Application worksheet
A printable version of Tauranga City Council - Community Development Match 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
Community Development Match Fund Application Form 25/26
Tauranga City Council - Community Development Match 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.tauranga.govt.nz/Culture-and-community/Grants-and-funding/Community-Development-Match-Fund.
1. Confirmation of Eligibility
Please select below: **
You must confirm that all statement above are true and correct
2. Verification
Organisation applying for funding:
I have authority to act on behalf of the organisation above:*
3. Privacy Notice
Applicant **
Applicant Primary Address **
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.
Applicant Primary Phone Number **
Must be a New Zealand phone number.
Applicant Primary Email **
Must be an email address.
Applicant Primary Bank Account **
Must be a valid New Zealand bank account format.
Bank Deposit Slip **
Please upload an image of your bank deposit slip
4. Project Details
Project Title **
Can you please specify what the funds requested will be contributing to? **
Please provide detail around what you will be purchasing/spending the money applied for towards?
Start Date **
Must be a date.
End Date **
Must be a date.
Funding Amount Requested **
This value must not exceed $5,000.00. What is the total financial support you are requesting in this application?
Select the community outcome from the drop down list that is most relevant to your project.*
Select from the three approaches*
Please provide a short summary of your outcomes of the project:
How does your intended outcome link to our outcomes?
What changes do you expect will occur as a result of your project (e.g. Enhanced physical fitness)? Please be brief. One per row.
Which of our outcomes will your project contribute to? If multiple apply pick the most relevant. No more than 1 choice may be selected.*
Please explain how your intended outcome helps contribute to ours.
Add notes if you need to provide more context.
Budget - Funding Applied for: List the expenses that funding will contribute to this project: Description $
Must be a dollar amount.
Budget - Organisations Match Further description Amount
Location of the project: **
Please provide the location of where the bulk of activity within this project will take place.
What community need will this project address? **
What is the issue or need this project is addressing?
Please describe the number of people who will directly benefit from this project and how will they benefit: **
Please provide the quantity of people who this project aims to reach.
Which age group will primarily benefit from this project? **
Which ethnic group will primarily benefit from this project? **
Please describe any project risks and how you plan to reduce or eliminate these risks. If the project involves children, please explain how you will meet the Children's Act 2014 requirements. **
5. Previous Support
Has you or your organisation received funding from council in the last three years? **
If yes, please give the date/s previous funding was allocated:
If yes, please provide the Project Name:
Type of previous support Value of support
6. Declaration
I certify that to the best of my knowledge the statements made within this application are true and correct.*
7. Contact Information
Contact Name:
Contact Phone Number
Must be a New Zealand phone number.
Contact Email
Must be an email address.
Date of declaration*
Must be a date.
Documents to attach
- Bank Deposit Slip *
Declarations
- I certify that to the best of my knowledge the statements made within this application are true and correct.
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.