Online Form - Community Assistance Partnership Fund

Introduction

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Save Your Progress

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Email Address:

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Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Organisation Details

Organisation name*

Postal address*

Contact person*

Position*

Contact number*

Contact email*

Is your group/organisation registered for GST?*

YesNo

Does your group/organisation hold current public liability insurance?*

YesNo

If yes, Upload Certificate of Currency for Public Liability

Max File Size: 10.00 MB
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Is your group/organisation incorporated?*

YesNo

How many members and/or volunteers does your group/organisation have?*

Briefly describe the primary activities your group/organisation undertake*

Project Details

Project name*

Project start date

Project end date

Where will the project take place?*

Total project cost (ex GST)*

Total funding requested (ex GST)*

Project Justification

Provide a brief description of the project, including purpose and practical plan for implementation*

Indicate how the project aligns with our Murray 2030 Strategic Community Plan, addressing at least one of the folllowing key priority areas:*

Building the capacity and sustainability of community groups
Encouraging community engagement and participation in community life or activation of places and facilities
Encouraging social inclusion
Protection of our environment
Supporting development of and participation in arts and culture
promoting increased physical activity
Supporting a safe and healthy community
Increasing support or services to priority target groups, including families, children, youth, seniors, indigenous, culturally diverse backgrounds and people with disability or from low socio-economic background
Developing the growth of youth through leadership and education

Provide detail on how the project will address the key priority areas selected above*

How has the need for this project been identified?*

How will this project address this identified need within the community?*

Community Benefit

How will this project benefit community members or target groups?*

Will this project make use of volunteers?*

YesNo

Project Delivery

Indicate the level of support from local business and/or government authorities*

Do you have support from your local community group/progress associaton?*

YesNo

Upload support documentation

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How will the event be promoted to the community?*

What is your group/organisation's or officer/volunteer's capacity, skill and experience in delivering this project?*

Provide an approximate timeline of major project milestones*

Project Budget

Your group/organisation's contribution (ex GST)*

Other grants/sponsorship

Fees/charges to participants

Expenditure (ex GST)*

Upload your own spreadsheet indicating income and expenditure

Max File Size: 10.00 MB
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Upload quotes

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Payment Details

Bank account details for electronic transfer of grant monies (if successful).

Account name*

BSB number*

Account number*

Bank name*

Bank branch*

Application Declaration

This section must be completed by an individual with authorised delegation of the group/organisation (President, Chief Executive Officer or similar).

Shire of Murray staff have been consulted in the development of this application
This project is not retrospective and will occur at least eight weeks after the funding round closes, allowing time for the project to acknowledge funding+
Funding assistance provided by the Shire of Murray will be acknowledged in any promotional material, advertising or other public documents relating to the project
All Local, State and Commonwealth laws applicable to the approved project will be complied with
The grant will be used solely for the specified purpose approved by the Shire of Murray
Final acquittal report and a full statement of income and expenditure demonstrating how the grant funds were utilised, to be provided to the Shire of Murray

I certify that:

This application is, to the best of my knowledge, true and correct
On behalf of the applicant group/organisation, I have read, accepted and will comply with the Community Assistance Partnership Fund conditions above

Name*

Position*

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Online Form - Community Assistance Partnership Fund

Navigation

Introduction

Save Your Progress

Organisation Details

Project Details

Project Justification

Community Benefit

Project Delivery

Project Budget

Payment Details

Application Declaration

Validate and Submit Form

Contact Us

Acknowledgement of Country