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Tindall Rural Community Event Fund
Grant Application 2015
Maximum application total $500
1. Name of your Organisation (Name you are known by).
a. Legal name (if different)
2. Postal Address
3. Street address, if different
4. Please indicate the district you operate in:
Hamilton City
Hauraki
Otorohanga
South Waikato
Waikato District
Waikato Region
Waitomo
Waipa
5. Principal Officers of your organisation
Name
Name
Matamata-Piako
Thames Coromandel
Ruapehu
Position
Phone
Position
Phone
6. Contact Person
(The most appropriate person to be contacted by Community Waikato regarding your application.)
Name
Position
Contact details
Email
Phone
7. Legal Status
□Trust □ Incorporated Society
What is your Charities Commission Number?
8. Name and bank account number (please print clearly).
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9. What is your organisation’s main purpose and objectives? (Your vision and mission).
10. Tell us about your event, what do you want the money for?
11. What are your expected outcomes?
How will your community benefit from this fund- what will be the impact of your event?
WHO CAN APPLY?
Community organisation’s with charitable status and who work within the following districts. •Waipa,
•Hauraki, •Matamata-Piako, •Otorohanga, • South Waikato, •Thames Coromandel, •Waikato District,
•Waikato Region, •Ruapehu, •Waitomo.
Please note this fund is specifically for rural towns and areas. Hamilton organisations are not eligible for
this fund. This fund is for wider community benefit events, not club or school fundraisers.
To be eligible organisations must fit one of the following areas…
• Community services and development • Adult literacy and numeracy • Youth development
• Budgeting • Early childhood • Maori • Migrant, Refugee and Cross Cultural • Housing
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DECLARATION
In making this application I declare that:
I am authorised to make this application and to the best of my knowledge the information contained
herein is true and correct.
Any donation received will be used for the project for which it was approved.
I acknowledge that group and personal information collected will be held by Community Waikato for the
purpose of assessing the application, and publicising the results of approved donations.
FOR AND ON BEHALF OF OUR ORGANISATION:
NAME:
POSITION:
DATE:
SIGNED:
----------------------------------------------------------------------(Details and signature of a principal officer in the organisation).
Accountability: On completion of your event please send a couple of photos if possible
and a brief description of how it went, along with evidence of money spent, i.e. bank
statement or receipts.
Ten grants of up to $500 each are expected to be made. Groups will be advised of the outcome of their
applications and paid by Mid February 2014. This is not available for Hamilton organisations.
APPLICATIONS CLOSE: 4.OOPM FRIDAY 23 January 2015
Incomplete or late applications will not be accepted.
PLEASE MAIL YOUR APPLICATION TO:
TTF Rural Community Event Funding Application
Community Waikato
PO Box 1367
Hamilton 3240
Or Email to sally@communitywaikato.org.nz
NO LATE OR INCOMPLETE APPLICATIONS CAN BE ACCEPTED