Community Building Partnership 2016 Application Question Guide

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Community Building Partnership 2016
Application Question Guide
This Application Question Guide provides an overview of the questions you will be asked as part of
your online application form for Community Building Partnership 2016.
Refer to the question number, question type and hint in the below table to prepare your application.
Required questions are marked with a red * on the application form.
For further guidance on how to use the online system refer to the Help Guide for Applicants and the
Program’s Guidance Notes.
Who do I contact for further information?
Contact the Community Building Partnership team, by phone 13 77 88 or by email at
cbp2016@facs.nsw.gov.au
Remember:
Save your application form regularly.
Your application can be completed in more than one session.
Your application is not officially submitted until you ‘review and submit’ your application. Simply
hitting the save button in the online system does not officially submit your application for funding.
Don’t leave your application for funding until the last minute, give yourself plenty of time to submit it
before the closing deadline.
Thank you and best of luck with your application.
Application Question Guide
Question
Question Type
Number
1
Required, Single
Choice
2
3
4
Required, Single
Choice
Optional, Alpha
Numeric
Optional,
Numeric
Hint
Legal status of your organisation
Choose the most relevant option that describes the legal status of
your organisation. If ‘other’ specify in the box provided.
Is your organisation a committee of Local Council?
Choose the most relevant option that describes your organisation.
Organisation’s Incorporation Registration Number
If you have an Incorporation Registration Number, please tell us what
it is. If you don’t have a number please leave this question blank.
Organisation ABN/ACN
If you have an Australian Business Number or Australian Company
Number please tell us what it is and click on the ‘lookup’ button. By
clicking on the ‘lookup’ button, the online system will check that you
have entered the number correctly and populate the questions in the
box. Please check that the information in the box is correct.
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
5
6
7
8
9
10
11
12
13
Question Type
Hint
Type of organisation
Select the option(s) that best describe your organisation. If ‘other’
please specify in the box provided.
Has your organisation previously received funding from the
Required, Single
Community Building Partnership Program (CBP)?
Choice
Select the relevant option. If you answer ‘yes’ to this question you are
required to complete Question 7 (Q7). If your organisation has not
received funding from CBP before, please go to Question 8 (Q8).
Question 7 is only required if you answered ‘Yes’ in Question 6 above
Required,
Multiple Choice
If your organisation has previously received funding from CBP,
please provide a brief description.
(up to 200 words) If you answered ‘yes’ to Q6 above, please provide
a brief description of the funding your organisation received from the
Community Building Partnership. If you answered ‘no’ to Q6 above,
you are not required to complete this question it will be turned off, go
to Q8 below.
Questions 8 – 17 need to be answered by ALL applicants
Registered name of organisation
Required, Text
Response
Tell us the registered name of your organisation. It should be
consistent with the name listed on your Incorporation Registration or
Australian Business Number.
Trading name of organisation
Optional, Text
Response
Tell us the trading name of your organisation, it may be different or
the same as your registered name, listed in Q4 and/or Q8.
If you trade under any other name, please specify
Optional, Text
response
Tell us if you trade or operate using any other name. It may be a
name that you are also commonly known as, and it may be different
to the above two names detailed in Q8 and Q9 above.
Organisation business address
Required, Alpha
Numeric
Please provide us with your organisation’s business address. You
can provide us with your street or postal address. You do not need to
provide both.
Organisation business phone
Required,
Numeric
Please provide us with a business phone number. It must be an
Australian phone number and it must be able to be used during
business hours. Include the phone number area code.
Organisation email address
Required, Alpha
Numeric
Must be a valid email address. This email address will be one of the
ways the Program will contact you and send you documentation
relating to your application.
Optional, Text
Response
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
14
15
16
17
18
19
20
21
Question Type
Hint
Organisation website address
Must be a valid URL / web address. This question is optional, you are
not required to have a website. If your organisation has a website we
would like to know its address.
Organisation contact name
Required, Text
Response
Please tell us who is the main contact person for your organisation.
Select the salutation from the dropdown list, and provide the person’s
first and last name. Your organisation’s main contact person could be
the General Manager, CEO, President, Secretary, Treasurer or
another person in your organisation.
Position
Required, Text
Response
Please provide the position title of the person who is the main contact
for your organisation. For example are they the General Manager,
CEO, President, Secretary, Treasurer etc.
