Culture Programs Unit Programs and Services Branch 401 Bay Street, 17th Floor Toronto ON M7A 0A7
Museum Name Year of Assessment Mailing Address Telephone No. (April–November) Telephone No. (December–March) Fax No. Website (URL) Museum Curator
Contact Name Contact Title Email
The following questionnaire requires you to provide written answers, examples and policies or policy statements. Record your answers and examples on a separate sheet, referencing the question number below for each answer or example.
When referring to a specific section of a policy document for the questions below, please provide a copy of the document, and identify the page number and paragraph number of the requested statement. Please provide the most up-to-date version of the document (signed and dated by the governing body of the museum e.g. Board of Directors) and please indicate when it was last updated.
Contact your Heritage and Museum Advisor if you require clarification or assistance.
Note: The ministry will provide partial scoring on most questions, so applicants are encouraged to submit any material they have, even if it is not exactly what is requested. Policy statements should be the final approved versions (e.g., governing body approved).
On behalf of and with the authority of the Applicant, I certify that:
Name of Authorized Signing Officer (Please Print) Title Signature Date (mm/dd/yyyy)
Please send completed form to: Culture Programs Unit Programs and Services Branch Ministry of Tourism and Culture 401 Bay Street, 17th Floor Toronto ON M7A 0A7