Application worksheet
A printable version of New Zealand Community Trust (NZCT)'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
Consent to be Audited Form
New Zealand Community Trust (NZCT)
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.nzct.org.nz/.
1. Confirmations
Confirm all supplier quotes provided with the application are market competitive, and to the best of our knowledge the suppliers are free of conflict with both the applying organisation and all NZCT venues.*
Confirm that any funds received as a result of this application will be used only for the purpose(s) for which they were approved; if sport related, funds will only be used for amateur sporting purposes; and that we will provide proof of expenditure to satisfy NZCT’s requirements.*
Authorise NZCT to make such third-party inquiries as NZCT deems necessary to confirm that the funds received as a result of this application have been properly applied to the authorised purpose(s).*
Agree that any funds we do not spend on the authorised purpose(s) will be returned to NZCT.*
2. Declarations
The information provided in this application is true and correct to the best of our knowledge.*
We have the authority to make the application on behalf of our organisation.*
No person who is deemed to be a key person* under the Gambling Act 2003 at any NZCT venue has been directly associated with, or otherwise party to, this application.*
*A key person is anyone who has a significant interest in the management, ownership or operation of a class 4 venue, including venue personnel.
3. Signature of authorised Signatory-A
Signature of authorised Signatory-A*
Full name in CAPITALS*
Your role, e.g. CEO, Principal, Secretary, Chair*
Your email address*
Your phone number*
Date*
4. Signature of other authorised Signatory-B
Signature of other authorised Signatory-B*
Full name in CAPITALS*
Your role, e.g. CEO, Principal, Secretary, Chair*
Your email address*
Your phone number*
Date*
5. Application Details
Application number:*
Amount requested:*
Main contact's email:*
Organisation name:*
Purpose of grant:*
Documents to attach
- This form
Declarations
- By signing this application, we the undersigned:
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.