Shire of Dandaragan

SHIRE OF DANDARAGAN

COMMUNITY GRANTS PROGRAM

CONDITIONS OF APPLICATION

1.  Applications should be received by 4.00 pm on 30 June 2015.

2.  Applications will be accepted by mail at Shire of Dandaragan Administration Centre, PO Box 676, Jurien Bay WA 6516.

3.  Applications will be accepted by facsimile to 9652 1310 and email to .

4.  Applications should be marked “Community Grants Program”.

5.  Applications will be assessed against the following criteria:

a) Extent to which project / activity benefits Shire of Dandaragan community - 50%

b) Level of volunteer participation and wider community participation - 15%

c) Extent to which applicant is funding the project / activity - 15%

d) Extent to which project / activity involves other community organisations - 20%

6.  Funding will be deemed ineligible for the following:

a)  applications that are eligible for the Shire of Dandaragan / Tronox Fund or CSRFF;

b)  political organisations or events;

c)  commercial enterprises;

d)  events delivered by structured sporting clubs, that are consistent within the primary purpose of that club;

e)  events or activities that are the responsibility of another level of government;

f)  for events delivered by structured sporting clubs and community organisations, that are consistent within the primary purpose of that club/organisation;

g)  for the openings or celebration of new community groups or premises;

h)  for applicants seeking to host an event for the specific purpose of raising funds for re-distribution to other none profit community groups/clubs or charitable causes; and

i)  for applicants to carry out forward planning strategies of sporting clubs and community organisations.

7.  Requests for grants outside this policy will be declined.

8.  Priority will be given to eligible applicants who have not received funding in previous years.

9.  The maximum annual grant payable under this policy will be $1,500.

APPLICATION FOR COMMUNITY GRANT

1.  APPLICANT / ORGANISATION

Name of organisation:
Address:
Telephone:
Email:
President / Chair:
Secretary:
Treasurer:
Is your organisation an incorporated body? / Yes No
If yes, please attach your financial statements.

2.  FINANCIAL ASSISTANCE

Amount requested:

2.1 Details of how funds will be expended:

2.2 Complete the following budget table for your proposal:

INCOME:
Donations / Sponsorship / $
Entry Fees / Gate Takings / $
Sales / $
Contributions by applicant / $
Other funding sources / $
Shire of Dandaragan Grant / $
Total Income / $
IN KIND CONTRIBUTIONS:
Labour - number of hours (estimate)
Use of equipment - numbers of hours
Other - donated food / gifts
Total Hours
EXPENSES:
Wages / $
Hire / venue charges / $
Promotions / advertising / postage / $
Insurance / $
Consumables / $
Other (please define) / $

2.3 Do you consent to the Shire of Dandaragan evaluating how the funds were spent, if Council elects to do so?

Yes No

2.4 The Shire of Dandaragan may require evidence of how the funds have been expended. Should your application be successful, will you provide copies of invoices as part of an acquittal process?

Yes No

3.  INFORMATION REGARDING THE APPLICATION

3.1 To what extent does the event / activity for which you are seeking funding benefit the Shire of Dandaragan community?

a)  What specific community needs will be satisfied by the project?

b)  How have these needs been identified?

3.2 Will this activity / project involve other community organisations? Please list other community organisations and what they will be contributing to this proposal.

3.3 Is the aim of this event to raise funds? If yes, please list who the beneficiaries will be.

Signature:
President / Chairperson
Print Name:
President / Chairperson
Date:

Doc ID: 12645