CITY OF HOBART COMMUNITY DEVELOPMENT GRANTS PROGRAM APPLICATION FORM COMMUNITY QUICK RESPONSE GRANTS

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CITY OF HOBART

COMMUNITY DEVELOPMENT GRANTS PROGRAM

APPLICATION FORM

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2 City of Hobart Community Development Grants Program – Community – Quick Response Grants – Application Form

Before you begin

Please ensure that you read and understand the Guidelines, the City of Hobart Strategic Plan

and other relevant strategies as listed in the Guidelines.

Essential criteria

Community grants are intended to support activities in the Hobart municipal area that result in benefits for the Hobart community and align with an aspect of the relevant City of Hobart Strategies. Please check the Guidelines to ensure that your group and your project are eligible. If you are unsure, or need help completing this form, please contact:

Mark Joseph, Community Activation Coordinator 6238 2839

How much can you request and when?

Up to $500. Requests for funding for more than these amounts should be made in the twice-yearly grant programs: www.hobartcity.com.au/community/grants.

Quick Response applications may be submitted year-round but as funds are limited please speak to a contact officer to check fund availability before submitting an application.

Submitting your application

Submission by email is preferred but you may submit a hard copy. In order to ensure a quick turnaround for this application, please include all of your supporting documents in the one email or envelope.

By email to: [email protected]

By post to: Community Grants City of Hobart GPO Box 503

HOBART TAS 7001

When will a decision be made?

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APPLICANT DETAILS

Organisation/Group Name

Street address

Postal address

Primary contact /title

Contact number/s

Email address

Web address

Australian Business Number (ABN)

It is a requirement of the Australian Taxation Office that any payee who does not have an Australian Business Number (ABN) must complete a ‘Statement by a Supplier’ form. This must be submitted with your application. A copy of this form can be found on the City of Hobart website: www.hobartcity.com.au/community/grants.

Is your organisation/group incorporated? YES / NO (No – you need to be auspiced) Is your organisation non-profit? YES / NO (No – you must match this grant) Is your organisation registered for GST? YES / NO

Have you previously been awarded a grant by the City of Hobart? YES / NO

What was it for?

When did you receive it?

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What is the applicant organisation’s aim/mission?

Auspice Organisation

Un-incorporated groups must attach a confirmation letter from an incorporated organisation – see a sample at: www.hobartcity.com.au/community/grants

If your application is successful you will need to provide a copy of your Auspice Agreement.

Organisation/Group Name

Street address

Postal address

Primary contact /title

Contact number/s

Email address

Web address

Australian Business Number (ABN)

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PROJECT DETAILS

*The details on this page will be made publicly available.

Project name*

Funding Requested *

(maximum $500 )

Purpose*

Tell us why you need the funding.

This description will be made public should your application be successful. (Maximum 250 words.)

Project Dates*

Start Date

Completion Date

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Community Alignment

Please briefly describe how your activity aligns with one or more of the following strategies. (Max 250 words each.) You can find copies of each strategy on the City of Hobart website:

www.hobartcity.com.au/community/grants

Social Inclusion Strategy 2014-2019

Multicultural Strategy 2014-2019

Youth Strategy 2014-2019

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7 City of Hobart Community Development Grants Program – Community – Quick Response Grants – Application Form Positive Ageing Strategy 2014-2019

Equal Access Strategy 2014-2019

Venue

Where will the activity take place?

Budget

Please detail how the money will be spent. You may provide a single page budget as an attachment to this application.

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City of Hobart Acknowledgement

Please describe how the City will be acknowledged for this support.

Support Material

Applicants are requested to submit relevant support material to complement their application. Only one copy of the application and support material is required. If posting your application, please do not staple documents.

Essential

 Confirmation of Auspice Organisation (if applicant is not incorporated)

Optional

 Budget

 Evidence of community support (maximum two letters/emails)

Acceptable formats and quantities for support material

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Declaration

This declaration must be signed by a person authorised to sign on behalf of your organisation.

 I certify that the information given on this form is complete and correct, to the best of my knowledge.

 I understand that approval of the grant is subject to mutual agreement between the City of Hobart and the applicant.

 I understand that if the City of Hobart approves the grant:

o This organisation will be required to enter into a formal contract.

o Funds will only be used for the project described on this application.

o An acquittal report will need to be submitted at the end of the project, outlining the results of the project.

 I agree to ensure all necessary approvals, permits and bookings are obtained prior to the activity for which the grant is provided, taking place.

 I acknowledge the City of Hobart does not accept any liability or responsibility for the proposal in this application and that it is the responsibility of the

applicant or their auspice organisation to provide appropriate insurance cover.

 I consent to the public release of the project title and description provided in this application.

Signature Date

Name Position in organisation Witness Signature Date Witness Name

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Checklist

Have you:

Answered all the questions?

Attached a letter of confirmation from your auspice organisation (if required)?

Attached a Statement by Supplier (if required)? Provided a budget?

Attached all support material?

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