Minor Community Grants - Application Form | District Council of Streaky Bay

Required fields are marked with an asterisk (*).

Minor Community Grant (Up to $2000 ex GST)

Checklist * You must be able to tick all questions in the below check list before starting your application.

Have you read and understood the guidelines?
Is your organisation based in the District Council of Streaky Bay Area? Or does your organisation provide a wide community benefit to the District Council of Streaky Bay ?
Is your event based in the District Council of Streaky Bay Area?
Is your organisation a not-for-profit Community organisation?
Is your organisation incorporated or have an auspicing body?
Are you able to demonstrate alignment to the recommended DCSB Strategic pillars?
Is your organisation covered by a minimum of $20m public liability insurance?
Have you prepared a recent copy of your financial statements?

Organisation Details

Applicant Organisation

Are your incorporated?

Organisation Postal Address:

Grant Contact Person:

Role within organisation:

Phone:

Email:

Auspicing body details if not incorporated:

Is your organisation registered for GST?

ABN:

Is the land on which the project is located Landowner consent must be attached if not owned by the applicant Note: Being awarded a grant does not imply that Council has given permission for works to be undertaken. All planning approval processes must be undertaken by the organization before any works can be carried out on any Council property. While a grant may be awarded prior to planning approval or lease condition requirements being met, works cannot be undertaken until all the normal approvals have been acquired and it is the sole responsibility of the applying organization to ensure that all lease conditions are met.

Owned by the applying organisation
Other

Please specify

Project Details

Title of Event:

Event Location:

Event Description:

Event Date:

How does your project align with at least one of the following three strategic pillars? • A welcoming and cohesive community • A robust and adaptive economy that provides sustainable employment • A healthy natural environment and an attractive built environment Describe for example how your project creates a cohesive community; or how does your event assist the economy? Or; how does your project support the natural environment or create infrastructure that adds to the attractiveness of our streetscapes, coasts, etc.

What will the grant funds be used for? Provide a brief summary of how the funds will be spent and exactly what they will be spent on (e.g. funds will be utliised to undertake concrete works to ensure disability access, we will be purchasing 15 new tables)

Who will benefit from the project? Describe how the District Council of Streaky Bay and the community will benefit from the project. This is a very important part of your application and necessary for its success. Provide evidence of community support for the project. Here you can demonstrate community support for your project. If you have a letter of support or other written evidence, please submit this.

What are the expected outcomes of the project? Briefly describe the broader community outcomes that you hope to achieve by undertaking your project.

How will you know if these outcomes have been achieved? Briefly describe how you will measure the success of your project.

Partnerships and collaboration List any other organisations that you will be working collaboratively or in partnership with and how you will be working together, include any financial contributions from third parties (e.g. other funding bodies).

How many people will be involved in organising the event? (Staff / Volunteers)

Estimated attendance:

Download Income and expenditure budget - Example.docx

Budget

Will this event still go ahead if not fully funded as per application?

Provide a detailed income and expenditure budget for the project. This is an essential element of your application. Failure to provide appropriate detail of income and expenditure may impact on your applications chance of success. Expenditure amounts must be verified by a quote or another form of evidence.

Upload Detailed Income and Expenditure *

Acknowledgement of Funding

District Council of Streaky Bay requires acknowledgement of its support for any project or activity funded under the Community Grants Program. This should include one or a combination of the following: • Acknowledgement of the Council’s support on all printed materials related to the project or program; or • Opportunities for a representative of the Council to attend or speak at key activities; or • Inclusion of sponsor messages in any program or project related publicity Council Name and Logo Use. Council name, logo and brand are subject to strict guidelines and requirements for use.

Please ensure you attach the following documents before submitting: Please note that failure to submit required documents may result in your application being denied.

Completed Financial Statements for past two financial years *

Certificate of Currency – Public Liability Insurance (minimum $20m) *

Declaration

Declaration * I hereby certify that I have been authorised to prepare and submit this application on behalf of the above-mentioned group or organisation and that the information contained in the application is true and correct to the best of my knowledge. I acknowledge that the District Council of Streaky Bay requires acknowledgement of its support for any project or activity that is funded under this program and acknowledge that this requirement will form part of the acceptance of any funding through this program.

I Agree

Name: *

Position Held: *

Minor Community Grants - Application Form

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