Before completing this application form please read and understand the General Criteria & Rules for all Council Administered Grants

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.

Group Name: *

Contact person:

Name: *

 

Email: *

Phone (day): 

 

Cell: *

Alternative contact person:

Name:  Email:
Phone (day):  Cell:

Project/Initiative/Event name: *

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

Please describe your project/initiative/event: *

Who is your target audience? * (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): 

What benefits do you expect from this project/initiative/event for Selwyn District? *

Budget

Income (GST exclusive): *

Expenditure (GST exclusive): *

Please state how much you are applying to the Residents Group Fund for: ($ amount) *

What specifically will this amount be used for? *

If you have applied to any other body for grants for this project/initiative/event or if you have applied for or received any funding from the Selwyn District Council in the current financial year, please specify to whom and for how much.

Organisation: *

Amount applied for/received: *

If the Selwyn Residents Group Fund application is successful, my group agrees to provide within one month after the project/initiative/event has taken place: *

  • A full report on the project/initiative/event
  • A selection of 5 photos with permission to be reproduced for Selwyn District Council promotions
  • An expenditure return

Please Tick the box