Bike Week 2017

Grant Application Form

Bike Week, Friday 17 – Sunday 26 March 2017

Bike Week, Western Australia’s annual celebration of bike riding, is back for 2017.

Are you keen to host an event for your community?

Grants of between $500 and $2,500 are available from the Department of Transport to host Bike Week 2017 events, from a total funding pot of $30,000. Applications will be assessed by WestCycle and the Department of Transport against the Bike Week grant criteria.

Please read the Bike Week 2017 Grant Guidelines before completing this form. The guidelines are available on the www.bikeweek.com.au website.

Please email your completed grant application in Word format to . Please note that handwritten, scanned, PDF or paper applications will not be accepted.

The closing date for Bike Week 2017 grant applications is 4pm on 9 December 2016.

Questions marked with * are mandatory and must be completed.

APPLICANT DETAILS
Name of Organisation/Group*
Contact Person*
First Name
Last Name
Position Title
Postal Address*
Address Line 1
Address Line 1
City
Postcode
Phone*
Email*
What type of organisation/group are you?*
Tick the answers that apply / Local government
Community group
Bike group
Parents and Citizen’s (P&C) Association
Tertiary educational institution
Business
Other (please list):
Are you the person responsible for administering the funds?* / Yes
No
If No, please advise who will be administering the funds
The following details are to be provided: organisation/group, contact person, position title, postal address, phone and email
Is the organisation/group administering the funds registered for GST?* / Yes
No
Australian Business Number (ABN) (if applicable)*
Organisations/groups without an ABN must provide exemption declaration forms to avoid PAYG withholding tax of 48.5%
Does your organisation have current event public liability insurance?* / Yes
No
If Yes, how much?
Your Bike Week Event
Event Name*
Date(s) of Event*
Time(s) of Event*
Location(s) of Event*
Please describe your Bike Week event (max 200 words)*
What is the overall aim of your Bike Week event? (max 50 words)?*
How will your event meet the objectives of Bike Week 2017? (max 200 words)*
Refer to the Bike Week 2017 Grant Guidelines for Bike Week objectives
Who is your primary target audience?*
e.g. families, women, young people, novice riders, general community etc
Approximately how many people do you think will take part in your Bike Week event?*
Tick the answer that applies / 0 - 25
26 - 50
51 - 100
101 - 200
201 - 500
501 - 1000
1001 - 5000
5001 plus
Partnerships
Bike Week 2017 event organisers are encouraged to work collaboratively to seek additional funding, donations and/or in-kind support from local community groups, bike shops, councils, schools, local businesses and other stakeholders
Do you plan to collaborate with others for your Bike Week event?* / Yes
No
If Yes, who do you plan to collaborate with? (max 100 words)
Promotion & Publicity
How will you promote your Bike Week event? (50 words max)*
Financial Details & Funding Request
How much Bike Week grant funding are you applying for? Applicants can apply for between $500 and $2,500*
Amount to exclude GST
If successful, what services/items will you purchase with the Bike Week grant funds? Please provide details and costs (max 200 words)*
All amounts to exclude GST
Please detail any other funding sources and amounts:
Funds to be provided by the applicant*
Amount to exclude GST
Funds to be provided by other sources. Please detail source and amount ($)*
All amounts to exclude GST

Thank you for applying for a Bike Week 2017 grant. Successful applicants will be notified late December 2016.

Please contact WestCycle's Bike Week team on (08) 6336 9688 or for any queries relating to Bike Week 2017.

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