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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 your organisation work in?
How long has your organisation been in operation? *
Number of Staff *
Number of Volunteers *
What is your organisation's purpose/mission? *
Which groups in the community does your organisation help or support? *
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3. Your project
Which of the following Grassroots Giving priority areas will your project seek to make a difference in?
Please describe the project that you are requesting funding for. *
Why do you believe this project is needed? What information do you have to support this? *
How will the project be staffed? *
Which other community groups or organisations will you work/partner with for this project? *
Tracking your project's progress and success
What are your organisation's key activities for this project? *
When do you expect to have your project up and running? Or if your project is already underway, what is your timeline of activity/milestones for the year ahead? *
How do you plan to record the impact of your project? (e.g. client feedback/questionnaires) *
How will you know that your project has been successful? (e.g. what are you trying to increase or decrease?) *
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5. 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, was it for the same project or a different project?
Project Budget (please remember to exclude any GST)
Expense 1 (e.g. wages)
Total cost for project $
Funding requested towards this expense $
Expense 2
Total cost for project $
Funding requested towards this expense $
Expense 3
Total cost for project $
Funding requested towards this expense $
Expense 4
Total cost for project $
Funding requested towards this expense $
Expense 5
Funding requested towards this expense $
Total expected cost for project $
Expense 6
Total cost for project $
Funding requested towards this expense $
TOTAL COST OF PROJECT $ *
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Other funding for this project
Have you already applied for or received other funding towards your project? *
If YES, please list the organisation and amount of funding
Amount of funding still to raise $ *
What are your organisation's plans if you DON'T receive funding for this project? *
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6. Supporting documents
Please attach your Certificate of incorporation or charitable registration * (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
Please attach your annual accounts or audited annual accounts * (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)
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.
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7. Declaration
Name *
Role in Organisation *
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 Friday 6 April 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.