Community Quick Grant Application Form

SHIRE of

WYNDHAM

EAST KIMBERLEY

Community Quick Grant Application Form

Supporting and building

capacity of community

groups and clubs through

community grants

Vision for the Shire of Wyndham East Kimberley:

To be a thriving community with opportunities for all

Bring community

together

NADOC Week, White Gum Park (Sarah Duguid Photography)

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The Shire of Wyndham East Kimberley strongly supports the work of community groups and the valuable services they provide to the community. To support these organisations the Shire provides financial assistance through the Shire’s Community Grant Scheme. the Shire’s Community Grant Scheme consists of three grant types; Community Quick Grant, Annual Grant and Rates Assistance Grant. These guidelines will help you to prepare a thorough and complete application to give your organisation the best chance of receiving a community quick grant.

QUICK GRANTS Quick Grants are a mechanism for the Shire to support local clubs and community groups for amounts of up to $500.00. The grants are available at any time and the application process is relatively simple. Quick Grants primarily cater for small projects and initiatives that are unlikely to be planned many months in advance. They provide a mechanism for the Shire to offset Shire fees and charges in a fair and equitable manner as opposed to the provision of waivers on an ad hoc basis. • Organisations are eligible for one Quick Grant per year only• May be submitted at any time• Fully completed applications must be submitted a minimum of

four weeks prior to the activity.

ASSESSMENT Quick Grants will be assessed by the Manager Community Development or delegate and subject to budget constraints. Quick Grants are assessed based on: • Applicant Eligibility• Project Eligibility• Demonstrated need• Demonstrated community benefit

ELIGIBILITY To be eligible for funding under the Community Grant Scheme:

• Applications for Community Quick Grants may be made by any not for profit community, sporting, arts & cultural, environmental, service groups or associations.

• The organisation must be based within the Shire of Wyndham East Kimberley or the proposed project must be undertaken wholly within the Shire and for the benefit of Shire residents.

• Where projects are organised by multiple organisations, only one Quick Grant may be approved for that project.

To be successful, the applicant must:

• Be, or be under the auspice of, a Community Organisation as defined in the Community Grant Scheme Policy.

• Not have any outstanding debts to the Shire.• Have no outstanding previously received Grant acquittals to the

Shire.• Not be an organisation where the primary purpose is to promote

political beliefs; or• Not be an organisation where the primary purpose is to promote

religious beliefs or where people are excluded on religious grounds.

To be successful, the community activity to be supported by the grant: • Must directly benefit the Shire of Wyndham East Kimberley

Community.• Must not be used for trophies, prizes, insurance or operational

expenditure.• Must not be used for projects that are primarily fundraiser

projects, where the funds raised from the project are to be directly forwarded to another organisation that does not meet the eligibility criteria.

• In the case of Capital/building works, must be on a crown reserve or land owned or vested in the Shire of Wyndham East Kimberley (or at Council’s discretion).

• In the case of Capital/building works must not be on property directly managed by the Shire.

• Will not fund projects that are underway or completed at the time the application is assessed. In the case of Annual. Community Grants, this is the date that the grants are adopted by Council.

• Funding events will be conditional on the event being approved by the Shire and complying with all relevant legislation.

Definition of non-profit: A non-profit organisation is an organisation that is not operating for the profit or gain of its individual members, whether these gains have been direct or indirect. This applies both while the organisation is operating and when it finishes. Any profit made by the organisation goes back into the operation of the organisation to carry out its purposes and is not distributed to any of its members.

HELPFUL POINTS FOR A SUCCESSFUL APPLICATION• Make sure you submit your application form at least four weeks

before you require funding.• You may apply only once in each financial year.• Please feel free to supply any additional information which you

feel is relevant to and will support your application.• If you require any guidance or assistance in completing this form,

please contact the Community Development Officer, who will be delighted to help. Please email mail@swek.wa.gov.au with your query.

• If your application is unsuccessful, you may be advised why and, if appropriate, whether you should consider re-applying.

RECOGNISING THE SHIRE’S CONTRIBUTION One of the conditions of receiving funding through the Community Grants Scheme is that the recipients recognise the Shire of Wyndham East Kimberley’s contribution. This recognition is obviously proportional to the amount of funding received. Some examples would be;

• to include the Shire of Wyndham East Kimberley logo on your printed material,

• have the MC of the event recognise the Shire’s contribution,• mention the Shire’s contribution in your media releases,

programs or posters, or• talking about the Shire’s contribution if you are doing a media

interview.

Community Quick Grant Guidelines Please read this section carefully before completing your application

Thank you for taking the time to read through these guidelines - good luck with your application

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Community Quick Grant Application Form Please ensure that you have read and understood the application terms and criteria before completing the following application.

Section 1 - Applicant Details

Date received by Shire: Date received by Community Development:

Date Processed:

Record Number:

1a. Applicant name / group name

1b. Incorporated status Incorporated Not Incorporated

1c. ABN (Australian Business Number) and/or Association Number ABN: Association Number:

1d. Bank Details for the organisation BSB: A/C Number:

1e. Auspice name (if an individual or not incorporated)

1f. Title of the activity/project

1g. Start date of the activity/project

1h. Total amount requested $

1i. Contact person for project

1j. Your position in the group

1k. Postal address

1l. Contact email address

1m. Daytime telephone number

OFFICE USE ONLY

Approved

Yes No

Signature

_______________________________Manager Community Development

Date:

_____ / ____ / ______

Reason for approving / not approving:

Date Notified:

CQG

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Section 2 - Tell us about your group

2a. Please outline the objectives of your organisation/group

2b. Please provide a brief description of the activities your organisation/group undertake

2c. Is your organisation recognised as non-profit

Yes No

Name Position 2d. List the key people and decision makers involved in this activity/project.

