Application worksheet
A printable version of Waitomo District Council - Sport New Zealand 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 New Zealand Rural Travel Fund Accountability Report Form
Waitomo District Council - Sport New Zealand 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.waitomo.govt.nz/council/funding-and-grants/sports-and-recreation-new-zealand-sparc-rural-travel-fund/.
1. 1. Organisation Details
Organisation Name*
Number of Young People Impacted by the Sport NZ Rural Travel Fund:*
Please give details of how money was spent by providing a detailed breakdown i.e. petrol, car/bus hire (Please provide evidence of expenditure, eg. receipts/invoices)
Amount Allocated*
Primary School Aged Total Number*
Secondary School Aged Number*
Number of Disabled Individuals*
Number of Males*
Number of Females*
2. 2. Fund/Travel Details
Purpose of Sport NZ Rural Travel Fund*
Please give a brief description of the benefits that have been achieved with these funds
3. 3. Declaration
We, being authorised parties of the above Organisation, solemnly declare that all details contained in this report are true and correct to the best of our knowledge and that we have the authority to provide this information on behalf of our organisation.*
We certify that the funding the Organisation received was spent on the project approved and that any specific conditions associated with this funding have been met.
Name*
Signature*
Position*
Date*
In your opinion, did the Sport NZ Rural Travel Fund assist your team/organisation in order to increase participation in your local sport competition in rural areas? Please comment*
Documents to attach
- Receipts of Sport NZ Rural Travel Fund allocations
- Sport NZ Rural Travel Fund account statements
- Any other supporting documentation
Declarations
- We, being authorised parties of the above Organisation, solemnly declare that all details contained in this report are true and correct to the best of our knowledge and that we have the authority to provide this information on behalf of our organisation.
- We certify that the funding the Organisation received was spent on the project approved and that any specific conditions associated with this funding have been met.
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.