Are you a community group/trust/incorporated society/ company/ other?

maximum of 1500 characters

e.g., children, young people, adults, families ,older adults, other
Do you require waste management support from Selwyn District Council?
Please tick the appropriate box(s)

maximum of  1500 characters

Goals can be found on Selwyn Community Fund homepage

Files must be Word or PDF format and no larger than 5mb

Amount ($)

Please provide detail - e.g. $500 will be used for fencing

Use the following structure: Funder - amount received/applied for - purpose of funding
Declaration

I hereby declare that the above information is correct.If the application is successful, my organisation agrees to provide within one month after the project/initiative/event has taken place:

1. A full report on the project/initiative/event (report template provided)

2. no less than two high resolution (minimum 1MB, jpeg format) photos from the event, video will also be accepted. The text and photos can be shared through Selwyn District Council media channels including but not limited to Council website, social media, newspaper publications, etc. to promote the positive outcomes that come from the Community Funding Scheme.

3. An accountability report within 12 months of recieving funding or as soon as the funds are spent (template provided on success)

This form authorises Selwyn District Council until further notice to debit my/our account with all amounts which Selwyn District Council (the registered Initiator of Authorisation Code 0304862) may initiate by Direct Debit.

I/We acknowledge and accept that the bank accepts this authority only upon the conditions listed here, and acknowledge that I have read and accept the conditions, am the owner of the property above, and am authorised to create this Direct Debit Authority.

Applicant Details

If you require remittance advice please check the box below

Please write your 15 digit bank account number below.

Files must be Word or PDF format and no larger than 5mb

Security key
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