaired.

4. Project Planning, Management and Resources (required)

a) Outline project activities including a timeline and planned risk management measures. (Provide reports on previous phases if
applicable)
b) Describe the human and material resources for each activity, including partnerships.
c) Identify the role and project-related tasks of each participant including staff and outside consultant(s). Please attach a competency
profile or CV for each project participant (not required for ECF applications). Attach other documents as listed in the application
checklist (i.e. signed loan agreements, letters of intent or confirmation, list of exhibition content).

Planning for this project began in April 2017. Working in partnership with the Mississaugas of Scugog Island First
Nations, a Traditional Knowledge Holder, Dan Denby, has been selected to repair the Wigwam at Scugog Shores
Museum. Since Dan has decided to build the Wigwam as a volunteer, the funds that would have gone towards his
wage will instead be used to hire two Aboriginal youth from the area to work and learn with Dan over the course of the
project. The job posting for these two positions will be posted in June and filled by August. Dan and the two students
will be provided a perdium for travel expenses.
The search for harvestable materials such as birch and spruce roots will begin in August. This will provide Dan
sufficient time to find the traditional materials that are required to build the Wigwam. Fortunately, these materials will
cost nothing towards the project as it is free to harvest. Dan will merely need to find a suitable place in which he can
legally harvest the necessary materials.
Traditional harvesting will begin in September and continue into October, depending upon the weather. Harvesting
will be done by Dan and the two hired youth. This will require travel again, which will be paid to a maximum of three
hundred dollars per day per person. While travelling, the museum will be making connections in other areas of the
province for future projects.
Construction will begin after harvesting is completed. Interior supports from the previous Wigwam will be salvaged
and reused. Once construction begins, the educational programmer will be responsible for learning about the building
proceedures and tools used, in order to teach visitors in the future.
A deer skin has been donated to the museum for the express purpose of the wigwam, and will be used as a door
covering.
The project will be completed by December 2018. At that time, two elders from the Mississaugas Scugog Island First
Nations will come to Scugog Shores Museum and traditionally feast the new structure.
The CVs of project participants would be attached to this application

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 5. Project Evaluation (required)
Describe your evaluation strategy, including performance indicators, for measuring the success of your project.
Specify the tools and methods that will be used to gather data to assess both outputs and outcomes identified in question 2

The project will be evaluated quantitatively and qualitatively every month starting in August. Regular communication
will occur between Dan and the curator of Scugog Shores Museum to ensure that the project is staying on schedule.
By the end of October, at the lastest, all building materials must be on site at Scugog Shores Museum in order to
begin repairing the structure.

6. Project Budget (required)

Complete the MAP budget sheets. Provide any explanatory notes and/or precisions in the space below.

See budget sheets.

D. Organizational Capacity
(Please limit your response to a maximum of 3 pages with a minimum font size of 12)
For some of the answers, if additional information is contained in an appended document, please indicate the document title and the page
number in the appropriate answer box and in the application checklist.

1. Financial Stability (required)

Please attach your financial statements for your last two fiscal years as required in the checklist. Please outline any significant changes since
your last financial statement.

Please find the 2013-2014 Scugog Shores Museum budget attached below.

2. Governance Structure (required)

a) Provide a list of current Board members and a list of full time staff, including position titles.
b) Describe the role of the Board, Board Committees, and staff.
c) Attach other documents as listed in the application checklist (strategic plan, evidence of current federal, provincial or territorial
incorporation for first time applicants, annual report, organizational chart, etc.)

This information would be included if we had access to the information

3. Mandate Implementation (required)

a) State the mandate of your organization
b) List your organizations key museological activities and/or services, key clienteles and key community partnerships and describe your
more recent accomplishments related to these.
c) Link these activities to your mandate.
d) Please attach as an appendix your list of institutional policies and, where applicable, copies of museological policies.

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Please see attached Policies and Procedures.

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E. Affirmation

I affirm that the information in this application is accurate and complete, and that the project proposal, including annexes, plans and
budgets, is fairly presented. I agree that if funding is provided, any change to the project proposal will require prior approval from the
Department. I agree to publicly acknowledge funding and assistance provided by the Department. I also agree to submit the requested
report(s), and where required, financial accounting for audit or evaluation of the activities funded by the Department. I also agree to
respect the spirit and intent of the various acts governing the programs of the Department of Canadian Heritage.

By signing this application, I authorize the Department of Canadian Heritage to disclose any information received in this application
within Canadian Heritage and the Government of Canada or to outside entities for the following purposes: to reach a decision on this
application, to administer and monitor the implementation of the project, or to evaluate the results of the project and this program after
project completion. This disclosure of any information received in this application may also be used to reach a decision on any other
application of the applicant for funding under any other PCH program.

In the event of an access to information request regarding the present funding application or any other information about the
organization in the Departments possession, the information provided to the Department will be treated in accordance with the Access
to Information Act and the Privacy Act. Where funding is approved, however, the amount of funding, the purpose for which the funds
were granted and the name of the organization receiving the funding are considered public information.

Authorized Signature (Contact for Official Correspondence/Authorized Signature)

Authorized Signature Name and Title (please print) Date

(required) (required) (required)

OFFICE USE ONLY DATE RECEIVED PROGRAM OFFICER

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