Community Grants Application Form

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Instructions

You must submit your application using this electronic based application form by 5.00pm on 31 May 2023.

Only use the space provided as excess information will not be considered. Use dot points to convey your message more efficiently.

Additional information may be requested to support your application.

Contact Council’s Team Leader Community Projects & Events for any assistance in completing your application on 4677 9611 or council@wollondilly.nsw.gov.au

Late applications will not be accepted.

Application Form

By submitting this application I acknowledge that I have read and understood the information made available about the Community Grants Program and that the information provided is true and correct

I acknowledge that this application is submitted with the full awareness and authority of either the organisation under which it is being submitted or, where applicable a parent or guardian

Contact Details

Full Name

Position within the organisation or group

Phone (during office hours)

Mobile

Email Address

Auspice

Grant Category

Organisational Details

Organisation Name

Street Address

Mailing Address - if different to Street Address

Australian Business Number (ABN)

Bank Details

Account Name

Account Number

BSB Number

Bank Name

Application Details

1. Name of event, project or activity

2. Please provide the timeframe that your project or activity will be delivered within. Note: (all projects or activities must be completed by 30 June 2024)

3. Please provide the location of where your project or activity will occur

4. Amount requested from Council – cannot exceed maximum amount allowed

5. Describe the event, program activity or equipment for which the funding is being requested

6. Linkage to Council’s Community Strategic Plan

Tick one box only
Refer to Council’s Community Strategic Plan 2033 for details

People – A safe, inclusive and resilient community, with access to services that support good health and wellbeing.

Environment – Our pristine and beautiful natural environment is protected, responsibly managed and enhanced as we grow and play our part for the future

Place & Landscape – Wollondilly’s unique towns and villages sitting within our beautiful natural landscape.

Economy – We are an emerging and dynamic Shire with a thriving and diverse economy

Performance – The community recognises we are striving to be a leading local government. We listen and respond to community needs, delivering excellent customer experiences.

7. How will your application address the strategies of the Community Strategic Plan?

Tick relevant boxes
Refer to Council’s Community Strategic Plan 2033 for details

Access to a range of activities services and facilities

A connected and supported community

Our local environment that is valued and supported

A community that interacts with, and cares for their environment

A strong local economy providing employment and other opportunities

Safe, maintained and effective infrastructure

Access to a range of transport options

8. Please provide an overview of how your project or activity relates to the strategies identified in question 7

9. Please provide an outline of how your project or activity benefits the community of Wollondilly? (suggested word count 60-100 words)

11. Provide an explanation of how your project or activity supports any of the following: Accessibility and inclusive practices, Cultural diversity and/or develops female participation in sport

Application Budget

(A) Income – all projected income

Income to be generated through fees, ticket sales etc.

Support income – donations, sponsorship from other sources

Financial contribution by your organisation or partners

Other Contributions – please state

Income Total (A)

(B) Expenditure – for all aspects of you event, project, activity or equipment

Tutor, Artist or Musician Fees

Material Purchased – Not purchase of equipment

Documentation and or Promotional Costs

Equipment Hire

Small Capital Equipment Items (Council may request quotes for each item)

Other costs – please state

Expenditure Total (B)

Amount Requested (C)

Amount requested from Wollondilly Shire Council (C) C must = B – A

Note: You may apply for up to a maximum amount as set out for each grant category. There should not be any shortfall in funds required to successfully complete your planned activity. Funding will only be considered for applications that show financial viab

What in-kind contribution will the organisation and partners be making towards your application? e.g. volunteer labour, use of facility or equipment

Privacy Statement

Wollondilly Shire Council is collecting personal information from you on this form for the purpose of assisting the determination process of your application. This information is required by law and failure to provide the information may lead to rejection or delays of your application.

At any time you have the right to access, view or correct the personal information that you have provided. Please also note that information supplied on this document may be the subject of a request to access information under the Government Information (Public Access) Act 2009.