Individual Development Grants Form

Are you applying as an Individual or on behalf of an Organisation/Team?
- Individual
- Organisation/Team
Name*
First Last
Address*
Street Address Address Line 2 City TAS ZIP / Postal Code Country
Email
Applying on behalf of an Organisation or Team
Organisation or Team Name:
Your position in the Organisation or Team:
How many team members does this application represent?
Provide the names of the team members (that this application represents):
How many of these members are residents of Devonport?
Is your team based in the Devonport City Council municipality?
Applying as an Individual
Have you been a permanent Devonport resident for the last 12 months?*
- Yes, I have been a permanent Devonport resident for the last 12 months
- No, I have not been a permanent Devonport resident for the last 12 months
Event Details
Do you hold amateur status?*
- Yes, I/the team/the organisation hold amateur status
- No, I/the team/the organisation do not hold amateur status
Detail any previous Tasmanian or National Representation:
Select the category/categories that best identify your request:*
- Non professional resident from Devonport, who is selected to participate, compete, perform or present in a national or international event. Applicants must have been selected by a recognised national body and through officially recognised criteria for selection and participation in such an event.
- Non professional sports person from Devonport who is selected to participate in a national or international event. Applicants must have been selected through officially recognised criteria for selection and participation in such an event.
Please indicate the name of the Arts Program, Educational Program, Sporting Body, Sporting State Association or other Organisation that is coordinating the event you are attending:*
Event/Competition Name:*
Team Name:
Event/Competition Date/s:*
Event/Competition Location:*
Type Event/Competition:
Upload a copy of the letter of selection/invitation from the State/National Body or Event:*
Drop files here or

Accepted file types: pdf, jpg, png, gif, Max. file size: 50 MB.
Note: as per the guidelines applications will not be assessed without a letter of selection/invitation from the State/National Body or Event.
Detail any previous Tasmanian or National Representation:
Provide details of how the grant will be spent:*
Detail any funding received from Council in the current or previous financial year:
Declaration
I certify that to the best of my knowledge I am eligible to apply for this grant and the statements made in this application are true.*
- I agree
Name
First Last
Privacy Collection Statement: Devonport City Council collects personal information for municipal purposes. The information collected in this form is used only for the purpose specified (primary purpose) and is not passed on to third parties. Council may disclose this information only if authorised or requested by law. Council may not be able to process your request unless sufficient information is given. Should you need to change or access your personal details, or you require further information about Council's Privacy Policy please contact Council's Privacy Officer.
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Applying on behalf of an Organisation or Team

Applying as an Individual

Event Details

Declaration

Acknowledgment

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