Community Assistance Partnership Fund

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Organisation Details

Is your group/organisation registered for GST?*This field is required.
Does your group/organisation hold current public liability insurance?*This field is required.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Is your group/organisation incorporated?*This field is required.

Project Details


Project Justification

Indicate how the project aligns with our Murray 2030 Strategic Community Plan, addressing at least one of the folllowing key priority areas:*This field is required.

Community Benefit

Will this project make use of volunteers?*This field is required.

Project Delivery

Do you have support from your local community group/progress associaton?*This field is required.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Project Budget


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Payment Details

Bank account details for electronic transfer of grant monies (if successful).


Application Declaration

This section must be completed by an individual with authorised delegation of the group/organisation (President, Chief Executive Officer or similar).

Conditions
  • Shire of Murray staff have been consulted in the development of this application
  • This project is not retrospective and will occur at least eight weeks after the funding round closes, allowing time for the project to acknowledge funding+
  • Funding assistance provided by the Shire of Murray will be acknowledged in any promotional material, advertising or other public documents relating to the project
  • All Local, State and Commonwealth laws applicable to the approved project will be complied with
  • The grant will be used solely for the specified purpose approved by the Shire of Murray
  • Final acquittal report and a full statement of income and expenditure demonstrating how the grant funds were utilised, to be provided to the Shire of Murray 

I certify that:

  • This application is, to the best of my knowledge, true and correct
  • On behalf of the applicant group/organisation, I have read, accepted and will comply with the Community Assistance Partnership Fund conditions above

Application Checklist

Project discussed with a Community Development Officer?
Applicant has allowed 8 weeks from closing date of grant, before delivery of project?
Applicant has read Community Assistance Partnership Fund Guidelines
One quote for each item requesting grant funding has been attached?
Where successful, agree acquittal will be completed within 90 days of project completion?
Where successful, agree to acknowledge Shire of Murry and Alcoa Australia's support and contribution in promotion material relating to project.

Validate and Submit Form

Get Audio Code