Community Project Grant Application Form

APPLICANT DETAILS

Additional documentation can be provided by applicant if additional space required

Is your organisation GST registered? (*)

 

APPLICATION DETAILS

Has funding for this project been provided in the past?

 

BUDGET

Please attach quotes if relevant


 

PROMOTION AND EVALUATION

Are there opportinities for Accord members or other community groups to take part in this project?
Are there opportunities to involve the local media?

 

PAYMENT DETAILS

CHEQUE DETAILS


 

ADDITIONAL INFORMATION

If you wish to supply additional information please include it in a single document and attach it below, or alternatively, email it to us at:


 

APPLICANT'S OBLIGATIONS

  • I agree to invoice Horizons Regional Council for the full amount awarded within two months of receiving notification of successful application.
  • I agree to ensure that the sponsorship amount and any products or services received as part of the sponsorship will be used solely for the activities specified in this application and for no other purposes.
  • I agree to provide feedback about the activity to the relevant Funding Steering Group and provide photos if available within a timeframe of one month following the sponsored activity.
  • If this application is on behalf of an organisation, group or other entity I confirm that I have informed them of this application and will provide acknowledgement of sponsorship receipt via the entity supported (i.e. on official letterhead)
  • If the project is being carried out on land not owned by the applicant I confirm that I have sought permission from the landowner to carry out planned activity.

 Please attach a project plan and timeline