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Application worksheet

A printable version of Whanganui District Council - Community Climate Action 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 Climate Action Fund Application

Whanganui District Council - Community Climate Action 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.whanganui.govt.nz/Community-and-Places/Funding-Opportunities/Community-Climate-Action-Fund.

See Applying for the Community Climate Action Fund for more information to assist your application

1. Applicant Information

Full name of applicant:*

Email address:*

Name of bank account:*

Phone number:*

Project title:*

Applying as:*

Group
Individual

If yes: GST number

Bank account number:*

If your organisation is a registered charity please provide your charitable reference number:

Are you registered for GST?*

No
Yes

Would you like to speak in support of this application at the Climate Change Advisory Panel meeting?

Yes

2. The Project

What do you want to do?*

How will the project be delivered?*

Who will benefit from the project?*

How will this project encourage climate mitigation outcomes?*

How will this project build the resilience of communities and our environment to the impacts of climate change?*

How will the project empower everyone in the community to play their part in addressing climate change?*

Will the project support Whānau, Hapū or Iwi efforts on climate action? If yes, how?*

How will this project encourage climate adaptation outcomes?*

How will the project measure success and share learning?*

What will be the measurable, tangible outcomes achieved by the project?*

Are the resources (including any additional financial requirements), skills, experience and support available to successfully deliver the project?*

When will the project be ready to start? When will it be completed?*

3. The Project Budget

Expenditure Description*

Expenditure Amount*

Income Description*

Income Amount*

Total project cost:*

Amount applied for:*

Other funding Description*

Other funding Amount*

Outcome*

Tell us about any other funding applications for this project, including those in progress and unsuccessful.*

Documents to attach

  • Quotes for all budgeted expenses
  • Proof of other funding sources
  • Health and safety plan
  • Letters of support from collaborators
  • Latest financial statements if a group/organisation

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