If you are unable to submit the form or do not receive an automated confirmation email once submitted, please contact us immediately at funding@selwyn.govt.nz.

Please ensure you have read all Sport NZ Rural Travel Fund criteria [PDF, 292 KB] and policy [PDF, 310 KB] before submitting your application.

This form must be completed in one session.

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

  • Travel calculations spreadsheet
  • Latest financial statements from your organisation (i.e. P&L, financial statement)
  • A deposit slip (in case your application is approved)
  • Evidence of your endorsement from your local affiliated club/school (if required)

Please note, receipts are not required for applications.

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 in accordance with the Privacy Act 2020 and Selwyn District Council’s Privacy Policy [PDF, 6494 KB].

Group Information
Contact Details
Organisation Details
Are you a club or school? *
Do you have any disabled participants that will benefit from this travel subsidy? *
Explain briefly:
Financial Details
Please include the Year/Month, Fund Name, Amount.
Please include the Funding Source, Status (confirmed, pending), and Amount
Bank Account Details
Please note: The bank account provided must belong to the club or school. Applications using an individual’s personal bank account will not be accepted.
for bank account
for remittance
(Acceptable forms of bank verification include: stamped letter from the bank, pre-printed deposit slip, copy of a bank statement, screenshot from internet banking or online banking app. The bank name/logo, bank account name and account number must be clearly identified on the document.)
Supporting Documents
You can upload up to 5 additional documents, including a copy of your organisations annual budget and/or your latest audited accounts, evidence of your endorsement from your local affiliated club/school (if required)
Declaration
Personal information collected through this application will be used to assess your grant application and will be handled in accordance with the Privacy Act 2020 and Selwyn District Council’s Privacy Policy.
As per the Community Funding Policy 5.3. Applicants and applications that may be connected to elected members of Council or the Malvern Community Board, or Council staff, need to declare any possible conflict of interest or any possible perception of conflict of interest.
I agree that if the application is successful: * - The organisation name and/or applicant name, project name, and amount of funding applied for and received will be publicly disclosed by the Selwyn District Council in Assessment Panel Meeting Agendas, Minutes and on the Council website to ensure transparency.

- The grant will be used for the purpose specified in this application.

- I/My organisation will provide a report on how the grant was used as soon as it is spent and in no circumstances later than one year of receiving the grant.

- I acknowledge that any overdue reports from my organisation may affect the outcome of future funding applications.

- I/My organisation acknowledges that funding is provided in accordance with the Selwyn District Council Community Grant Policy, and I agree to comply with it.

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).