APPLICATION FORM FOR GREYHOUND REHOMING
GRANT SCHEME
About the Greyhound Rehoming Grant Scheme
The Greyhound Rehoming Grant Scheme (Scheme) is available to eligible rehoming providers who rehome greyhounds
(Applicants). Applicants are invited to apply for a grant of up to $10,000 for goods and services directly benefitting their rehoming
activities (Grant). Grants are assessed and awarded by Greyhound Racing New South Wales (GRNSW) three times a year, at the
end of February, June and October to the successful Applicant (Grant Recipient). GRNSW will provide the Grant Recipient with a
Grant of up to $10,000.
Requirements
1. In order to be eligible for a GRNSW Greyhound Rehoming Grant, an Applicant must rehome greyhounds in New South Wales
and be:
o a not for profit organisation with an Australian Business Number in New South Wales; or
o a registered charity organisation with an Australian Business Number in New South Wales.
2. Grant applications must be submitted by the 20th day of the month of assessment being February, June and October.
3. To apply for a Grant, Applicants must accurately complete this Grant Application Form.
4. By applying for a Grant, Applicants who are successful, (that is the Grant Recipient) must agree to sign and comply with the
attached Terms and Conditions.
5. You may submit up to three (3) grant applications in a 12 month period.
6. Grants will not be awarded by GRNSW for:
 Salaries
 Legal fees
 Cash prizes
 Advertising material (including signage on
premises)
 Political, religious or military pursuits
 Consultant fees
7. Grants may be awarded by GRNSW for:
 Dog trailers, where a tax invoice is provided
 a veterinary account, where a tax invoice is
provided
 kennel renovations or extensions, where a tax
invoice is provided
 Education campaigns, where a tax invoice is
provided
 Motor vehicles to transport the dogs, where a tax
invoice is provided
8. The Grant will be paid directly by GRNSW to the relevant service provider, in accordance with the relevant tax invoice. If this is
not possible, a financial accountability report of the Grant awarded (either tax invoices or receipts or an audit report by a qualified
accountant) must be provided to GRNSW within 60 calendar days of the Grant being awarded.
9. By submitting an Application, Applicants and Grant Recipients consent to GRNSW using and disclosing the information,
including personal information provided for the purposes of conducting the Scheme, review, processing and awarding the Grants
and any other matter connected or related to the Scheme.
10. GRNSW decisions are final and binding. GRNSW reserves the right not to provide any Grants, to determine in its sole discretion
the amount of any Grant awarded and/or to direct the Grant Recipient in the manner in which the Grant is to be applied.
Applicant Information
Organisation name
ACN
ABN
Address
Telephone
Unit/ Street number:
Suburb/Town:
State/Territory:
Country: Australia
Postcode:
Fax
Total number of pages
(including application form)
1
Eligibility
Your organisation must meet one of the below criteria. Please indicate which is relevant to your organisation.
Not for profit organisation in New South Wales
Registered charity with the Australian Taxation Office (ATO) in New South Wales
Contact Person
Name
Role / Position
Email address
Application date
Project Overview
Project name
Start date
End date
Funding sought
Summary of your Organisation
Organisation description and
brief history
What is the organisation’s
greyhound placement policy
and process?
How many greyhounds did
your organisation rehome last
year?
Summary of your project
Project description
Describe your project’s goal
and the amount of grant
money required? Please
provide any relevant tax
invoices.
Why does your organisation
need the grant?
2
How will the grant be used to
assist the organisation’s
operations?
How will the grant improve
rehoming of greyhounds?
Project Timeline and Budget
Supporting material
Please attach any material
relevant to your application
Payment Information
Name of account holder
BSB number
Bank name
Account
number
This Grant Application Form needs to be filled in completely for an Applicant to be considered for the Grant. Please do
not leave any sections blank. You may attach any other additional information of documentation to support your
application. These may include research articles, information or funding quotes.
