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Application worksheet

A printable version of Stratford District Council - Waste Levy 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

Stratford District Council Waste Levy Contestable Fund Application Form

Stratford District Council - Waste Levy 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.stratford.govt.nz/our-district/funding-and-grants/waste-levy-fund.

Please complete this form to apply for the Waste Levy contestable funding for a waste minimisation or resource recovery project.

1. Applicant Details

Organisation name*

Organisation address*

Contact person*

Address*

Phone*

Mobile

Email*

2. Eligibility Checklist

Our project will be based in the Stratford District*

Tick

Project promotes or achieves waste minimisation (avoid, reduction, reuse, recycling, and/or recovery) and is consistent with Stratford District Council’s (SDC) Waste Management and Minimisation Plan (WMMP)*

Tick

Project provides benefits to the present and future needs of the district*

Tick

Project results in a new waste minimisation activity (new initiative or expansion of existing)*

Tick

Funding is not for ongoing financial support of existing activities*

Tick

Project is for a definite timeframe (one financial year maximum)*

Tick

Funding can be used for capital expenditure*

Tick

Have you attached evidence of bank account details showing proof of your bank account number and name (e.g., deposit slip, screenshot, bank stamped receipt)?*

Tick

3. Objectives

List high level objectives and how these will be achieved. (The targets on page 30 of our Waste Management & Minimisation Plan are the big objectives we’re aiming for).*

Please attach a project plan (required) showing when key milestones will be achieved and any other contributors.

4. Project Details

Project name*

Project type*

Waste Reduction to landfill project
Resource Recovery Improvement Project

Project duration*

Waste stream*

Packaging
Construction and Demolition
Organic
Rural
Plastics
Hazardous
E-waste
Other (please specify)

5. Waste Diversion Potential

How much waste does your project propose to avoid, reduce, reuse, recycle or recover?*

How will this be measured?*

How does your project promote or achieve waste minimisation? What are the specific benefits?*

6. Application

What is the total cost of your project? (Please attach proof of costs)*

What portion would you like to be funded from the Waste Levy?*

What are your other funding sources? Please list who is providing funding and the funding amount.*

7. Community

Will your project promote waste minimisation to the wider public – if so, how?*

8. Actions

What actions in the current Waste Management & Minimisation Plan (WMMP) are you proposing to meet. These can be found on pages 36 – 42 of the WMMP.*

Documents to attach

  • project plan showing when key milestones will be achieved and any other contributors
  • proof of costs
  • evidence of bank account details showing proof of your bank account number and name (e.g., deposit slip, screenshot, bank stamped receipt)

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