Address and contact details as per questions above
Required, Single
Choice
Select the relevant option and go to the questions as directed in the
application form depending on your response. Subject to your
response to this question, Q18 – 20 will be turned on or off
automatically.
Question 18 – 20 are only required if you answered ‘No’ in Question 17 above.
Organisation contact address
Required, Alpha
Numeric
Please provide us with the business address of your organisation’s
contact person. You can provide us with their street or postal
address. You do not need to provide both. We recognise that this
may be the same address as your business address listed in Q12
above, but we provide this question in case the contact person’s
address is different to your organisation’s business address. Subject
to your response in Q17 this question will be turned on or off.
Organisation contact phone number
Required,
Numeric
Please provide us with a phone number (include the area code) of
your organisation’s main contact person. It must be an Australian
phone number and it must be able to be used during business hours.
Subject to your response in Q17, this question will be automatically
turned on or off.
Organisation contact email address
Required, Alpha
Numeric
Must be a valid email address. This email address will be one of the
ways Program staff will contact the person who is your organisation’s
main contact. We may send them documentation relating to your
application. Subject to your response in Q17, this question will be
automatically turned on or off.
Question 21 needs to be answered by ALL applicants.
Address and contact details as per questions above
Required, Single
Choice
Select the relevant option and go to the questions as directed in the
application form. Subject to your response to this question Q22 to 26
will be turned on or off.
Optional, Alpha
Numeric
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Question Type
Hint
Number
Questions 22 – 26 are only required if you answered ‘No’ in Question 21 above.
Project contact person
22
Required, Text
response
Please provide us with the name of a project specific contact person.
List the person who will be the main contact for your project, this may
be a different person to the person who is the main contact for your
organisation. Subject to your response to Q21 this question will be
turned on or off.
Position of project contact
23
Required, Text
response
Please tell us the position title of the nominated project contact
person. Subject to your response in Q21 this question will be turned
on or off.
Project contact address
24
Required, Alpha
Numeric
Please provide the address of the project’s contact person. This may
be a street or postal address. You do not need to provide both. We
ask this question as the address of the project contact person may be
different to the address listed in Q11 and Q18. Subject to your
response in Q21 this question will be turned on or off automatically.
Project contact phone
25
Required,
Numeric
Please provide us with a phone number for your project contact
person. It must be an Australian phone number and it must be able to
be used during business hours. Include the phone number area code.
Subject to your response in Q21 this question will be turned on or off.
Project contact email
26
Required, Alpha
Numeric
Must be a valid email address. This email address will be one of the
ways Program staff will contact the person who is your nominated
project contact. We may send them documentation relating to your
application. Subject to your response in Q21 this question will be
turned on or off automatically.
Question 27 - 34 need to be answered by ALL applicants
Project title
27
Required, Text
Response
(up to 10 words) Tell us the name of your project. Please use a
Project Title that reflects the nature of the application and project and
clearly describes the works being proposed.
Project description
28
Required, Text
Response
(up to 50 words). Briefly describe your project in one single paragraph
what works the CBP funding will be used on. Please do not use caps
lock or bullet points. Remember to check your spelling and grammar.
Project activities
29
Required,
Multiple Choice
Select the option(s) that best describe your project’s activities. If
‘other’ please specify in the box provided.
Proposed start date of project
30
Required, Date
Start date for your project. Tell us when your project will start. It
cannot start any earlier than 23 July 2016 or any later than 31 March
2018. You can use the calendar function attached to this question.
Proposed finish date of project
31
Required, Date
Completion date for your project. Tell us when your project will finish.
It cannot finish any earlier than 23 July 2016 or later 31 March 2018.
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
32
33
34
35
36
Question Type
Hint
Have you applied, received or been allocated funding for this
project from another source?
Select the relevant option. If you have not applied, or received, or
been allocated funding from another source for this project go to Q34
below. If you have been allocated, have received, or have applied for
funding for this project from another source, please complete Q33
below. Subject to your response in this question, Q33 will be turned
on or off.
