Victorian Racing Industry Fund Raceday Attraction Program – Application Form Please read through the Victorian Racing Industry Fund – Program Guidelines before completing this form. Please type your responses where possible. _______________________________________________________________________________________ Section 1 – Applicant Details Applicant name: .................................................................................... Applicant mailing address: ...................................................................................................... Postcode: ..................... Project contact name: ................................................. Email: ................................................ Work contact number: ................................................. Mobile: ............................................... Fax: ...................................... Is your organisation GST registered? Yes No Does your organisation have an Australian Business Number (ABN)? Yes No ABN number: ......................................... How many race meetings will the club be conducting in the next 12 months? ................. Club’s average attendance for non-feature race days over the last 3 years? ................. Section 2 – Project Summary Event name: ............................................................................ Event date: ......................................... (application must be lodged 16 weeks prior to event date) Total cost of project: $......................................... Amount sought from Victorian Racing Industry Fund (VRIF): $......................................... www.justice.vic.gov.au/racinggrants Page 1 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form Section 3 – Project Description Will the event be for a one-off event or for a series of racedays (please outline) .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. ................................................................................................................................................. Who is the target market for this event? .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. ................................................................................................................................................. What is the key message for this event? .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. ................................................................................................................................................. Please provide a detailed description of the project: (additional pages may be attached if there is not sufficient space). .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. ................................................................................................................................................. What research has the club undertaken to determine if the proposed initiatives will be successful? .................................................................................................................................................. .................................................................................................................................................. Page 2 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. Section 4 – Key Benefits/Outcomes Please provide details on how the project will meet the following VRIF (Raceday Attraction Program) program criteria: 1. How many people does this race day typically attract? .................... 2. How many additional people are you expecting to attract through the RAP promotion? ............... 3. How will the event/promotion attract non-traditional racegoers? ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 4. How will the event/promotion maintain non-traditional racegoers at future events? ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 5. Provide details of consultation undertaken with the controlling body and key racing stakeholders: Page 3 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 6. Provide details of consultation undertaken with the target audience: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 7. Provide details of consultation undertaken with the local council and/or the broader community and other venue users: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 8. What measures will be used to determine if the event/promotion is successful for the club, the racing industry and the broader community? ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Page 4 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 9. What actions will the club undertake to build up its database for future events? ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ........................................................................................................................................................ Section 5 – Communication Plan Please outline what communication plan will be undertaken to inform people about the raceday and the RAP initiatives: Method Action Budget Traditional Advertising Press Radio Television Club/Industry Websites Additional RAP Advertising Press Radio Television Club/Industry Websites Database Advertising Direct Mail Electronic Communications Digital Marketing Club/Industry Websites Social Media (e.g. Twitter, Facebook) Public Relations Activities Other Communication Activities Total Budget Comments of Communication Strategy Page 5 of 10 Responsibility Victorian Racing Industry Fund – RacedayAttraction Program Application Form .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. Section 6 – Project Promotion Plan How will the Government’s contribution to the event/promotion be recognised? .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. Section 7 – Project Budget Please provide details of the funding sources for the project by completing the following table. Note: VRIF Raceday Attraction Program Grants are exclusive of GST Priority will be given to projects that have matching financial contributions (50/50 split) from the applicant and/or other funding sources (e.g. local council, other venue users) and the VRIF. If you are proposing to include an in-kind component in your project, please provide a breakdown of how the value has been calculated. For example, 4 volunteers x 3 hours labour x $20 per hour = $240. Project Funding Sources $ Amount (exclusive of GST) Amount being sought from the VRIF (Raceday Attraction Program) $ Financial contribution from the applicant $ Financial contribution from the controlling body $ Council / Local Community contributions please outline details (including funding program, where applicable) Other State Government funding $ please outline details (including funding program, where applicable) $ Page 6 of 10 % of Total Project Cost Victorian Racing Industry Fund – RacedayAttraction Program Application Form Other funding contributions $ please outline details (including funding program, where applicable) In-kind contributions $ please outline details TOTAL PROJECT COST (exclusive of GST) 100% $ Please provide details of the funding breakdown by completing the following table. Note: Please include GST exclusive amounts for initiatives and ensure the Total given is consistent with that given in the table above. Initiative VRIF $ Club $ Other $ Total $ TOTAL Section 8 – Key Tasks and Milestones Please identify the key tasks and milestones for the project, including expected start and end dates. Key Task or Project Milestone Person Cost of Responsible Milestone Expected start date Expected finish date Section 9 – Supporting Documentation To assist with the assessment of the application, please attach the following supporting documentation: Quotation documents (note requirements outlined in section 3.2 of the Information Sheet) Page 7 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form If not provided, please provide reasons in the space below: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Tender documents (note requirements outlined in section 3.2 of the Information Sheet) If not provided, please provide reasons in the space below: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Detailed project financial budget (expenditure items should be exclusive of GST) If not provided, please provide reasons in the space below: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Detailed project plans If not provided, please provide reasons in the space below: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Letter of support from/statement of consultation with controlling body If not provided, please provide reasons in the space below: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Letters of support (e.g. local council, key stakeholders, community users/groups) If not provided, please provide reasons in the space below: ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Section 10 – Compliance with Government requirements Page 8 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form In accordance with the applicable procurement guideline thresholds, please list each initiative for your project (ie. furniture hire, children’s activities, etc) and confirm that the required quotes have been provided by selecting the appropriate box in accordance with the cost of the initiative. Initiative 1 - .............................................. One verbal or written quote (< $2,500) One written quote ($2,500 – $25,000) Three written quotes ($25,000 – $200,000) Public tender (> $200,000) Initiative 2 - .............................................. One verbal or written quote (< $2,500) One written quote ($2,500 – $25,000) Three written quotes ($25,000 – $200,000) Public tender (> $200,000) Initiative 3 - .............................................. One verbal or written quote (< $2,500) One written quote ($2,500 – $25,000) Three written quotes ($25,000 – $200,000) Public tender (> $200,000) Initiative 4 - .............................................. One verbal or written quote (< $2,500) One written quote ($2,500 – $25,000) Three written quotes ($25,000 – $200,000) Public tender (> $200,000) If your project has more than four initiatives, please attach a separate page replicating the above list and detailing the components and quotes provided. If you believe these requirements are not appropriate for your project, specific approval must be sought from the Minister for Racing as part of the application process. Please outline your reasons for applying for special circumstances in the space below. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. ............................................................................................................. Section 11 – Declarations I state that the information in this application and supporting documentation is, to the best of my knowledge, true and correct and is in accordance with the Victorian Government Procurement policies and guidelines. I will notify the Department of Justice (DOJ) of any changes to this information and any circumstances that may affect this application. I acknowledge that DOJ may refer this application to external experts or other government departments for assessment, reporting, advice, comment or for discussions regarding alternative or collaborative grant funding opportunities. I understand that DOJ is subject to the Freedom of Information Act 1982 and that if a Freedom of Information request is made, DOJ will consult with the applicant before any decision is made to release the application or supporting documentation. I understand that this is an application only and may not necessarily result in funding approval. Page 9 of 10 Victorian Racing Industry Fund – RacedayAttraction Program Application Form Please tick the box to confirm acceptance of the declaration With respect to the racing club/s that will be the ultimate beneficiary/s of this grant, I state that there are no governance related issues of which the Minister for Racing or the Department of Justice should be advised. Please tick the box to confirm acceptance of the declaration Printed name: ................................................................... Position: ............................................................................ Signature: ………………………….......... Date: ............/............/............ Section 12 – Checklist Please refer to the checklist below to ensure all the required information is included with your application: Each section of the application form has been answered in detail (if there is insufficient space, additional pages may be attached) The tables in Section 7 and Section 8 of the application form have been completed Total project costs given in the tables under Sections 7 are consistent The application is submitted to the Office of Racing at least 16 weeks prior to the commencement of the project The proposed date/s and name of the event are included. The following required supporting documentation has been included/attached: Quotation/tender documents (note section 3.2 – How many quotes should I include with my application?) Detailed project financial budget Detailed project plans Letters of support (e.g. controlling body, local council, key stakeholders, community users/groups). Please mail the VRIF (Raceday Attraction Program) submission to: Victorian Racing Industry Fund Office of Liquor, Gaming and Racing PO Box 18055 Collins Street East MELBOURNE VIC 8003 Or by email to: vrif_rap@justice.vic.gov.au Page 10 of 10