The Shire of Kojonup

Community Funding Program

2014/2015

For Community Organisations & Sporting Groups

Closes Friday 16th May, 2014

Objectives of the Community Funding Program

The Shire of Kojonup Community Funding Program is aimed at assisting community groups and sporting clubs with funding for:

  • Activities and Events, such as performer fees and advertising costs
  • Equipment Hire
  • Venue Hire
  • Materials
  • Equipment for clubs and groups (e.g. marquees, generators, sporting equipment, uniforms)
  • Computer Equipment and Software
  • Administrative costs
  • Minor works to a building or premises
  • Catering
  • Bus hire/Excursions
  • Other items that will benefit the community, club, organisation

Before you submit your application, check that the following items are included.

  • The Budget
  • The Declaration (signed)
  • The Application Form

APPLICATION FORM

Please make sure that you discuss your application with the Community Services Officer prior to submission.

Applicant Information

Name of Project:

Please provide the date that the funds or in-kind assistance is required.

Start Date: 20142015

End Date: 20142015

Organisation Details

Name of Organisation:

Postal Address:

Street address from where your organisation operates:

Website (if applicable):

Is your organisation an incorporated body?YesNo

Certificate of Incorporation Enclosed? (Photocopy)YesNo

Are you registered for GST purposes?YesNo

If yes, please provide your ABN:

CONTACT PERSON

Name:

Position:

Telephone: Mobile:

Facsimile:

E-mail Address:

1. Describe the main purpose and character of your organisation and the service(s) it provides.

2. Brief description of the Project (Please attach a separate sheet if insufficient space)

3. Who will benefit from this financial assistance, and how?

4. If you are requesting a grant for works to a building or premises, please indicate who owns the building or premises and the land that it is situated on.

Building Name and Location:______

Premises Owner:

Permission Obtained?YesNo

(Please attach a letter from the owner of the premises)

Funding Type/Details

Type of Assistance required (please specify category below):

  1. Cash 

Funding Amount Category / Acquittal Requirements
  1. Less than $1000
(cash and in-kind)
 /
  • Invoice addressed to the Shire of Kojonup for the amount specified in the application
  • Letter from the President/Other Official stating that funds have been spent as outlined in the application

  1. $1000 - $5000
(cash and in-kind)
 /
  • Invoice addressed to the Shire of Kojonup for the amount specified in the application
  • Letter from the President/Other Official stating that funds have been spent as outlined in the application
  • Proof of all purchases (e.g. receipts) as requested by the Community Services Officer

  1. $5000 - $10,000
(cash and in-kind)
 /
  • Invoice addressed to the Shire of Kojonup for the amount specified in the application
  • Proof of all purchases (e.g. tax invoices/ receipts) as requested by the Community Services Officer
  • Detailed Acquittal Budget as requested by the Community Services Officer

  1. (a) In-kind e.g. chair hire, toilet hire, venue hire, community bus hire etc.

(Please detail below)

2. (b) Machinery/Labour (Please detail below)

(Please note that applicants who intend to engage volunteers to carry out labour and transportation/supply of equipment will be regarded favourably)

Estimated Project Costs & Funding Sources

Please complete the attached Budget and include full details of income and expenditure. Also provide supporting quotes where applicable.

Do you have any comments that you would like to make or further information that will support your application?