Question 33 is only required subject to your answer in Question 32 above
If you have applied to another funding source and are waiting on
Required, Text
the outcome, OR have received funds from another source to
Response
deliver this project, please name the source of funds or name the
funding program, and describe what was sought
(up to 200 words)
Questions 36 – 48 need to be answered by ALL applicants
Project address or location
Required, Alpha
Numeric
Tell us where the project will take place. It must be an NSW post
code. List the address where your project will be implemented. The
project must be in NSW. Commence typing the project location into
the address box, a list of choices will appear, you can select one from
the list that is correct, or keep typing in the project’s address. This
question uses Google Maps data to position your project on the map
display, you can drag the pin to the correct location on the map. The
geo-coordinates will also be displayed on the screen for the
program’s reference.
If your project is in a park, field or oval, please tell us its name
Optional, Text
Response
Only complete this question if it is applicable. Tell us the name of the
park, field or oval where your project will be implemented.
Is the project on Council owned or managed land?
Required, Single
Choice
Tell us if the project is on Local Council owned or managed land.
Select relevant option.
Required, Single
Choice
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
37
Question Type
Required, Single
Choice,
Dropdown List
38
Required, Single
Choice,
Dropdown List
39
Required, Multiple
Choice
40
Required,
Numeric
41a
Required, Single
Choice
41b
Optional - Upload
42
Required, Single
Choice
43a
Required, Single
Choice
43b
Optional - Upload
44a
Required, Multiple
Choice
Hint
Local Government Area
Select the Local Government Area (LGA) your project is located in. If
you are unsure, go to www.elections.nsw.gov.au to look up which
LGA your project is located in. The list of Local Government Areas
used in the Application Form is correct as at 10 June 2016.
Project Electorate, select the NSW Government Electorate
where your project will be implemented
Select the NSW Government Electorate your project is located in. If
you are unsure, go to www.elections.nsw.gov.au to look up which
State Electorate your project is located in. Remember that the
Electorate where your project is located may have changed with the
last State Election and the new boundaries.
Target group(s) or beneficiaries for the project
Select one or more of the most relevant options, please ensure that
the options selected are relevant to your project. If ‘other’ specify in
the box provided.
Number of people targeted or likely to benefit from the project
Tell us an estimate of the number of people likely to benefit from the
project or are being targeted by this project.
Have you secured the property owner’s approval to implement
the project?
Select the relevant option. If Yes, complete Q41b below.
Upload – copy of property owner’s consent
If you have secured the property owner’s consent to implement the
project, upload a copy of that consent here. Do not upload
documents that are not required. File size should be no larger than
5mb per attachment.
Does your project require a Development Approval from Local
Council?
Select the relevant option. If you are unsure, talk with your Local
Council to clarify if your project will require a Development Approval.
Has Development Approval been granted?
Select the relevant option. If you are unsure check with your Local
Council. A copy of your Development Approval can be uploaded at
Q43b below.
Upload – copy of Development Approval granted for the project
Upload a copy of your project’s Development Approval from your
Local Council, if secured. Do not upload documents that are not
required. File size should be no larger than 5mb per attachment.
Insurance – what insurance does your organisation have in
place?
Select one or more relevant option(s). If ‘other’ please specify in the
box provided. If you hold Public Liability Insurance, complete Q44b
below.
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
44b
45a
45b
46
47
48
49
50
51
52
Question Type
Hint
Upload – copy of Public Liability Insurance Certificate of
Currency
Upload a copy of your Public Liability Insurance certificate of
Currency. Do not upload documents that are not required. File size
should be no larger than 5mb per attachment.
Have you obtained quotes for your project?
Required, Single
Choice
Select relevant option. Have you obtained quotes to substantiate the
grant amount you are requesting? If Yes, complete Q47b below.
Upload – copy of quotes obtained
Optional - Upload
Upload copies of any quotes you have obtained for your project to
substantiate the funding amount sought. Do not upload documents
that are not required. File size should be no larger than 5mb per
attachment.
Do you have any project partners for this project?
Required, Single
Choice
Select the relevant option. If you select ‘Yes’, or ‘Not yet confirmed’,
you will be required to complete the questions on page 5 of the
application form (questions 47 – 61). Follow the instructions on the
application form if you have or are likely to have project partners. If
you do not have project partners you will not be required to complete
page 5 of the application form (questions 47 – 61).
Questions 47 – 61 are only required if you have project partners,
subject to your answer in Question 46 above
Number of project partners
Required, Single
Choice
If you have project partners, tell us how many you have. Select the
relevant option. If you have more than 2 project partners, you will
need to upload/attach a list of your project partners to your
application form. If this is the case, ensure that you provide all the
required information. You can attach the Project Partner List on the
last page of the form.
