Application worksheet
A printable version of ANZ New Zealand Staff Foundation's application questions, extracted from their official form. Use it to plan your answers - then submit through the funder's real form.
View the original PDF →Application worksheet
ANZ New Zealand Staff Foundation Example Application Questions
ANZ New Zealand Staff Foundation
This worksheet mirrors the questions on the funder's official application form. It is NOT the official form. Submit your final answers through https://www.anz.co.nz/about-us/corporate-responsibility/community/staff-foundation/.
1. About your organisation
Charity name*
This must be the charity’s legal name, i.e. the name under which the charity is registered.
Have you received a grant from the foundation in the past?*
If yes to question 2, have you received a grant from the foundation in the past 11 months?*
Provide your charity’s details:*
Postal Address (street) Suburb, City/Town, Region, Postcode Phone Number Email Address Website
Provide your charity’s bank account number and proof of bank account.*
Proof of bank account can be any of the following: A pre-printed deposit slip which includes the full bank account number (bank, branch, account number and suffix) and the account holder's name. A bank statement which includes the full bank account number (bank, branch, account number and suffix) and the account holder's name. A letter from the bank which includes the full bank account number (bank, branch, account number and suffix) and the account holder's name. This must be signed and stamped by the bank.
Provide a main contact person for your application:*
Name (first and last) Position/Title Mobile Phone Number (you may enter a landline if the person does not have a mobile phone) Email Address
Provide a secondary contact person for your application:*
Name (first and last) Position/Title Mobile Phone Number (you may enter a landline if the person does not have a mobile phone) Email Address
Tell us about your organisation.*
In 1000 characters [approximately 200] words or less, please tell us when and why you were established, what you do and what you aim to do.
What sector does your application for funding relate to?*
Provide referee details:*
Name Position/Title Mobile Phone Number (you may enter a landline if the person does not have a mobile phone) Email Address
Would your charity benefit from having ANZ volunteers?
In 500 characters, please provide details of: what activity they could undertake and when, and the number of volunteers you require.
Is an ANZ New Zealand Staff Foundation member supporting this application?*
What project or activity is your organisation seeking funding for?*
In 1000 characters [approximately 200 words] or less, please describe the activities or project(s) you are requesting funding for.
Amount Requested:*
Less than $10,000 or $10,000 or more. Enter the total amount you are requesting from the ANZ Staff Foundation in this funding round.
What is the total cost of this project / initiative?*
The maximum amount a charity can request for funding from the Foundation is $25,000 per funding round.
Cost breakdown.*
If your application involves funding for a number of different items, please provide an itemisation of costs for each item/component.
Approximately how many people will benefit from this funding?*
How will you measure the success of the project?*
In 1000 characters [approximately 200 words] or less, tell us how you will track your progress.
What is the timing of your project?*
Please tell us the actual date, or specific period, of activity.
Have you applied to any other organisations for funding for the same purpose?*
If YES, was your application successful?
Documents to attach
- Copy of your most recent set of annual financial accounts
- Management accounts if annual financial accounts are more than six months old
Declarations
- We declare, to the best of our knowledge and belief, that:
- All the information in our application is true and correct.
- We are authorised to make this application on behalf of the applicant charity.
- All estimates of spend included in this application represent costs that will be incurred by us.
- We agree to only use money given to us by the foundation for the charitable purpose in our application (meaning the project or activity described in question 13).
- We will provide a brief report to the foundation on the result of our project and the impact the funding has made within six months of receiving the money. We will confirm in this report that we have only spent the money on the charitable purpose in our application. We agree to repay the money to the foundation if we don't comply with this requirement.
- We will return money we don't spend to the foundation if it is more than $300 or if we don't spend the money within six months.
- We will let you know immediately if we're removed from the charities register or our charitable registration is, or could be, at risk.
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.