Hindmarsh Shire - Apply for a Grant

Apply for a Community Action Grant

Please complete each question with accuracy. Before you start, please read the guidelines which are available at https://www.hindmarsh.vic.gov.au/apply-for-grants.
Please select which category you will be applying for? *
Club/Organisation Name *
Club/Organisation Postal Address *
Club/Organisation Email *
*Please consider using a club email address to assist us in getting information to you club/organisation in the future

Postal Address for Correspondence *
*If different from club/organisational postal address
Number of members *
Organisation ABN (if applicable) *
Please enter N/A if you do not have an ABN
Organisation objectives/activities *

Registered for GST? *

Yes No
*Please note that you must be incorporated or auspiced by an incorporated group to be eligible for these grants. If you are not incorporated please provide details of the auspice organisation in the further details section as well as a letter of support.
Are you incorporated? *

Yes No
Incorporation Number *
Please enter N/A if you are not incorporated

Executive Committee Details

*These details will be updated in our clubs and organization register when you submit your application
President / Chair Name *

First Name Last Name
President/ Chair Phone Number *

Area Code Phone Number
President/ Chair E-mail *

Project Information
Project Name *
Project Description *
Amount requested *
Total Overhead Cost (per annum) *
Will your organisation meet its overheads without financial support from this grant? *

Yes No

Project Details
How does your organisation improve social connections and wellbeing for the community? *
Explain the demonstrated need for you organisation *
How does your organisation achieve economic benefit for the community? *

Project Details

Continued
Have the aims of your organisation been identified in a Community or Council Plan? (Please refer to the plans on the Council Website- your specific aims might not be identified but could be addressing an overall objective) *
How does your organisation increase community participation? *
Provide detail on how Hindmarsh Shire Council's contribution will be recognised and acknowledged. *
(signage, Facebook Post, Thank you letter, editorial etc.)

Community Action Grant Eligibility Criteria and Submission Checklist
On behalf of our club/organisation, I confirm the following information to be correct:
Our club/organisation *

Is an incorporated community group or non-for-profit or auspiced by such a group Has not received funding of $500.00 or more through the Community Action Grant Program in the previous financial year.(with the exception of a sponsorship event – please ensure this is outlined in the Previous Application template) Can demonstrate the community need, improvements to social connections and build on community well being Can demonstrate direct economic benefit to the community Will provide evidence of the acknowledgement of the contribution made by Hindmarsh Shire Council
Our club/organisation has completed and attached the following *

Quotes for products and services Copy of the most recent bank statement (and confirmation of bank account details) Completed Budget template Have read and understood the guidelines and what is required to submit this application
Every box must be checked prior to submitting your application. Applications will be assessed on documentation provided.

On behalf or the organisation, I have been authorised to submit this grant application

Supporting Documentation

Please attach the relevant files below
Quotations *
Bank Statement *
Other
Other
As the project manager of this project I have provided all required information to the best of my knowledge. *

First Name Last Name
Should be Empty:

Apply for a Community Action Grant