2018 ENVIRONMENT GRANTS APPLICATION FORM

Transcription

1 2018 ENVIRONMENT GRANTS APPLICATION FORM Applications close 5pm on Monday 19 March 2018

2 Prior to starting your application please read the Environment Grant Guidelines and Frequently Asked Questions and contact Margaret Ficken on (08) or You may add attachments if there is not enough space available (please limit these to whatever is necessary to answer the questions only and mark clearly which section and question they relate to). Informal grant information night is being held at the arlunga Civic Centre on Tuesday 30 January 2018, between 4-6pm where you are invited to drop in and discuss your proposed project and application with staff. The grants round closes 5pm, Monday 19 March Late applications will not be accepted. APPLICANT DETAILS 1 Name of group/organisation (as it appears on the Incorporate Certificate) 2 Name of project 3 Postal address of group/ organisation Address Suburb Postcode 4 Contact person Name Position in organisation Mobile Other contact number 5 What are the aims and objectives of your organisation? (If relevant, please refer to your constitution) 6 Is your group/organisation located within the City of Onkaparinga? 7 Is your organisation incorporated? (registered name need to appear in Q1) If, what is your Incorporation Number (please check If Please go to question10 and 11, an incorporated body will need to auspice the project 8 Does your organisation have an Australian business number (ABN)? (If unsure, please check 9 Is your organisation registered for GST? 10 Does your group/organisation have current Public Liability Insurance (minimum $10 million; $20 million if using fireworks)? Please note: Applicants that are being auspiced will need to have their own public liability insurance to cover the funded event, project or activity. 11 Is your event being auspiced by another organisation? (If no - go to question 12) Name of auspicing body (as it appears on the Incorporation Certificate) Incorporation Number of auspicing body ABN of auspicing body Environment Grants 2018 Page 2/7

3 Is the auspicing body registered for GST? Have you attached the Auspice form? Please refer to the Grants webpage for a copy of the Auspice form. 12 Does your group/organisation have procedures in place that ensure compliance with the Children s Protection Act 1993 and Children s Protection Regulations 2010? For further information please contact the Department for Education and Child Development via at DECDChildSafe@sa.gov.au Further information is also available on the DECD website. N/A PROJECT DETAILS 13 Estimated start date Estimated finish date The project/event must not commence prior to 1 July Will the project take place within the City of Onkaparinga? 15 Address in the City where your project will be held? Address Suburb 16 Is this the 2 nd or subsequent stage of this project funded by council? If yes, what were the outcomes and achievements from previous project stages? 17 Please provide a brief description of the project - what would you like to do? 18 What are the objectives of the project - what would you like to achieve? (refer to section 2 of the guidelines for assistance). 19 Have you spoken to a Council officer regarding your project? If so when? And who? 20 How have you identified the need for this project? Is this identified in your business plan? 21 Who have you consulted to establish this need? 22 How will you know if the project has been successful? How will you measure this success? Environment Grants 2018 Page 3/7

4 23 Please describe the target audience and how they will benefit from your project? 24 Does this project benefit people outside of your organisation s members? 25 If relevant, describe how the project will target marginalised groups (such as people identifying as Aboriginal, people from culturally and linguistically diverse (CALD) backgrounds, single parents, young people, and seniors). 26 How many people do you estimate will benefit from the project? 27 How have you calculated this figure? 28 Is the opportunity available for anyone in the community to participate in the project? If yes, how will you encourage community participation? 29 Are you working in partnership with any other organisations to deliver the project? (e.g. NRM Education Schools, Trees for life etc.) If yes, please list the names of the organisation/s and outline their role: 30 Please outline the experience your organisation has with delivering similar projects. 31 Describe how you intend to promote the project? (You will need to seek written approval to use council s supported by logo prior to use). Newsletter Media Release Flyer Website Messenger newspaper Advertiser Radio Social media TV Advertising Other, please specify 32 How will you recognise and promote Council support? 33 Please indicate the areas of our Onkaparinga 2035 (our Community Plan) your project most strongly supports? 34a) People vibrant and resilient Place liveable, connected and green Prosperity opportunity, diversity and adaptability Does your project require any other council, state or federal government approvals? 34b) If yes, have you applied for these? 34c) Please outline what the approval is needed for. (NOTE: Funds will not be released until confirmation has been obtained regarding the permit/approvals) 35 Do you have any further information that is relevant to your application? Environment Grants 2018 Page 4/7

