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'Your Club's Future is in Your Hands' Strategic Planning Grant

* indicates a required field.

Eligibility

Applicants: please note

Before completing this application form, you should have read the Your Club's Future is in Your Hands Grant Guidelines.

Information provided by applicants or collected by City of Mandurah in relation to applicants or their applications may be used by City of Mandurah in the administration of the Application and in the assessment of the application.

Any personal or financial information will be solely used for the purpose of the Application and Assessment process. Information submitted will be subject to assessment and review by City of Mandurah.

Personal and financial information will not be released to third parties without the prior written approval of the applicant.

Help

If you need help with the application process you can contact Club Connect on 9550 3624. Club Connect can provide assistance in understanding the questions being asked in the form, and which evidence to provide, however, cannot assist with the content of your application.

 

 

 

Contact Details

This is the person we will correspond with about this application
Must be an Australian phone number. 
Must be an email address. 

Organisation Details

The ABN provided will be used to look up the following information.
Click Lookup above to check that you have entered the ABN correctly.
Information from the Australian Business Register
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity TypeMore information
ACNC Registration
Tax Concessions
Main business location
Must be an ABN. 

Eligibility

 

 

Can the Applicant confirm that the club is a Not for Profit Organisation? * Required
Response required.
Can the applicant confirm that a representative from the club has attended a Club Connect Strategic Planning Workshop? * Required
Response required.
Has the club completed the annual Club Connect survey? * Required
Response required.
Please confirm you understand that the consultant fee's must be paid in full by the club. This grant will be a reimbursement of funds (if approved). * Required
Response required.

Funding Objective

Please provide a short summary of how the funding will benefit your club.

Word count:

Funding Details

Please outline your funding details below. Include details of funds that will count towards co-funding of your project. The amount of funding available is up to 50% of the total cost, with a maximum value of $2,500.

All amounts should be GST exclusive.

 

Type of Funds$ Value of Co fundingSource of Co Funding
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required

Must be at least 1 rows

Funding Details

Must be a dollar amount. What is the total budgeted cost (dollars) of your project?
Must be a dollar amount. What is the total financial support you are requesting in this application?
Must be a dollar amount. 

Organisational and Financial Information

To enable the City to undertake a financial viability assessment of the project, please upload the following organisational and financial information:

1. Certificate of Incorporation

2. Copy of Insurance certificates

3. Copy of most recent financials including current available bank funds

5. Copies of quotes from suppliers in relation to the funding

Where relevant financial information is not available, include information that demonstrates that you can meet the project's co-funding obligations

Attach a file: Select stored file
    Attach a file: Select stored file
      Attach a file: Select stored file
        Attach a file: Select stored file

          Acknowledgement

          Certification

          This section must be approved by an authorised person (eg: President, Treasurer etc) on behalf of the applicant organisation.

          I certify that to the best of my knowledge the statements made within this application are true and correct, and the authorised person named below has approved the submission of this application on behalf of the organisation.

           

          Response required.
          Must be an Australian phone number.