Ngāti Whakaue Community, Sports & Recreation Fund
APPLICATION FORM 2016/17
- PURPOSE
1.1.The distribution of any funds distributed by Te Kotahitanga ōNgāti Whakaue Assets Trust (“Trust”)are to be in accordance with the current Benefits, Allocations and Distributions Policy, as approved by the Trustees and Te Komiti Nui.
1.2.The purpose of the Fund is to make a contribution to activities or events held by Ngāti WhakaueCommunity, Sports and Recreation groups that will have an overarching benefit for Ngāti Whakaue as an iwi.
- CRITERIA
- The criteria that applicants must meet in order to access this fundare as follows:
2.2.The funding must be for a futureplanned activity or event; business as usual activities, salary, administration and operational costs/expenseswill not be funded;
2.3.The Applicant group must be a Ngāti Whakaue group with minimum 50% of total individuals who identify as Ngāti Whakaue (NB: Individuals and very small groups are not eligible to apply for funding). This can include, but is not limited to, marae, hapū, special interest groups in the name of and/or representing Ngāti Whakaue, and/or groups of Ngāti Whakaue people. Ngāti Whakaue is defined in the Trust’s deed as:
2.3.1.Individuals that derive their whakapapa from Whakaue Kaipapa and Tūtanekai;
2.3.2.Individuals who are descended from and belong to one or more of the KoromatuaHapū of Ngāti Whakaue;
2.3.3.Individuals who are descended from one or more of the 295 original listed persons awarded ownership and title to the Pukeroa Oruawhata Block in 1881;
2.3.4.The principal pā and villages and the active marae.
2.4.The activity or event meets at least two of the following areas specified as ‘Charitable Objective & Strategic Goals’:
2.4.1.Maintenance and rejuvenation of places of cultural or spiritual significance to Ngāti Whakaue;
2.4.2.Advancing and promoting cultural education such as Ngāti Whakaue reo and tikanga;
2.4.3.Charitable purposes (being the relief of poverty, the advancement of education and socio-economic position, or religion) that are beneficial to Ngāti Whakaue;
2.4.4.Other purposes beneficial to Ngāti Whakaue;
2.4.5.Ngāti Whakaue Iho Ake: Growing, supporting and revitalizing our tribal capacity;
2.4.6.Collective Benefits: Ahi kaa, manawhenua and ūkaipō; and/or
2.4.7.Kotahitanga: Collaboration amongst iwi, hapū and whānau.
2.5.Funding will not be provided for overseas travel, alcohol or gambling (including events/activities held within a bar or gambling establishment).
- Applicants can apply for funding up to $5,000.
- Applications must be completed and received by the Secretary by 4:30pm29 February 2017.
- The funding will be payable to the nominated account within thirty (30) days following approval of the application. The Trust accepts no liability or responsibility for the implementation of any activities which are funded.
PLEASE SEND THE APPLICATION TO:
Te Kotahitanga o Ngāti Whakaue Assets Trust
Level One, GHA Centre, 1108 Fenton Street
PO Box 1712, Rotorua 3040 / SECRETARY CONTACT DETAILS:
Email:
Phone: 07 348 3599
Website:
- You will be notified of receipt of your application and the date that your application will be considered by the Trust.
SECTION A: CONTACT DETAILS
Key Contact Name& Position:
Key Contact Email:
Key Contact
Phone/Mobile:
Key Contact
Postal Address:
Ngāti Whakaue Group:
(Applicant)
Applicant Email:
Applicant
Phone/Mobile:
Applicant
Postal Address:
Applicant
Legal Status:
Applicant
Chairperson Representatives
Contact Details:
Applicant
Bank Details: / BANK:
BRANCH:
ACCOUNT NAME:
ACCOUNT NUMBER:
SECTION B: ACTIVITY/EVENT DETAIL
Description (Please provide a description of the event/activity):Charitable Objectives and Strategic Goals(Refer to clause 1.3.3 in first page of application. Please note those that are relevant to your activity/event and provide a brief commentary):
What is the date of the event/activity?
What is the total cost of the event/activity?
What is the total amount you request from the Fund? (Maximum of $5,000)
SECTION C: DECLARATION & AUTHORISATION
Declaration
- I certify that all information supplied in this application is true and correct.
- I consent to this information being made available to Te Kotahitanga o Ngāti Whakaue for statistical purposes.
- I give consent to Te Kotahitanga o Ngāti Whakaue to maintain a permanent record of my application on file.
- I confirm that all the information supplied in support of this application is accurate at the date of signing.
NAME: ______
SIGNATURE: ______
DATE: ______
Before signing and posting this application form, please take a moment complete the checklist below. Failure to include all relevant information may result in the processing of your application being delayed or declined. Signing and dating this section confirms you have read and understand conditions above.
NB: All sections must be fully completed before the application can be processed.
SECTION D: NGĀTI WHAKAUE SPORTS & RECREATION FUND CHECKLIST
1. / All sections of the application form are complete. /2. / If Not Provided Previously: Evidence of a current Bank Account in the name of the Group, together with details of the persons who are authorised to make a withdrawal from that Bank Account is attached.Please note if we already have a copy on file. /
3. / A copy of the most recent annual financial statements is attached (if applicable). /
4. / If Not Provided Previously: A copy of the Group’s legal establishment documents is attached. /
5. / Evidence to support that the applicant group is a Ngāti Whakaue group with minimum 50% of total individuals who identify as Ngāti Whakaue, is attached. /
If a copy of the document has already been provided to the Trust and a more recent copy is not necessary, please state where this is applicable.
An outcomes report at the completion of the proposed project/event would be much appreciated.
TKoNWAT – Benefits, Allocations and Distributions / Application Form – Ngāti Whakaue Community, Sports & Recreation FundAuthorised by:
Trustee Resolution / Issue Date:
July 2016 / Review Date:
June 2017 / Version: 1 / Page: 1 of 5