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Application worksheet

A printable version of Kapiti Coast District Council - Waikanae Community Board Grants'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

Waikane Community Board Promotion Fund Grant Application Form

Kapiti Coast District Council - Waikanae Community Board Grants

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.kapiticoast.govt.nz/services/grants-and-funding/community-board-grants/waikanae-community-board-grants/.

1. Applicant Details

Name:*

Organisation (if applicable):

Address:*

Daytime Contact Phone:*

Email:*

2. Application Type

Which of the following criteria does your application fit? (Please tick)*

Promotions within the Waikanae Ward
"Events based" activities
Exceptional circumstances

3. Reason for Funding

Why do you need this funding? (Please attach further information that will help your application)*

When do you need it? (Start date)*

What are the expected benefits to you (the applicant)?*

What are the expected benefits to the Waikanae area?*

Costs (travel, accommodation, etc.)*

Income (fundraising, grants, saving, etc.)*

Total $*

4. Grant Amount

How much are you applying for? Total $*

Are you applying for three years of funding?*

Yes
No

If yes, what is the amount being applied for in each year?

Are you GST registered?*

Yes
No

Are you an incorporated society?*

Yes
No

What other funds have been sought for this project/activity? (Please list)

Please list any grants received from the Waikanae Community Board in the past 3 years:

Documents to attach

  • A bank deposit slip, for direct credit payment if application is successful
  • A ‘Calendar of Events and Activities’, and any other supporting information that will help your application

Declarations

  • I certify that the information provided above is accurate:

Signature

Date

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