For applications facility hire only costs only, please use the following form: Community Fund Applications - Facility Hire

Please note, if you are planning an event in a public place, such as a reserve or park, you may need an Event Permit and Public Liability Insurance. These costs can be incorporated into your funding application. For more information on requirements, please contact the Selwyn District Council Events team – events@selwyn.govt.nz or visit our website.

Organisation name *

Organisation status * (e.g. community group/trust/incorporated society)
Contact person name *
Contact person email *
Contact person phone number *
Alternative contact person email *
Alternative contact person phone number *
 

Project/event/initiative name *

Date of Project/event/initiative  *

Location of project/event/initiative *

Please describe your project/event/initiative *
(maximum of 1500 characters)

Who is your target audience? *
(e.g., children, young people, adults, families ,older adults, other)

What is the category of your project/event/initiative? * Please select up to 3 options only.

If other specify:

What benefits do you expect from this project/event/initiative for the Selwyn district? *
(maximum of  1500 characters)

Which of the seven community service goals does this project/event/initiative expect to achieve?  *
Please select up to 3 options only.

How will your project achieve them? *

Estimated total number of people benefiting from this project/event/initiative *

Please attach a full budget for this project/event/initiative including income and expenditure below: *

PLEASE NOTE:
- All figures must be GST EXCLUSIVE.
- Files must be Word or PDF format and no larger than 5mb.
- If you require a budget template, please refer to the main Community Funding page.

What is your budget variance (GST exclusive) amount (income minus expenses)? *

Amount ($)

Please state how much you are applying to the Selwyn Community Fund for (GST exclusive). *
Amount ($)

What will this amount be used for? Please be specific. *
Please provide detail - e.g. e.g. $500 will be used for venue hire, $200 for marketing

Have you applied to or received funding or sponsorship from Selwyn District Council or any other external organisation for this project/event/initiative? If so, please detail.

Use the following structure: Funder - amount received/applied for - purpose of funding. Please also ensure this is shown in your budget.

Has your organisation received any funding through the Selwyn Community Fund in the past three years? If so, please detail.

Please include date, amount, project.

Please attach a copy of your annual budget and/or your latest audited accounts. *
Files must be Word or PDF format and no larger than 5mb.

Which of the following waste management support from Selwyn District Council do you require? *

Declaration *

I hereby declare that the above information is correct. If the application is successful, my organisation agrees to provide an Accountability Report.

Accountability reports are due as soon as funds are spent or within 12 months of receiving funding. Accountability report templates will be sent once application success is confirmed or is available online. The accountability report will include information such as, but not limited to;

  1. Details of how the grant was spent with receipts
  2. A description of you used the funds, the activities that took place or the equipment that was purchased. Include photographs, receipts and other evidence where relevant.
  3. Provide a description of the benefits that have been achieved with the use of funds.
  4. Provide feedback from participants, evaluation details or reflections from, your organisation. Include photos, videos, newspaper articles.

Bank Account Details

If your funding application is approved, the grant amount will be deposited into your bank account by Selwyn District Council.

Name on bank account *
Postal address *
Contact name *
Phone number (day) *
Email address
 
 

Bank account number *
Please write your 15 digit bank account number below.

Please attach a proof of bank account otherwise no payments can be made *
Files must be Word or PDF format and no larger than 5mb

Name *
Date *