Riverslea Trust Fund

APPLICATION FORM

The objective of the Riverslea Trust Fund is:

To provide initiatives that inspire, challenge, and develop Christian spirituality and leadership in young people.

The Mission Statement of the Anglican Diocese of Wellington:

We are family, we are disciples, we care for the last, the lost, and the least.

Successfulapplications will reflect one or all of the three themes in the diocesan mission statement.

Key diocesan themes for 2017:

  • Discipleship
  • Child Poverty
  • Climate Change

Riverslea 2017 focus:

Projects/initiatives that engage with families and enable them to be fully alive in faith communities.

Projects/initiatives that support and resource a movement of family on a mission.

Projects/initiatives aimed at discipling young people.

Training, development, and support for children and youth ministry volunteers.

Projects/initiatives that encourage children and youth to be missionaries in their communities.

Applications have to demonstrate they are working towards a sustainable ministry through strategic long-term planning.

The target age group is to/with those up to 25.

Trustees have requested that you contact the Young Persons Officeprior to applying to this trust to discuss your proposed application: / 04 471 8588

You must contact the Young PersonsOffice prior tocompleting this formfor advice and support in completing your application.

Applications for funding in 2017 must be received before September 30th 2016

Late applications will not be considered.

Is Your Project Eligible For Funding?

This checklist is designed to help you know if your application can be considered for the Riverslea Trust Fund. Please indicate all criteria your proposed project falls under with a tick.

□ Within a Parish or Ministry Unit under the authority of the Anglican

Diocese of Wellington.

□ Meets the objective of the Riverslea Trust Fund. (See front cover)

□ Aligned with the Mission of the Wellington Anglican Diocese.(See front cover)

□ Primarily targeting young people aged up to 25 years of age.

□ Led by a not-for-profit, church-based group.

□ Is a local response to an identified need in the community.

□ Uses networks and relationships between parishes/ministry units within your cluster.

Note that the board looks favourably upon applications from projects where parishes/mission units within a cluster are working together.

These are the kinds of projects the board is looking for:

  • Projects that engage with families, enabling them to be fully alive in church
  • Youth Workers in schools
  • Training, development, and support for children and youth ministry volunteers
  • Projects where strategic long-term planning is evident (in terms of funding, discipleship, and leadership)
  • Projects aimed at discipling young people
  • Intergenerational church initiatives

Your Information

Name of main contact for this application:
Job/Role title:
Street address:
Postal address:
Email address:
Contact phone number(s):

If your application is successful:

Name of person/ organisation to whom payment should be made:
Postal address:

Church/Organisation Information

Name of Church/Organisation:
Town or area of church/organisation:
If applicable, the legal name and status of your organisation:

Church/Organisation Information continued...

What is the mission statement and current goals for your church/organisation?

What ministry projects is your church/organisation currently involved in? (List and describe any programmes, services, or activities).

Does your church/organisation currently receive funding for any of its ministry projects? If yes, please list who provides funding and what services the funding contributes to.

Riverslea Trust Fund Project Information:

Name of project/initiative for which funding is sought:

Give a general description of your project which includes target group, people who have a stake in the venture, objectives and overall strategy, evidence of need, and likely long term impact:

In establishing the need for this project, who did you consult within the community?
Is this a new initiative?
If not, how long has the project been running?

Outcomes and Measures:

We understand you wish to carry out this project to make a difference. We are interested to know how you will measure this. How will you measure the success of your project? Please specify UP TO FIVE outcomes you plan to achieve with this project, how they will be measured and the expected improvement over the life of the project.

Planned Outcome: / Measured by:

How does this project meet the criteria and philosophy of the Riverslea Trust?(see front page)

How does this project reflect the Mission Statement of the Wellington Anglican Diocese?(see front page)

Funding:

Please provide the budget for your project. Use a separate sheet if necessary.

Item / Cost ($ excl. GST)
$
$
$
$
$
$
$
$
$
$
Total excluding GST: / $

What is the total amount of funding you are requesting from The Riverslea Trust Fund?

Total: $ (excluding GST)

Is your organisation registered for GST? (yes or no)

Are there any contributions to the project that are not listed in the budget such as contributions from your organisation or other sources, volunteers or donated goods? If yes, please list them.

Sustainability

Please provide a three-year plan showing how you intend to build sustainability in this project/initiative in terms of funding, discipleship, and leadership).

Please note that the Riverslea Trust will consider funding projects for a maximum of three years, with the amount funded reduced by at least 50% each year.

Year One
Funding
Discipleship
Leadership
Year Two
Funding
Discipleship
Leadership
Year Three
Funding
Discipleship
Leadership

Clergy Cluster Leader signature

Please have your local Clergy Cluster leader sign here to indicate their support for this initiative.

Name of Clergy Cluster leader:
Signature:

Checklist Before Sending In Your Application:

Please make sure you do the following before sending in your application:

 Discuss your project and application with the Young Persons Office

 Answer all questions in this application form.

 Include with your application a copy of minutes from a vestry meeting (or other relevant governing body) indicating notice to apply to funders for

the project namedin this application.

 Include with your application a training schedule for the individual or

team involved in the project.

 Include with your application evidence/verification of external

supervision for the individual or team involved in the project, as well as a

training schedule for all leadership involved.

 Include with your application any references and/or letters of support

from relevant people or groups in your community, where applicable.

(More information and resources for thisare available from the Young Persons Office.)

Please send your completed application form to the address below.

Applications will only be considered if received before September 30th.

email to:

or post to:Riverslea Trust Board

c/o Young Persons Office

PO Box 12 046

Wellington 6144

ACCOUNTABILITY REPORT

Please complete and return to the Riverslea Boardsix months after receiving a grant.

Date:

Organisation and address:

Amount granted:

Funds fully expended?

yes no

If not please state reason and advise date when funds will be fully expended:

Return to

Riverslea Trust Board

c/o Young Persons Office

PO Box 12 046

Wellington 6144

Signed: Date:

“To provide initiatives that inspire, challenge, and develop Christian spirituality and leadership in young people.”