Apply for a Business Assistance Grant
Important: Please read the new Grant Guidelines, which you can download at https://www.hindmarsh.vic.gov.au/apply-for-grants. Please complete each question with accuracy.
Grant Categories
Tier One Applicants can apply for up to $1,000 cash. Tier Two Applicants can apply for up to $3,000 with a 1:3 cash contribution (i.e. for every dollar contributed by applicant, Council will contribute three)
Please select the category you are applying for?
Tier One
Tier Two
Total Cash Contribution (Tier Two Only)
Total Funding Sought (Tiers One and Two)
Back
Next
Save
Business Details
Business Name
*
Business Address
*
Street Address
Postal Address (if different to above)
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Business Email
*
Back
Next
Save
Project Manager Name
*
First Name
Last Name
Project Manager Phone Number
*
-
Area Code
Phone Number
Business ABN
*
Owner / Manager Name (if different to Project Manager)
*
First Name
Last Name
Number of years in business
Number of staff employed
Back
Next
Save
Project Information
Project Name
Project description
*
Back
Next
Save
Project Details
Who, What, Why and How?
How will Hindmarsh Shire Council's contribution be recognised and acknowledged?
*
(signage, Facebook Post, Thank you letter, editorial etc.)
How will your projects success be measured?
*
(including number of employment opportunities gained if applicable)
Provide a brief summary of what you are going to do and what the project will achieve?
*
Is there anything else you want us to know about your project?
Back
Next
Save
Budget
What contribution will your business make towards this project?
*
In-Kind/ Volunteer Labour
Financial contribution
None of the above
Will funding be sought from other sources? (If funding is sourced from other sources, please show as income in the Budget Template)
*
Yes
No
Details of In-Kind/Voluntary Labour
Task Type
Hours
Rate Per Hour
$25 unskilled work
$40 skilled work
Total Hours
Total Value (Hrs x Rate)
1
2
3
4
5
Total (ex GST)
Back
Next
Save
Details of In-Kind Goods and Services (if applicable)
Goods or services to be provided
Name of Supplier
Value $
1
2
3
4
5
Total (ex GST)
Please use last column.
Budget
*
Income
$
Expenditure
$
1 Hindmarsh Shire Grant
2
3
4
5
Your Cash Contribution (if applicable)
In-Kind Contribution
Total
Back
Next
Save
Has your organisation previously applied for Hindmarsh Shire Council Grants?
*
Yes (please fill in the table below)
No
Budget
Year
Project Name
Amount Received
1
2
3
Back
Next
Save
Business Assistance Grant Eligibility Criteria and Submission Checklist
On behalf of the busienss, I confirm the following information to be correct:
*
I have supplied my ABN
I have provided evidence that the business is currently operating or is planning to operate in the Hindmarsh Shire
I have provided evidence that this project provides economic benefit and value for money to my business
The project will result in (or work towards) job creation / retention
I have demonstrated that my business is financially viable
I have completed a Risk Assessment for the project (attachment template provided)
I have provided quotes / information on specific items that the fund swill be used to purchase
I have completed the in-kind contribution and budget templates
I have attached a copy of my businesses bank statement to demonstrate financial viability
To the best of my knowledge my business does not have any outstanding rates, fees or invoices to Hindmarsh Shire Council.
I 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
Back
Next
Save
Supporting documentation
Please add any relevant attachments below...
Quotations
*
Bank Statement
Risk Management Plan
*
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
Signature
Save
Submit
Should be Empty: