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Grassroots Giving Programme Application Form 2018
(THE TINDALL FOUNDATION REGIONAL FUNDING)

TTF

If you are unsure whether your project is eligible for this funding, or have any questions about your application, please see the Guidance Notes or contact Auckland Foundation.

You can save your progress, and come back to the form at any time. Please be aware that you must use the same computer/device that you started the application on to complete the application at a later date. 

 

1. Your contact details
Name of Organisation *
Charities Commission Registration Number *
Primary Contact Person (for this application) *
Position *
Phone *
Email *
Secondary Contact Person *
Position *
Phone *
Email *
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2. Your organisation
Which local board area(s) does the project that you are applying for funding cover?
Number of FTE Staff *
Number of Volunteers *
Volunteer hours (approx. per week) *
What does your organisation do? *
Please tell us about the organisations and networks that you have regular contact, and the links you have with your community. *
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3. Your project
In which of the following priority areas will your project make a difference in? If more than one, please select the most relevant.
Priority area *
Please describe the project that you are requesting funding for and how it links to the selected priority area. *
Is this a new or existing project? *
What information do you have that supports the need for this project? *
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4. Grassroots Giving Funding Request
How much is your organisation applying for? (maximum of $10,000) *
Has your organisation received Grassroots Giving funding before? *
If YES, what year(s)?
If YES, was it for the same project or a different project?
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5. Project Cost (please remember to exclude any GST)
How much is your total project? *
What will the requested funding be used for? *
If you are applying for a salary or wages, please attach a copy of the job description.
Job description (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
How does this role fit with the selected priority area?
If you are applying for equipment (max of $1,500), please attach quotes.
Supplier quote 1 (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Supplier quote 2 (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Supplier quote 3 (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
If you are applying for services, such as venue hire or catering, please attach supplier quotes.
Supplier quote 1 (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Supplier quote 2 (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Supplier quote 3 (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
If you have a budget with a breakdown of the costs for your project, please attach here.
Budget (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
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6. Tracking your project's progress and success.
Please specify up to 3 outcomes that your project aims to achieve, and the indicators you will use to track your progress. If funding is approved, you will be asked to report on achieving these outcomes.
Outcome aimed for:
Indicators of progress:
Outcome aimed for:
Indicators of progress:
Outcome aimed for:
Indicators of progress:
How do you plan to demonstrate the impact this funding has made (e.g. client feedback/questionnaires)? *
What will success look like? *
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7. Other funding for this project
Please list any funding for this project that has been applied for/confirmed.
Source
Amount applied for
Applied or Confirmed
Source
Amount applied for
Applied or Confirmed
Source
Amount applied for
Applied or Confirmed
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8. Supporting documents
Please attach your Certificate of Incorporation or Charitable Registration * (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Please attach your most recent set of annual accounts. * (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Your accounts must include a Balance Sheet and Profit and Loss Statement.
Please do NOT send your financial information in an editable format such as Word or Excel.
Please attach a copy of your bank deposit slip * (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
You can also attach any testimonials from groups or individuals who have benefitted from your organisation's work, or other supporting documents. (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
If you have a YouTube or Vimeo video to support your application, please enter the URL (leaving out the http://).
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9. Declaration
Name *
Date *
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Submitting your application
Please submit your completed application form and supporting documents to Auckland Foundation no later than 9:00am on Tuesday 31 July 2018.
All applications received will be acknowledged by email within 2 working days. If you do not receive an email, then please check that we have received your application.
It is your responsibility to make sure that your application has been received by us. We are unable to accept any late applications, or any submitted applications that do not use this form.