Quick Response Community Assistance Program Application

THE QUICK RESPONSE COMMUNITY ASSISTANCE PROGRAM IS OPEN THROUGHOUT THE WHOLE YEAR

Sorell Council is calling for community groups to submit an application for funding support towards a project, event or activity to be held throughout the year. Applications for up to $500 will be accepted.

Organisation Details

Name of Group/Organisation(Required)

Title of Project(Required)

Contact Person(Required)

First Last

Position(Required)

Phone(Required)

Email(Required)

Postal Address(Required)

Street Address Address Line 2 Suburb State Post Code

Amount Requested(Required)

$500.00 maximum

Project Details

Please provide a summary of your proposed project/event/activity including the major benefits to the community as a result of your project/event/activity?(Required)

Is your Organisation Incorporated(Required)

YES

You must be Auspiced through an incorporated group.

Name the Auspiced Party

Is your Organisation registered for GST?(Required)

YES

How did you hear about the Community Grants Program?

Sorell Times, Website, Facebook?

Please detail total cost of the project, including amount requested from Council and other Funding Sources(Required)

Item

Cost

In kind/other funding ($)

Requested from Council ($)

Total Cost of Project(Required)

Total In kind/other funding(Required)

Total Requested from Council(Required)

Conditions of Funding

Please tick and sign confirming that you have read and understood the conditions of funding:(Required)

Yes, I have read and understood the partnership funding conditions.

ALL projects, events or activities are required to meet the following funding conditions:
o Be held within the Sorell Municipality.
o Actively involve local community people.
o Acknowledge Sorell Council’s support of the event.
o Have public liability insurance.
o Demonstrate benefits to the community.
o Multiple grant application for groups will be considered provided that combined applications do not exceed the total limit of $500.00 for the financial year.
Please see Grant Guidelines for further information on funding conditions.

Signed on behalf of applying organisation(Required)

Name(Required)

First Last

Date(Required)

CAPTCHA

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Approved

Not Approved

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Comments

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Date

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