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Application worksheet

A printable version of Hurunui District Council - Hurunui Heritage Fund'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

The Hurunui Heritage Fund 2026 Application Form

Hurunui District Council - Hurunui Heritage Fund

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.hurunui.govt.nz/community/awards-and-funding/hurunui-heritage-fund.

Please read 'Notes for Applicants' and 'Assessment Criteria' (attached to this form) before completing this application.

1. PART A – Detail of applicant

Name of applicant:*

Name/status of contact person for this application:*

Address of applicant:*

Phone:*

E-mail:*

Name and contact details of landowner (if different from applicant):

Phone: (work) (home) (mobile)

E-mail:

Bank account number:*

Please attach a deposit slip or similar verifying your account number.

Name on bank account:*

2. PART B – Summary of work

Aim of project (brief):*

Date project started:*

Expected duration and staging of project, including expected costs of each stage:*

If you are granted funds, specify how and when they will be spent:*

Have you applied to any other fund for this project? If so, what fund?

3. PART C – Detailed description of project

Provide an overall description of the site and project, covering as many points set out in 'Assessment Criteria' (attached) as you can.*

Describe any work that has been carried out to-date toward the project:

Describe how you would manage, protect and maintain the project if you are successful in securing a grant from this fund:*

Do you consent to a Council employee contacting you to investigate whether any other sources of funding may be available for your work?

4. PART D – Acknowledgement

Signed*

Name (please print)*

Date*

Documents to attach

  • Bank account verification (deposit slip or similar)
  • Supporting documents such as plans, diagrams, maps, photos (limit to no more than 15 pages)

Declarations

  • I am authorised to sign this application on behalf of the applicant.
  • The answers given on this form are true and correct.
  • The funds will be spent by the applicant in the manner declared in this application.
  • If the applicant is a group, I will be responsible for how the funds are spent.
  • I will inform the Hurunui District Council in writing if I receive a funding grant from any other source before I am informed of a decision on this application.
  • I have read and agree with the 'Notes for Applicants' below.

Signature

Date

Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.