Community Project APPLICATION

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Community Project APPLICATION Kei te ora te wai, kei te ora te whenua, kei te ora te tangata. If the water is healthy, the land and the people are nourished.

The Manawatū River Accord grants programme is an opportunity for the community to engage positively and constructively in addressing water quality issues in the Manawatū catchment. Community groups will be able to access resources that will enable them to complete projects that will assist in achieving the goals of the Manawatū River Accord. Our Vision The goal of the Manawatū River Accord is to improve the Manawatū River, the mauri (lifeforce) of the Manawatū River Catchment, such that it sustains fish species, and is suitable for contact recreation, in balance with the social, cultural and economic activities of the catchment community. There is already a lot of work underway by signatories to the Accord but we want to capture the ideas and energy of other groups in the community. Our Manawatū River Accord grants programme is designed to support community-led projects that will help us achieve these goals. WHAT CAN YOU APPLY FOR? Our Manawatū River Accord grants programme focuses on helping you restore water quality in the Manawatū catchment and achieve the goals of the Manawatū River Accord. Therefore projects that focus on the vision and goals of the Manawatū River Accord will be considered favourably. These goals are: 1. The Manawatū River becomes a source of regional pride and mana. 2. Waterways in the Manawatū Catchment are safe, accessible, swimmable, and provide good recreation and food resources. 3. The Manawatū Catchment and waterways are returned to a healthy condition. 4. Sustainable use of the land and water resources of the Manawatū Catchment continue to underpin the economic prosperity of the Region. Applications are assessed on their environmental benefits, feasibility, community involvement and long-term benefits to the region. WHO CAN APPLY? Non-profit organisations such as community groups, schools, early childhood centres, and iwi/hapu groups are eligible for our grants. The project must be non-profit making. 40% of all funding is to be dedicated to iwi led projects. Funding requirements: Permission from any landowner whose property the project is taking place on must be presented at time of application. Funding must be uplifted within two months of receiving notification of successful application. Upon completion of the project, a brief report and any supporting imagery must be provided to Horizons Regional Council for reporting and promotional purposes.

LIST OF Assessment Criteria Applications are assessed according to how well they meet the following criteria: The project must have clear objectives that are consistent with the goals of the Manawatu River Leaders Accord The application must demonstrate a tangible improvement in community understanding and involvement in cleaning up the river The application must demonstrate the degree of collaboration between community groups In addition applications should also: be designed to become self-supporting without on-going financial contributions demonstrate the necessary skills and experience to undertake the project demonstrate how the outcomes of the project would be maintained in the future demonstrate how the effectiveness of the project will be measured seek contributions from other sources where appropriate be a new initiative or an extension of an existing project. The project must NOT: present a conflict of interest for council as a consenting authority be designed for commercial or personal profit. What happens NEXT? After we receive your application we will assess it against the criteria and other applications made. We will let you know whether or not your application is successful by 15 December 2012. Tips for a successful application: Be clear and concise about what your project will achieve Include a project plan and realistic timeline Detail how the project s outcomes will be maintained in the long-term. Sending in your application: You can apply online www.manawaturiver.co.nz or via mail. Please post hardcopy applications to: Manawatū River Accord Grants Programme c/o Horizons Regional Council Private Bag 11025 Manawatū Mail Centre 4442 Applications close 4pm Tuesday 30 October. For all enquiries please contact us by phone on 0508 800 800 or email help@horizons.govt.nz.

Applicant Details Additional documentation can be provided by applicant if insufficient space available in application form. Contact name of applicant: Name of organisation: Type of organisation: Incorporated Society Charitable Trust Educational facility (School/ECE/etc) Local community group Iwi Other Details: Is your organisation GST registered? Yes No If yes, please state your GST number: Organisation s objectives: Contact phone number(s): Email address: Website address: Postal address: Physical address:

How did you hear about the Manawatu River Leaders Accord Community Projects programme? Newspaper If so which one? Online/ website If so which one? Friend/ Colleague Other Please explain Application Details Name of project: What are the objectives of the project? Please provide details of your funding request: Start date of project: End date of project: Location of project: How will this project enhance the Manawatū River? How will this project engage the community? Who will be involved with the project?

Please outline how your project will become self supporting without on-going financial contributions. Demonstrate how the outcomes of the project would be maintained in the future. Is this application supported by the wider community? (please attach letters of support if applicable) Has funding for this project been provided in the past? Yes No If yes, please list previous funding sources for this project over the past 24 months If you have a project plan and timeline please attach it to this application. Budget What is the total budget for the project? $ What is the total amount (GST excl) that you are seeking from this application? $ What does this funding include? Please attach quotes if relevant

Promotion and Evaluation Are there opportunities for Accord members or other community groups to take part in this project? Yes No If yes, please explain: Are there opportunities to involve local media? Yes No If yes, please explain further How will you evaluate the success of the project? Is there any other information you believe is relevant to support your application? Payment Details Direct Credit Details: Bank: Account Name: Account Number: Please attach evidence of your bank account details i.e. deposit slip. Attached Cheque Details: Name to be written on cheque: Postal Address:

Checklist I have completed all sections of the application I have attached evidence of bank account details (if ticked via direct credit) I have attached copies of quotes where applicable I have attached evidence of landowner s permission where applicable Applicant s Obligations If your application is successful you agree and acknowledge on behalf of your organisation or group the following: I agree to invoice Horizons Regional Council for the full amount awarded within two months of receiving notification of successful application. I agree to ensure that the sponsorship amount and any products or services received as part of the sponsorship will be used solely for the activities specified in this application and for no other purposes. I agree to provide feedback about the activity to the relevant Funding Steering Group and provide photos if available within a timeframe of one month following the sponsored activity. If this application is on behalf of an organisation, group or other entity I confirm that I have informed them of this application and will provide acknowledgement of sponsorship receipt via the entity supported (i.e. on official letterhead or alternative official means). If the project is being carried out on land not owned by the applicant I confirm that I have sought permission from the landowner to carry out planned activity. Name Organisation Signature Date