Application worksheet
A printable version of Hurunui District Council - Sport NZ Rural Travel 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
Sport NZ Rural Travel Fund Application Form 2025 - 2026
Hurunui District Council - Sport NZ Rural Travel 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/sport-nz-rural-travel-fund.
1. A. Details
Name of organisation*
Contact person*
Postal address*
PO Box address*
Telephone*
Email*
2. B. Contact Names
1. Name*
1. Phone*
2. Name*
2. Phone*
3. C. Organisation Details
Are you a club or a school?*
1. How many members belong to your club/school?*
2. How many participants aged between 5 & 18 will this travel subsidy benefit?*
3. How many participants are aged between 5-11 yrs*
4. How many participants are aged between 12-18 yrs*
5. Please detail how many applicants are female*
6. Please detail how many applicants are male*
7. Does your application involve a partnership with a local school / club*
8. What is this funding going to be used for? (Briefly explain)*
9. Do you have any disabled individuals who are being supported by this fund?*
a. If yes, how many will receive support from the RTF
10. What percentage of your members live in the vicinity of the local authority you are applying to for the rural travel fund?*
%
4. D. Financial Details
1. Are you registered for GST?*
If yes please write your GST Number in the space provided below
GST NO.
2. How much money are you applying for? Sport NZ funding*
2. How much money are you applying for? other funders*
2. How much money are you applying for? your contribution*
2. How much money are you applying for? TOTAL*
3. If you have applied for funding from other organisations please supply details
refer to Table 1 below
4. Do you have endorsement from your local affiliated club/school for this application for funding? (this is only relevant if the group applying is the regional body).*
briefly explain and attach evidence of this
5. E. Declaration
1. Name*
Position in organisation / title*
Signature*
Date*
2. Name*
Position in organisation / title*
Signature*
Date*
Documents to attach
- Latest financial statements from your organisation (i.e. P&L, financial statement)
- A deposit slip (in case your application is approved) or screen shot of the top of a bank statement showing your Club's name and account number
- Evidence of your endorsement from your local affiliated club/school (if required)
Declarations
- We hereby declare that the information supplied here on behalf of our organisation is correct?
- We consent to _________________________ authority collecting the personal contact details and information provided in this application, retaining and using these details and disclosing them to Sport NZ for the purpose of review of the rural travel fund. This consent is given in accordance with the Privacy Act 2020.
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.