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Describe your organisation |
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| 1) Are you a: |
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| 2) Name of organisation/group/individual |
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| 3) Key contact name |
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| 4) Key contact postal address (please include post code) |
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| 5) Key contact phone number |
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6) Key contact email |
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7) What are your aims and objectives?
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| 8) What is your legal status? e.g. business, trust, etc. |
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9) Are you GST registered?
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GST number |
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10) Which category are you seeking funding in? |
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NB: Please be aware that the total fund for allocation is $50,000. This places limitations on the Allocation Committee in respect to category b) applications. |
| 11) How long has the group been going? |
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12) Provide examples of recent activities and achievements
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Project description |
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13) What is the name of the project?
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14) What is the objective of the project?
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| 15) How are you going to achieve this? e.g. what are the key steps? |
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| 16) How did you establish the need for this project? |
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| 17) What do people in your community think about this project? |
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18) What other organisations will be involved in the project?
- Please upload written support from major stakeholders, such as land owners if appropriate
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19) Is the project taking place on land not owned by the group?
- If YES, please upload signed permission from landowner
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20) What are the benefits of the project and who will benefit from it?
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21) How will you communicate with others about your project?
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22) Please outline the time frame for the project, including milestones
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| 23) How will you evaluate the progress of your project? |
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24) Summarise your project in 6-8 words or less
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Funding |
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25a) Please provide a breakdown of the cost of your project. Also outline how you plan to spend the money. (expenditure, confirmed income etc) |
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25b) Description of different aspects of project |
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26) Are you receiving funding from other sources?
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27) Project cost breakdown |
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27a) Total cost of project
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$
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27b) Total income for project
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$ |
27c) Shortfall a) - b) |
$
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| 27d) Funding sought from Envirofund |
$
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Meeting the criteria |
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| 28a) Which areas of Hamilton's Environmental Strategy does the project contribute to? |
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28b) Please briefly explain how your project delivers on the strategy(s) you have chosen.
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29) How does the project encourage community involvement and participation? |
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| 30) Does the project include an environmental education component? |
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31) Is the project consistent with Hamilton's Community Plan?
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32) Please supply a copy of your most recent meeting minutes, bank statement and financial statement.
Note only one document can be uploaded in each 'Browse' box |
upload meeting minutes
upload bank statement
upload financial statement
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Or post hard copies with your name and project clearly stated to:
Envirofund
c/- Strategy and Research Unit
Hamilton City Council
Private Bag 3010
Hamilton 3240
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- Please state what documents you will be sending by post.
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