Partner 1 - name of organisation
Required, Text
Response
Partner 1 – name of contact person
Required, Text
Response
Partner 1 – address of partner 1
Required, Alpha
Numeric
Can be a street or postal address. Must be an Australian post code.
Partner 1 – phone
Required,
Numeric
Please provide us with a business phone number (include the area
code) for project partner 1. It must be an Australian phone number
and it must be able to be used during daytime hours.
Partner 1 – email address
Required, Alpha
Numeric
Must be a valid email address.
Optional - Upload
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
53
Question Type
Hint
Partner 1 – role in partnership
Tell us what the role of this partner will be. What will they do or be
responsible for?
Partner 1 – contribution to project
54
Required, Text
Response
Tell us what this project partner’s contribution will be to the project.
Please briefly detail the financial or other contribution made by this
project partner.
If you only have one project partner, you are not required to complete Questions 55 - 61
Partner 2 - name of organisation
55
Optional, Text
Response
Partner 2 – name of contact person
56
Optional, Text
Response
Partner 2 – address of partner 2
57
Optional, Alpha
Numeric
Can be street or postal address. Must be an Australian post code.
58
Optional, Numeric Partner 2 – phone
Please provide us with a business phone number (include the area
code) for project partner 2. It must be an Australian phone number
and it must be able to be used during daytime hours.
Partner 2 – email address
59
Optional, Alpha
Numeric
Must be a valid email address.
Partner 2 – role in partnership
60
Optional, Text
Response
Tell us what the role of this partner will be. What will they do or be
responsible for?
Partner 2 – contribution to project
61
Optional, Text
Response
Tell us what this project partner’s contribution will be to the project.
Please briefly detail the financial or other contribution made by this
project partner.
Questions 62 onwards must be answered by ALL applicants
Describe how the project develops a vibrant, sustainable and
62
Required, Text
inclusive community by enhancement or construction of
Response
community infrastructure.
(up to 200 words)
Describe how the project supports activities and services
63
Required, Text
needed by the community. Why is the project needed?
Response
(up to 200 words)
Describe how the project encourages participation in activities
64
Required, Text
or services needed by a broad section of the community. You
Response
may consider addressing the different sections of the
community that the project supports.
(up to 200 words)
65
Required, Multiple Expected outcomes of the project
Choice
Select one or more relevant options. If ‘other’ please specify in the
box provided.
Required, Text
Response
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
66
67
68
69
70
71
72
73
Question Type
Hint
What strategies will you use to promote your project in the
wider community?
Select one or more relevant options. If ‘other’ please specify in the
box provided. If Social Media is selected, you will be required to
complete Q67 below.
Question 67 is only required subject to your answer in Question 66 above
If you are using social media, select the type from the list
Optional, Multiple
provided.
Choice
Select one or more relevant options. If ‘other’ please specify in the
box provided. Subject to your response in Q66, this question will be
turned on or off automatically.
Question 68 onwards must be answered by ALL applicants
Required, Multiple How will the project be managed?
Choice
Select one or more relevant options. If ‘other’ please specify in the
box provided.
Do you have a risk management plan in place?
Required, Single
Choice
Select the relevant option.
Required, Multiple How will you respond to issues as they occur?
Choice
Select one or more relevant options that best describe how your
project will respond to issues as they happen. If ‘other’ please
specify in the box provided.
Required, Multiple How will the outcomes or results of the project be measured?
Choice
Select one or more options that best describe how your organisation
will measure the results of your project. If ‘other’ please specify in the
box provided.
Required, Multiple How will you maintain your improved facilities once the project
has been completed?
Choice
Select one or more relevant options that best describe how your
organisation will maintain the facilities once the project is completed.
If ‘other’ please specify in the box provided.
Describe what capacity your organisation has to implement the
Required, Text
project and ensure it is successful
Response
(up to 200 words) You can provide examples of where you have
implemented other projects successfully.
Required, Multiple
Choice
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
74
Question Type
Optional, Upload
Hint
Copy of recent Financial Statements
Upload a copy of your organisation’s financial statements (audited
OR unaudited) for one of the last two financial years. Do not upload
copies of receipts, invoices or details of individual expenditure.
