This Report is due as soon as the funds are spent, or within one calendar year of receipt of the grant, whether allocated funds were spent or not.

This form must be completed in one session.

Please ensure you have all necessary information and documentation ready before you begin:

  • Including at least one receipt of funds spent
  • At least one Additional Supporting Document: such as photos, testimonials, media coverage

If you encounter any issues with the application form, please contact  funding@selwyn.govt.nz.

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]

Applicant Details:
Contact Details:
Grant Details:
Include a short description of what the money was used for. If the funds were not used as intended in your application, please explain why and describe what the funds were actually spent on.
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 specified period. The requirement to return unspent funds does not apply if the amount of unspent funds is less than $100.
Include feedback, stories, or measurable impacts. Attach optional supporting documents below.
Supporting Information
Enter the total number of individual volunteers who contributed, even if they only helped for a short time
Enter an estimate of the total combined hours donated by all volunteers.
This could include organising, stallholders, etc.
This could include attendees or participants, etc.
How did you count how many people benefitted from the project? * Please select the option that best describes how you recorded your numbers:
Tip for applicants: If your method doesn’t fit the options above, please select “Other” and describe how you recorded your numbers.
Receipts: Optional unless requested by council
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 * • I declare that I have been authorised by my organisation to complete this accountability report and that the information supplied is correct.

• I agree to keep receipts relating to this project for a minimum of one year as a random selection of grants are audited by Selwyn District Council each year where evidence of expenditure will be requested.

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).