Details of your group

Membership/client details

2e. Are you a membership based organisation?

2f. Please indicate the target groups your organisation aims to engage:

Children (under 12 years)

Young people (12 – 17 years)

Women ( 18 – 55 years)

Men (18 – 55 Years)

Older people (55 + years)

Aboriginal and Torres Strait Islander people

People from culturally diverse backgrounds

People with disability

Low income families

All of the above

Other (please specify)

________________________________________

________________________________________

2g. Will the above mentioned groups be your target audience for the activity/project? Yes No

Yes No

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3b. Please describe the community activity you are requesting a Community Quick Grant for (Include details about your project/event including what you are planning, it’s location, when it will occur, how many people are involved and who they are.)

3c. Which Shire Strategic Focus Areas does your activity/project align with? https://www.swek.wa.gov.au/Profiles/swek/Assets/ClientData/SCP_2017-2027.pdf

Section 3 - Tell us about the community activity you wish to support Reason for Application

3a. Title of the activity/project

1 PEOPLE - Healthy vibrant active communities

2 PLACE - Enhancing the environment

3 PROSPERITY - Economic prosperity

4 GOVERNANCE - Civic leadership

3d. What (if any) organisations will you be collaborating with to deliver your activity/project?

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Income Expenditure

Activity generated income (eg ticket sales, merchandise)

$ General administration expenses $

Organisation’s contribution $ Equipment hire (please specify) $

Other Grants Sponsorship (Stipulate Who) $ Professional fees (include accommodation, meals etc)

$

Requested amount from SWEK Community Quick Grant

$ Other costs (please specify) $

Total (not including GST) $ Total (not including GST) $

Section 3 - Tell us about the community activity you wish to support 3e. Please describe how the project/event will benefit those directly involved and the wider community.

You should outline here what you plan to achieve, including any social, economic, environmental and cultural outcomes

3f. Please demonstrate the need for Community Quick Grant Funding

Please explain what the community quick grant support will be used for i.e. describe how the funding will contribute to the success of the

project/event.

Activity/project budget 3h. Please provide a summary of the Activity/project budget (Note your total income should equal your total expenditure. Where possible please provide quotes for planned expenditure.

3g. What are the key activities you will carry out during the initiative/project? Dates MUST be entered against ‘activity completed’ and ‘acquittal documentation completed’)

Date Activity/Milestone

Activity completed

Acquittal documentation completed

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Section 4 - Statutory Requirements

4a. Does your activity/ project include an event?

Disability Access and Inclusion Requirements.

4b. Has the event been planned in accordance with the Disability Services Commission

‘Creating Accessible Events’

People with disability can face barriers to attending and participating in public functions in a variety of ways. They may experience difficulty hearing what is said, seeing small print on an invitation, climbing steps to the venue, understanding signage, or using a rest room in the building. Public events need to be planned to ensure they are accessible to all members of the community. Consideration of aspects such as the venue, a continuous accessible path to the venue, invitations, and hearing augmentation are

important.

Creating Accessible Events website: http://www.disability.wa.gov.au/understanding-disability1/

understanding-disability/accessibility/services_events/

Licences and permits

4c. Have you applied for all relevant licences, permit and approvals? For assistance please contact the Shire

4d. Please advise which permits/licences or approvals you have applied for. (insert title and approval status)

permits/licences Approval Status

Yes / No / Pending

Yes / No / Pending

Yes / No / Pending

Section 5 - Acknowledgment of the Shire’s Contribution 5a. Please outline how you will recognise the Shire’s contribution. (helpful hints can be found in the selection criteria )

4e. Please advise if you require a Shire Venue, equipment or personnel as well as when and an estimated value. Please calculate the total hire fees or other charges applied to this application – refer to the Annual Fees and Charges on SWEK website. (NB –

planned SWEK works take priority, however consideration will be given to all reasonable requests).

Yes No

Yes No

Yes No

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6a. Please read and tick the following acknowledgements:

Section 6 - Declaration

Print Name

6b. Name and signature (An original signature must be received, please print this page and sign)

Signature

Date

You can submit your quick grant application by post, fax or in person.

Please address your application to:

Manager Community Development Shire of Wyndham East Kimberley, PO Box 614 Kununurra WA 6743 Fax: (08) 9168 1798 Or you can deliver your application to the Shire Offices in either Kununurra (Coolibah Drive), or Wyndham (Koolama St).

Community Quick Grant Application Form

I acknowledge that I am authorised to make this application on behalf of the organisation.

I acknowledge that the information in this application is true and correct.

I acknowledge that I may be required to supply further information prior to consideration of this application by SWEK.

I acknowledge that I will complete the grant acquittal report and submit within four weeks of the project/event completion

I acknowledge that the acquittal report must contain financial statements and receipts, media releases, promotional material, reports, statistics and photographs of the project/event.

I acknowledge that the Shire will be recognised for its contribution as outlined in section 5 and that evidence of this recognition will be provided within the acquittal.

I provide information for the Shire of Wyndham East Kimberley to promote this Community Quick Grant as part of any communications and public relations activities.

Other information

6c. Please provide any other relevant information here (such as a list of attached supporting documentation)