Strategic Partnerships Expressions of Interest Form

Please note before you begin:

Applications close Monday 31 August 2026, 9pm. Late applications cannot be considered. If you are unable to submit the form or do not receive an automated confirmation email once submitted, please notify us immediately at funding@selwyn.govt.nz
Please ensure you have read all eligibility criteria before submitting your application.
If you prefer to provide the free-text responses as an attachment, please upload the document in the Supporting Documents section. Please note the maximum size for attachments is 32MB.
This form must be completed in one session, so please ensure you have all necessary information and documentation ready before you begin, including:
- Most recent financial statements
- Annual report (if available)
- Any other relevant supporting information
- If you prefer to provide the free-text responses as an attachment, please upload the document in the Supporting Documents section.

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

Name of organisation: *

Organisation email address: *

Organisation address:

What is your organisation's structure? * Please select one of the following.

Not-for-Profit community organisation with formal legal structure (e.g. Incorporated Society, Charitable Trust)
Community Group with no formal legal structure
Not-for-Profit iwi/hapū organisation/kāupapa Māori organisation delivering kāupapa Māori outcomes
Other (please specify below)

If other, please specify here

Contact Details

Primary Contact Person: *

Role in Organisation: *

Phone number: *

Email address: *

Secondary Contact Person (if any):

Phone number:

Role in Organisation:

Email address:

Strategic Priority Area

Which priority area does your initiative primarily support? *

Social: Youth
Social: Older Persons

If your initiative supports both priority areas, please explain how:

About Your Organisation

Tell us about your organisation: Please provide:
o Your purpose and mission
o When your organisation was established
o Key programmes or services
o Communities you serve (including demographics and geographical area)
o Relevant achievements, experience and track record delivering services in Selwyn or similar communities

Organisational Capability and Sustainability

Please describe your organisation's capability, sustainability and future plans. Consider:
o Governance and leadership structure
o Staffing and volunteer capacity
o Financial sustainability and funding sources
o Partnerships and community relationships
o Long-term goals and future direction
o Planned growth or development opportunities

Strategic Partnership Opportunity

What work, services, programmes or initiatives are you seeking Strategic Partnership funding to contribute towards in 2026/27? Please provide:
o A brief summary
o What activities or services will be delivered
o Who will benefit
o How this work supports Selwyn communities

Please describe how the work responds to community needs and how it contributes to positive outcomes for Selwyn residents.

Impact and Outcomes

How would Strategic Partnership funding from Council make a difference to your organisation and the Selwyn community? Please describe:
o What the funding would be used for
o The community need or opportunity the initiative addresses
o What would be achieved with Council funding
o The outcomes and benefits expected for Selwyn communities during 2026/27
o How success will be measured
o The difference participants, clients or communities will experience as a result of the initiative
o Any impacts on service delivery if the funding was not available

How much funding are you seeking from Council for 2026/27?

How much funding are you seeking from Council for 2026/27? *

Supporting Documents

Please upload any further supporting documents, that may support your application here. Please attach:
• Most recent financial statements
• Annual report (if available)
• Any other relevant supporting information

Declaration

Privacy Notice 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.

Please note any conflict of interest or perceived conflict of interest below (if no conflict of interest, please type N/A): * 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.

Declaration * I declare:
* I am authorised to submit this EOI on behalf of the organisation.
* The information provided is true and correct.

I agree with the above statements.

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).

Strategic Partnerships Expressions of Interest Form

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