2017 APPLICATION FOR FUNDING

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1 2017 APPLICATION FOR FUNDING Please complete all questions with relevant information. Refrain from writing more than the word limits, where specified. Do not write see attached in place of a response. Section 1: Your Organisation 1.1 Your organisation s name: 1.2 Physical address: 1.3 Postal address (if different from above): 1.4 Contact person (including and phone number): 1.5 Key people in your organisation (name and role): Name Role 1.6 Are you a registered charity? If so, what is your Charities Commission registration number? 1.7 When was your organisation established? 1.8 Are you GST registered? If so, please provide GST number 1.9 Tell us about the focus and purpose of your organisation (maximum 50 words) 2017 Application Form Page 1

2 1.10 Number of paid and volunteer staff Paid: Volunteer: 1.11 In general, where does your organisation get funding from? 1.12 In round figures, what is your annual expenditure? Section 2: The Project/Programme 2.1 Please give a description of the project or purpose for which funding is sought (maximum 150 words) Your answer should include a description of your planned activities, your typical client/beneficiary (demographic) and the approximate number of people you hope to reach. Information about need and intended outcomes can be included in Section What evidence is there that this project/programme is needed? Please describe how you know there is a need for your project this could be through research data, community consultation or evidence of current demand for services Application Form Page 2

3 2.3 What is the timing of your project - when will it commence and when will it conclude? Section 3: Outcomes Your project outcomes should clearly align with the SKYCITY Hamilton Community Trust s vision: Supporting families to thrive and communities prosper. The priority outcomes that the SKYCITY Hamilton Community Trust is looking to achieve under this vision are described below: Impact Streams Financial capability for families Employment and economic prosperity for families Pathways to employment and economic prosperity Healthy and stable families Priority Outcomes Families are financially confident, independent and can mitigate debt and debt-causing behaviours. Families can generate their own income through the attainment and/or enhancement of work-related skills and training, enterprise and access to work. Young people are supported to thrive at every stage of their development towards a successful and prosperous adulthood. Children, young people and families have access to education, are supported in educational pathways and achieve educational success. Families develop attitudes, behaviours and skills that play a positive role in improving their health, safety and resilience. 3.1 Please use the table below to describe the intended outcomes and long-term impact of your project or programme as relevant to one or more of the SKYCITY Hamilton Community Trust s impact streams. SKYCITY Hamilton Community Trust s Impact Stream What will change for families or communities as a result of your project? Immediate Outcomes (maximum 50 words) Long-term Impact (maximum 50 words) Financial capability for families Employment and economic prosperity for families 2017 Application Form Page 3

4 Pathways to employment and economic prosperity Healthy and stable families Section 4: Evaluating impact 4.1 What aspect/s of your project or programme do you plan to evaluate? (maximum 100 words) 4.2 What evaluation tools might you use to carry out your chosen evaluation? (maximum 100 words) 2017 Application Form Page 4

5 4.3 How do you plan to resource this evaluation? (maximum 100 words) 4.4 If your application to the SKYCITY Hamilton Community Trust includes evaluation expenses, what is the purpose of your evaluation and how will SKYCITY Hamilton Community Trust funding enable your organisation to achieve this purpose? (maximum 300 words) Section 5: Collaboration 5.1 Is your project or programme collaborative? Yes* go to section 5.2 No go to section 5.3 * A collaborative project/programme is defined by the SKYCITY Hamilton Community Trust as being co-led by one or more organisations, with a formally recognised partnership (eg Memorandum of Understanding (MOU)), a common vision and shared resourcing with the intention of achieving greater impact Application Form Page 5

6 5.2 If you answered yes to section 5.1, please explain: The nature of this collaboration How SKYCITY Hamilton Community Trust funding would be managed across the collaborative partners How the collaboration enables the project or programme to better achieve its intended outcomes detailed in Section If you answered no to question 5.1, please give a brief outline of any active relationship that your organisation has with others that benefit your project or programme: Section 6: Project Funding 6.1 How much money is your organisation requesting from SKYCITY Hamilton Community Trust? This should be GST exclusive if your organisation is GST registered; GST inclusive if your organisation is not GST registered 6.2 For this funding request detail separately the elements of expenditure. This should total the amount of your request GST exclusive if organisation is GST registered, GST inclusive if not GST registered Please include copies of quotes to support these amounts Total (should equal section 6.1) 2017 Application Form Page 6

7 6.3 How much money has your organisation already raised for this project or programme? 6.4 Assuming this application is successful, how much more does your organisation still need to raise to complete this project? 6.5 Summary of project funding: Amount requested in this application (section 6.1) Total already raised (section 6.3) Total still to raise (section 6.4) Total cost of project 6.6 If your organisation already has funds available, why are they not being used for this project? 6.7 Has your organisation applied, or do you intend applying, to another funding organisation for the same purpose? If yes, please specify. Section 7: Your Organisation s Finances 7.1 To help us assess this application, please attach a copy of your latest financial accounts or latest audited financial accounts. Are there likely to be any significant changes to your financial situation in the next 12 months? If yes, please explain. 7.2 Please include a bank deposit slip or bank statement that matches your organisation name Application Form Page 7

8 Section 8: More Information Finally, is there anything else you think we should know about your organisation or the project? (maximum 500 words) 2017 Application Form Page 8

9 Section 9: Applicant Declaration This application has the formal approval of our Board/Committee/Authority, and; to the best of my knowledge the information provided herein and on any supplementary sheets are true and correct, and; that further information provided by us during the course of assessment of this application will be true and correct, and; we acknowledge that any decision made by the SKYCITY Hamilton Community Trust is final. We accept that no reasons for such decision will be given, nor will any correspondence be entered into, and; that if this application is successful, the funds awarded will be applied to the purpose as stated in Section 2 and not applied to any other purpose without the express permission of the SKYCITY Hamilton Community Trust having first obtained, and; that any funds paid which are surplus to the stated purpose will be repaid to the SKYCITY Hamilton Community Trust, and; that documentary evidence of the expenditure will be provided to the SKYCITY Hamilton Community Trust within 30 days of the expenditure of the funds awarded. If this grant is successful, we will participate in the roundtable evaluation as part of the SKYCITY Hamilton Community Trust s accountability process. For respondents: By activating the Signature Check Box you are confirming your acceptance of all clauses in this declaration. For and on behalf of our organisation: Signature: For printed and mailed forms For ed forms Signature Check Box: Name: Position: Date: Name: Position: Date: 2017 Application Form Page 9

10 Checklist: Completed all the questions? Checked all the figures add up? Enclosed copies of quotes? Enclosed copies of your latest financial accounts? Enclosed a copy of bank deposit slip or bank Date: statement with matching organisation name? Deadline and contact details: Application deadline What needs to be included Post to: Courier: By hand: Phone: 29 September 2017, 5pm To arrive or be postmarked no later than the deadline No late applications will be accepted No extensions will be given for supporting documentation. Only complete applications (form, financial accounts and quotes) received by the deadline will be accepted SKYCITY Hamilton Community Trust PO Box Auckland 1142 SKYCITY Hamilton Community Trust Federal House 86 Federal Street Auckland 1010 SKYCITY Hamilton Ground Floor Admin Office 346 Victoria Street Hamilton Ashi Ponini Community Trust Administator hamilton@skycitycommunitytrust.org.nz If ing your application form, please include supporting documentation in the smallest number of PDFs possible. Please do no post and - one option is sufficient. Our preferred method of receipt is by Application Form Page 10

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