Long Term Plan Grant Application

NOTE: All fields in this application form are mandatory. Incomplete applications or proposals that don’t include all required supporting documents as set out in the checklist will not be considered for funding.

1. Applicant's details

Name of applicant/community group*
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Name of contact person*
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Email*
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Postal address*
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Town*
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Postcode*
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Phone*
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2. Talking to our councillors

Do you (or a representative from your organisation) wish to present your funding application in person to Councillors at the meeting on 18 October 2017?*
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3. Organisation details

Briefly describe your organisation, the community service that it provides and how it meets Council’s policy criteria*
This question is required
Number of paid employees*
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Number of volunteers*
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What is your organisation's primary source of funding (e.g. grants, donations, fees or charges, or government funding)?*
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Is your organisation a registered Incorporated Society?
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Incorporation Number:
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Is your organisation a registered Charity?*
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Charities Registration Number:
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4. Project Details

In which area/s will the project take place?*
please tick at least one option
Describe the project your organisation is requesting funding for and how it meets the policy eligibility criteria.*
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Describe how your organisation will contribute to this project, either financially or through volunteer time or other.*
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Describe how your project contributes to one or more of Council’s Outcomes for the Community (Refer to the Community Ward Grant Policy for a full list of outcomes).*
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Describe how your project benefits the community. *
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Amount Requested (excluding GST)*
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5. Supporting information

Have you previously been given assistance by Council or other agencies for this or a similar project? *
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If yes, please supply details, who, when and what type of assistance
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Tip: if there are not enough attachment fields for your supporting documentation, you can put multiple documents into a zip file and upload the zip file with your application.
Please attach a breakdown of your funding needs, including your budget and other sources of funding.*
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Please attach details about the proposed project/s, including timeframes
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Please attach any quotes you have received relevant to this project
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Please attach any other supporting information you wish to include in your application
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Attach any additional documents or information
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6. Declaration

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Please tick the box
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