Submitting the Grant Application Form
Please send your completed Grant Application Form and any supporting documentation to rhcscheme@grnsw.com.au by
5pm on the following closing dates:
20 February;
20 June; or
20 October.
DECLARATION, UNDERTAKINGS & AUTHORISATIONS
I declare that the information I have provided above is true and correct and I understand that GRNSW will rely on this information. I will advise GRNSW if
there is any change in the particulars in this application. Should I be successful in being awarded the Grant as a Grant Recipient, I agree to comply with the
Terms and Conditions attached to this Grant Application Form.
PRIVACY POLICY
GRNSW understands the importance of your personal information and its privacy. GRNSW is committed to ensuring the privacy of your personal
information. The types of personal information that GRNSW request that you provide will depend on the category of licence or registration that you are
applying for or the service you are requesting. GRNSW respects that individuals have the right to know what information it holds about them. The GRNSW
Privacy Policy accords with the Australian Privacy Principles to protect the privacy of your information and is based on the Commonwealth Privacy Act
1988. You do not have to supply the information requested in this application, but if the information (or any part of it) is not provided your application
may be rejected. The GRNSW Privacy Policy is available at www.grnsw.com.au/policies/grnsw/privacy-policy.
Signature of Applicant:
Sign:
.............................................................................
Print Name:
Date:
/
/
Please turn over for Terms and Conditions. A Grant Recipient will be required to sign the Terms and Conditions as requested by
GRNSW.
3
Greyhound Rehoming Grant Scheme
Terms and Conditions
The Grant Recipient [INSERT NAME] has been awarded a Grant
of [INSERT AMOUNT] subject to the terms and conditions set
out below (Agreement).
6. The Grant Recipient must ensure that it complies with all
applicable laws, regulations and standards in relation to the
Scheme and Grant.
1. The Grant will be paid directly by GRNSW to the relevant
service provider, in accordance with a tax invoice. If this is not
possible, the Grant will be paid to the Grant Recipient, and the
Grant Recipient must provide a financial accountability report of
the Grant awarded (either tax invoices or receipts or an audit
report by a qualified accountant) to GRNSW within 60 days of
the Grant being awarded.
8. The Grant Recipient does not have the right or authority to
act on GRNSW’s behalf, bind GRNSW or speak on behalf of
GRNSW.
2. The Grant Recipient must present upon GRNSW’s request any
additional information required by law or pursuant to the
Australian Taxation Office guidelines to qualify as a tax invoice
for the purposes of the A New Tax System (Goods and Services
Tax) Act 1999 (Cth).
10. The Grant Recipient is responsible for any loss, damage to
GRNSW or any third party arising from any breach of this
Agreement or any act, negligence or omission of the Grant
Recipient.
3. GRNSW will undertake a review of the Scheme on a yearly
basis, and reserves its rights to terminate the Scheme and Grant
at any time, without notice.
9. The Grant Recipient acknowledges, that as an independent
contractor it is responsible for undertaking the project
associated with the Grant and Scheme.
11. The Grant Recipient will indemnify GRNSW against all
liability whatsoever arising out of this Agreement, that arises
from the Scheme, or Grant, or as a consequence of the actions
of the Grant Recipient and/or its employees or agents.
4. The Grant Recipient consents to GRNSW using and disclosing
the information, including personal information provided for
the purposes of conducting the Scheme, review, processing and
awarding the Grants and any other matter connected or related
to the Scheme.
12. GRNSW reserves the right in its sole discretion to cancel,
terminate, modify or suspend the Scheme.
5. GRNSW may terminate a Grant, and a request that money be
returned to GRNSW immediately, if in the opinion of GRNSW,
any of the following apply:
14. The Grant Recipient agrees not assign, novate or sublicence their rights or obligations under this Agreement.
(i) the project and Grant is not being carried out to the
satisfaction of GRNSW;
13. GRNSW may terminate this Agreement on one month’s
written notice
15. This Agreement is governed by the laws of New South
Wales.
(ii) these terms and conditions are breached;
By signing below, the Grant Recipient agrees and
acknowledges the terms and conditions set out above.
(iii) the Grant Recipient fails to provide information concerning
administrative or financial aspects of the Scheme and Grant in
response to a reasonable request by GRNSW.
___________________________________________________
Signature
___________________________________________________
Print Name of Grant Recipient
___________________________________________________
Date
______________________________________
4