5 FUNDING DETAILS 36 What is the total cost of the project? $ 37 What is the grant amount you are requesting from Council?* $ *Applicants must contribute a minimum of 50% towards the total cost of the project, this may comprise of cash and in-kind contributions. 38 Could your project proceed if only partial funding was received? (NOTE: Very few projects are funded the full requested amount due to the significant number of applications received). If yes, what changes will be made to enable the project to still proceed? 39 Will the project be completed within the financial year 40 Is this your only council grant/sponsorship application for the funding period? If, please indicate your preference for the grant/sponsorship applications: Has your organisation received sponsorship and/a grant from council in the last two financial years? If yes, please provide the details in the table below. Year Name of Grant Program Name of project / event funded Grant amount $ Has the grant been acquitted? INCOME AND EXPENDITURE STATEMENT An Income and Expenditure Statement (detailed and realistic project budget) must be included in your application. The income column must detail all income for your event including all contributions from your organisation. These must include all cash contributions and all in-kind contributions such as donated materials and volunteer labour hours. Volunteer labour will need to be detailed to show hours spent on various roles, and then calculated against the relevant rate. The expenditure column must detail all expenditure necessary for the staging of your event including equipment and venue hire where appropriate; any labour and contractor fees including the value of volunteer labour hours (these can be included as they would be an expense had they not been donated); the costs of marketing and promoting the event; any catering costs, and any other anticipated costs as required. Environment Grants 2018 Page 5/7

6 BUDGET DETAILS Applicants must be able to demonstrate that they are matching at least 50% of the amount of the grant applied for (refer to item 6 in the Environment Grants Guidelines). See example of project expense breakdown below. Copies of quotes for good/services must be attached to your application. Example project: Install a rainwater tank ITEM supply of 1200 litre tank (quote from ABC supplies attached) Income - Council funding Income -your contribution/ other funding Expenditure - Item total cost $ $ $1, PVC pipe (quote from DEF supplies attached) $25.00 $25.00 $50.00 Taps and fixing (quote from GEH supplies attached) $85.00 $85.00 $ skilled licenced labour (8 hrs x $45 quote attached)) $ $ $ volunteer - unskilled labour (1 hr x $30) $30.00 $30.00 In-kind donation of 8 square metres paving 0 $ $ Totals $ $1, GRANT APPLIED FOR (max 50% of total cost of project) $ Total project cost $1, (note: the paving component of this project is classed as beautification/amenity/general landscaping and therefore not eligible for funding see Environment Grant Guidelines, item 5) Your project: ITEM Income - Council funding Income -your contribution/ other funding Expenditure - Item total cost Total cost of project GRANT APPLIED FOR (max 50% of total cost of project) * Environment Grants 2018 Page 6/7

7 Declaration and Authorised Signature I have read and understand the Environment Grant Guidelines I have discussed my project with the Project Support Officer I have included an Income and Expenditure budget I have enclosed a copy of our current Public Liability Insurance certificate I have enclosed other relevant material that will support my application Where did you find out about this grant (please tick relevant box/es) City of Onkaparinga website Other (please state) Messenger newspaper Facebook Two (2) signatures are required (if submitting by , please sign, scan and send this page with your application) Authorised signature of applicant Name Signature Position Date Counter signatory of Management Committee or Principal (where applicable) Name Signature Position Date Completed application forms must be marked to the attention of Environment Grants Program and may be submitted by: mail@onkaparinga.sa.gov.au Hand delivering in an envelope to one of our council offices located at: - Aberfoyle Hub - The Hub, Aberfoyle Park - Aldinga - 11 Central Way, Aldinga Beach - arlunga Centre - Ramsay Place, arlunga Centre - Willunga - St Peters Terrace, Willunga - Woodcroft Bains Road, Morphett Vale Post: PO Box 1, arlunga Centre SA 5168 Fax: (08) Enquiries regarding the return of the completed application form should be directed to Margaret Ficken, Project Support Officer on (08) or mail@onkaparinga.sa.gov.au Please keep a copy of the application, accompanying documentation and evidence of submission for your records. You will receive notification of our receipt of your application via . Please call the grant officer if you have not received confirmation of receipt after 14 days to confirm it has been received by the close date, you may be asked to show evidence of submission. Environment Grants 2018 Page 7/7