Minor & Major Community Grants Application

Step 1 of 3

Note: Community Grant applications will be accepted from Friday 15 July to Thursday 25 August 2022
Confirmation of Eligibility
Before completing this application form, please read the Community Grants Guidelines available from the Council website at https://www.devonport.tas.gov.au/live/your-community/grants/major-minor-grants/

Please contact the Council’s community development team on 6424 0511 or by emailing [email protected] to discuss your application prior to lodgement.

I confirm, as an authorised representative of the organisation, that:

•   I have read and understand the Community Grants Guidelines

•   the project is located in Devonport of benefits Devonport residents and has not already commenced/been completed, or already received funds from the Council to complete

I also confirm that the organisation:

•   is a not-for-profit organisation, or

•   is an incorporated association, or

•   does not owe any reports or money to the Devonport City Council as a result of previous grants, agreements, or fees and charges

•   has the appropriate type and level of insurance for the activities that are the subject of this grant, and

• owns the land and/or facility, or has documented evidence of permission from the owner, to complete the project at the specified location
Please select below:*
- Yes
- No
Organisation Details
Organisation Name:*
Postal Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Australia
Contact Person:*
First Last
Position within organisation:*
Phone (daytime):*
Email:*
How many members does your organisation have?:*
Approximately how many members of your organisation are Devonport residents?:*
What are the primary services/activities provided by your organisation?:*
What percentage of your organisation's activities are held in Devonport:*
How long has your organisation been established?:*
Is your organisation registered for GST?*
- Yes
- No
Is your origination incorporated? If yes, please provide incorporation number:*
Does your organisation have an ABN? If yes, please enter:*

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Project Details
Project name:*
Project location:*
Project start date*

Day
Month
Year
Project end date*

Day
Month
Year
Which category best describes your project:*
- Health and wellbeing
- Our culture
- Our environment
- Festivals and events
Grant amount requested: (cash/inkind?):*
Please enter a number less than or equal to 25000.
Describe only the project/event/item for which you are seeking funds:*

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Assessment Criteria
Please describe the need for the project and what benefits the project will deliver (How does the project meet a local community need? Who are the target audience? How does it meet the priorities outlined in the Grant Categories?):*
Please outline community support, partnerships, or consultation undertaken a as part of the project:*
Please attached any letters of support
Drop files here or

Max. file size: 50 MB.
How does the project improve self-sufficiency of your organisation and/or the proposed outcomes?*
Please explain why this project is good value for money? (Is it affordable for participants? Will the project continue to add value after project completion? If the project requires ongoing support after completion how will this be funded?):*
Please outline your organisation’s (and/or partnering organisations) ability to deliver the project (to give us confidence the project will be completed):*
Please describe how your organisation and/or the project supports inclusive participation and/or promotes equality:*
Please describe how your organisation and/or the project supports environmental sustainability:*
Budget
Please attach a budget for your project which includes an itemised breakdown of all income and costs for the project, including grant funds, other cash and or in-kind amounts and their sources. Please attached quotes for any items above $1,000:*
Drop files here or

Max. file size: 50 MB.
Please attached the organisations most recent financial statement:*
Drop files here or

Max. file size: 50 MB.
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 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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Minor & Major Community Grants Application

Step 1 of 3

Confirmation of Eligibility

Organisation Details

Project Details

Assessment Criteria

Budget

Declaration

Acknowledgment

Support

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