FUNDINGAPPLICATION FORM
SENIORS WEEK 2018

11/12/2017

NORTH SYDNEY COUNCIL
SENIORS WEEK 2018 - FUNDING APPLICATION FORM

Important Dates

Applications open: Friday 15 December 2017

Applications close: Thursday 25 January 2018

Announcement of funding: Friday 2 February 2018

North Sydney Council provides small financial assistance for local community based organisationstowards community events and projects to celebrate the Seniors Festival 2018 (4- 15 April 2018). Funding amounts range between $200 - $500 and should be seen as a contribution rather than a commitment to fund the entire event or project.

Project Assessment Criteria:

  1. The project outcomes are a priority for the community and aligned with demonstrated community needs or aspirations.
  2. The project fosters innovative, creative ideas and solutions to community needs.
  3. The project is inclusive and has a significant community reach.
  4. The project stimulates ‘Community’ or ‘Cultural Development’ in North Sydney.
  5. The project contributes to community connectedness, reduces social isolation or engages previously disengaged members of the community.
  6. The project promotes social equity or justice.
  7. The project enhances the quality of service delivery.
  8. Organisational Capacity:
  • The applicant has the experience and expertise to deliver the activity effectively;
  • A history of appropriate financial management; and
  • Satisfactory acquittal of previous Council funding.
  1. Project Budget. The proposed budget includes income and expenditure targets.

You will be advised of the outcome of your application by Friday 2 February 2018.For further information or to submit your application please contactCamelia Tobia, Access and Inclusion Coordinator on 9936 8195 or

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NORTH SYDNEY COUNCIL
SENIORS WEEK 2018 - FUNDING APPLICATION FORM
ORGANISATION DETAILS
Name of Organisation:
Contact Person:
Postal Address:
Suburb: / State: / Postcode:
Phone: / E-mail Address:
Website:
ABN:
Is your organisation registered for GST: Yes No

PROJECT DETAILS

Project Name:
Describe your project (what you are going to do or provide, e.g. service, product, program, event etc):
Proposed start and end dates for your project:

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NORTH SYDNEY COUNCIL
SENIORS WEEK 2018 - FUNDING APPLICATION FORM
Location/Venue:
How many people living in or percentage of the community, in North Sydney LGA will benefit directly from this project?
Audience Capacity (if an event/performance):
How will you promote your service/performance to the local community?
How was the need for the project identified?
Is the project? (please tick)
New One-off project Expanded On-going
How will your project benefit the North Sydney Senior community?
Connect seniors to expert advice surrounding health and wellbeing to address their nutritional, physical and recreational needs.
Celebrate multiculturalism through cultural experiences and activities.
Connect seniors with relevant services and information.
Harness opportunities for seniors to continue to participate in activities outside of Seniors Week.
Empower seniors to engage online, through social media and to be connected to the latest news, information and networks.
Encourage opportunities for seniors to continue to learn.
Provide seniors with confidence for continued employment.
Provide opportunities for intergenerational activities to coincide with the start on NSW Youth Week (8-10 April).
Empower seniors to lead fulfilling lives and achieve their potential in their communities.
Who will be the main beneficiary/target group for the project? (Tick the most appropriate boxes)
Aboriginal and/or Torres Strait Islander people
People from culturally diverse communities
Early childhood 0-6 years
Children 6-16 years
Adolescent 12-16 years
Youth 16-24 years
Young people and/or their families
People over 55 years
People affected by addiction or other drug and alcohol issues
Women
People affected by domestic violence or other violence/assault issues
People or communities who are socio/economically disadvantaged
General Public
Support for carers
People who are Gay, Lesbian, Bisexual, Transgender, Intersex (GLBTI))
People who are homeless (or at risk of)
People with a disability
People with mental health needs
Other - please state

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NORTH SYDNEY COUNCIL
SENIORS WEEK 2018 - FUNDING APPLICATION FORM
Project Budget
What is the amount of funding being requested in this application (excluding GST) / $
If you are granted less than this amount will your project be able to proceed? / Yes No
If the total cost of the project is more than the amount requested, please provide the total cost of the project / $
Does your organisation already receive funding from Local, State, or Commonwealth Governments? / Yes No
If yes, does this project receive any local, State or Commonwealth Government funding? / Yes No
Project Costs / Amount $
Salaries
Production (staging, audio, lighting etc)
Promotion and marketing
Administration/Overheads
Materials
Contractors
Suppliers
Other costs - Please specify below
Total expenditure / $
Project Income / Amount $
North Sydney Council proposed grant
State Government funding
Federal Government funding
Other income - please specify below
Total income / $

Funding Conditions

  1. Organisations receiving funding are required to acknowledge North Sydney Council’s assistance on publicly available material associated with the project. Examples include any media release, award submissions, brochures and posters, and television promotions.

This can be achieved by displaying the following statement: This project has been assisted by North Sydney Council’s Small Grants Programand displaying the North Sydney Council logo.

  1. Successful organisations will be advised by Friday 2 February 2018and a valid tax invoice (plus GST if applicable) must be received at North Sydney Council by the date advised on the successful funding letter.
  1. Funds must be spent on and for the purposes of conducting the program as endorsed by Council.
  1. The program must be completed in line with the details outlined in your funding application.
  1. If you have left over money after the completion of the project, or if your approved project does not go ahead, you must give the leftover money plus GST back to Council.

DECLARATION and Signature

On behalf of ______, I declare
that the information provided in this application is true and correct, and that if successful an acquittal on the expenditure of the funding will be completed and received by the Arts and Cultural Programs Officer within 1 month of the project’s completion.
Signed: Date:

Please ensure that your organisation’sApplication Form is complete and returned to later than 5pm, Thursday 25 January 2018.

PRIVACY STATEMENT
Personal details requested on this form will only be used for the purpose of processing your application. The supply of information by you is voluntary. If you cannot provide or do not wish to provide the information sought, the Council may not be able to process your application. Access to the information is restricted to Council officers and other authorised people. You may make application for access or amendment to information held by Council. Applications by members of the public to view Council’s records are subject to the provisions of Council’s Privacy Management Plan, Section 18 Government Information (Public Access) Act 2009 & Schedule 1 - Government Information (Public Access) Regulation 2009.
I have read and understand the Privacy Statement
Signed:...... Date: ......

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