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