The Program is seeking a copy of your overall financial statements
which includes statements regarding income and expenditure, assets
and liabilities, statements presented to your organisation’s last
Annual General Meeting (AGM), or last year’s Annual Report.
75
Required,
Currency
76
Optional,
Currency
77
Required,
Currency
Optional,
Currency
78a
78b
Optional, Text
Response
Do not upload documents that are not required. File size should be
no larger than 5mb per attachment.
Project Budget
Total Amount of grant requested
Tell us how much you are seeking from the Program. Minimum
request is $2,500. The amount you are requesting must be a whole
dollar amount. Remember to include this amount in your budget
table on page 7 of the application form. Please include the GST to be
paid to the suppliers / trades in the grant amount sought.
What is your organisation’s cash contribution to this project?
Tell us what you are contributing to the project in cash. Local
Councils and Section 355 Committees of Local Councils MUST
make a cash matching (cash contribution equalling the grant amount
sought) contribution towards the project. Refer to the Program’s
Guidance Notes for further information.
What is the estimated total cost of your project?
Tells us how much you think your project will cost.
If you did not receive the full amount you have asked for, is
there a smaller amount that would still allow you to implement
some parts of your project, or the whole project at a smaller
scale?
Must be a whole dollar amount. Based on previous years,
approximately 50% of approved project receive partial funding. If you
leave this question blank you may miss out on getting funds for your
project as it will be assumed that you would reject an offer of partial
funding.
What part of the project will be delivered if your organisation is
awarded the partial funding amount specified above?
Consider your project’s activities and components. Can it be broken
up into stages, discrete activities or parts of the work? List the part of
the project that could be undertaken with the smaller grant amount, if
you are awarded the partial funding amount. If your project can’t be
broken up into parts, please say this in the space provided.
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
A
Question Type
Income Table,
Required
Hint
Income sources
Tell us the CASH income you have or are seeking in the form of a
grant for this project.
Include the amount you are seeking from the Program in this table
(amount equals your response to Q75).
B
C
Expenditure
Table, Required
In-Kind
Contribution
Table, Optional
Remember to include the GST you will be charged by
suppliers/trades in the amount of funds you request from this
Program. Add additional rows to the table if required. The Total
Income Amount will be automatically calculated.
Expenditures
Tell us the CASH expenditure you will have in relation to this project.
List all related cash expenditures and costs by type, line item or
activity. Add additional rows to the table if required. The Total
Expenditure Amount will be automatically calculated.
Remember to balance your project budget, your total cash
expenditure should equal your total cash income (Table A above)
In-kind contributions
This table is optional. If you have in-kind contributions towards your
project, please provide details. Please detail the equivalent cash
value of all in-kind contributions (can be an estimated cash value).
Add additional rows to the table if required. If you have in-kind
contributions detailed in this table, the Total In-Kind Value will be
automatically calculated.
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
Question
Number
Conflicts of
Interest
Application
Checklist
File Upload
Applicant’s
Declaration
Details of
person
submitting
the
application
Question Type
Hint
Conflicts of Interest, Checklists and Declarations
Required, Single Conflict of Interest Declaration
Choice, and
Considering your organisation and its key members, are there any
Text Response
actual, perceived or potential conflicts of interest with the relevant
(if required)
local Member of Parliament. If you have a real or perceived conflict
of interest you will be required to provide details, which will be
considered by the Program. Refer to the Application Form and
Program’s Guidance Notes for further information.
Application checklist
Required,
Multiple Choice
Follow the instructions on the application form. Ensure that you read
all of the options and select them, declaring that you have done each
of the actions and acknowledge program requirements.
Upload documents
Optional
There is no need to attach documents here that have already been
uploaded to your application. You can attach additional documents to
your application via this upload facility, such as the expanded list of
Project Partners or Before Photos (if relevant). Files should ideally
be no more than 5mb each. Do not attach documents that are not
required.
Required, Single Declaration agreement
Choice
By reading and completing this Declaration you are confirming that
you are authorised to submit the application, and that the information
in the application is true and correct.
Details of person submitting the application
Required
responses
We request these details as we recognise that the person submitting
the form may not be the same person as the individual who is
nominated as either the organisation or project contact. By providing
details of the person submitting the application, Program staff will be
able to contact you should there be any questions or concerns with
your application. Please follow the instructions provided on the
application form.
Community Building Partnership 2016 – Application Question Guide
Version: June 2016
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