Ōtaki Community Board Community Grants Fund

This is a preview of the Ōtaki Community Board Community Grant Form form. When you’re ready to apply, click Fill Out Now to begin.

Application form

* indicates a required field.

Applicant Details (Not Applicable)

Name *

Response required.

Individual

Organisation

Clear

Organisation Name

First name

Last name

Project Contact

First name

Last name

Address

Phone number *

Email *

Must be an email address.

Why do you need this funding?

Please attach further information that will help your application ((maximum of five pages))

Attach a file: Upload new file

What are the expected benefits to you (the applicant)?

What are the expected benefits to the Ōtaki Ward?

When do you need it?

Must be a date.

Budget (Not Applicable)

Income (fundraising, grants, saving, etc.)	$ NZ	Costs (travel, accommodation, etc.)	$ NZ	Where possible please provide written cost quotes
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Must be at least 1 rows

Budget Totals (Not Applicable)

Total Income Amount

This number/amount is calculated.

Total Expenditure Amount

This number/amount is calculated.

Income - Expenditure

This number/amount is calculated.

How much are you applying for?

Must be a dollar amount. The maximum amount payable is $750.00. Applicants can receive only one grant within a 12-month period.

Are you GST Registered? *

Response required.

Yes

Clear

If yes, and your application is successful, you will be required to provide a GST invoice before your grant can be paid

How will you fund the shortfall if this grant is not approved?

Have you applied for funds for the same purpose from any other source?

If yes, please provide full details

Is this a National or Provincial Organisation to whom you are affiliated making a contribution to this activity?

If yes, please provide full details

Please list any grants received from the Ōtaki Community Board in the past 3 years:

If needed please upload a separate document to provide full details for the above questions:

Attach a file: Upload new file

maximum of five pages

Proof of Bank Account, for direct credit payment if application is successful *

Attach a file: Upload new file

This much be a bank deposit slip or a screenshot of the bank account number.

Declaration

I certify that the information provided above is accurate

Clear

Ōtaki Community Board Community Grants Fund

Application form

Applicant Details (Not Applicable)

Budget (Not Applicable)

Budget Totals (Not Applicable)

Supporting information

Technical assistance

Get in touch

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Ōtaki Community Board Community Grants Fund

Application form

Applicant Details (Not Applicable)

Budget (Not Applicable)

Budget Totals (Not Applicable)

Supporting information

Technical assistance

Get in touch