If you have received a grant from the Individuals and Teams Fund, please complete this accountability report as soon as the funds are spent, or within one calendar year of receipt of the grant, whether allocated funds were spent or not.

Privacy Notice - Personal information collected through this form will be used to assess your grant application and will be handled and held in accordance with the Privacy Act 2020 and Selwyn District Council's Privacy Policy [PDF, 6494 KB]

Contact Details
This is the name of the individual or team who received funding.
Grant Details
Share your experience, outcomes, and highlights
Did you spend the full grant amount? *
As stated in the C213 Community Funding Policy, Section 10.7.7 Grant recipients are required to return any unspent funds to Council within one calendar year of receipt unless there is prior written agreement with Council to carry over such funds for a further specifiedperiod. The requirement to return unspent funds does not apply if the amount of unspent funds is less than $100.
Declaration
Personal information collected through this application will be handled in accordance with the Privacy Act 2020 and Selwyn District Council’s Privacy Policy.
Declaration *

Privacy statement

The personal information you provide in this form will be collected, held and protected by Selwyn District Council in accordance with our Privacy Policy and the Privacy Act 2020. Our Privacy Policy explains how we use and share personal information in relation to any interaction you have with Council, and how you can access or correct your information at any time.

You can read the full policy at selwyn.govt.nz/privacy.

We will use the email address you provide to send communications directly related to this form or application. By submitting this form, you consent to receive those communications by email. If you require a hard copy, please email ContactUs@selwyn.govt.nz, visit our Service Desk Team or call 0800 SELWYN (735 996).