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Local Initiatives Fund 2019-2020

This is a preview of the Local Initiatives Fund 2019-2020 form. When you’re ready to apply, click Fill Out Now to begin.

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Local Initiatives Fund

* indicates a required field.

The purpose of the Local Initiatives Fund is to support new, not for profit activities that make a real difference in Palmerston North. You will need to refer to the Local Initiatives Fund guidelines to understand the aims of this fund.

If you have questions please contact Brooke Carter at brooke.carter@pncc.govt.nz or 06 356 8199.

We recommend you contact us before you apply. We can advise whether this fund is the best fit for your project.

Time taken to complete application

We are working to make our application processes easier. You can help us by keeping track of roughly how long it takes you to complete your application.

Must be a number. Please fill this out just before you submit your application.

Group details

Must be a New Zealand phone number. 
Must be an email address. 

Contact person

Must be a New Zealand phone number. 
Must be an email address. 

Group status

Most groups we fund have a legal status, such as charitable trust or incorporated society. However, we can fund an unregistered community group with a commitment from an umbrella organisation. A representative of the umbrella organisation will need to fill out the "Umbrella Organisation Consent" section below.

Does your group have a formal legal status? * Required

Legal status (Not Applicable)

This section is not applicable because of your response to question: "Does your group have a formal legal status?" on page 1

Some questions in this section may not apply to your group. If so, just leave them blank.

Eg registered incorporated society; charitable trust
The Charity Registration Number provided will be used to look up the following information.
Click Lookup above to check that you have entered the Charity Registration Number correctly.
New Zealand Charities Register Information
Reg Number
Legal Name
Other Names
Reg Status
Charity's Street Address
Charity's Postal Address
Phone
Fax
Email
Website
Reg Date
Must be formatted correctly. 
The NZBN provided will be used to look up the following information.
Click Lookup above to check that you have entered the NZBN correctly.
New Zealand Companies Register Information
NZBN
Entity Name
Registration Date
Entity Status
Entity Type
Registered Address
Office Address

Umbrella organisation consent (Not Applicable)

This section is not applicable because of your response to question: "Does your group have a formal legal status?" on page 1

An umbrella organisation is an established, registered organisation that is willing to oversee and monitor the use of grants made to unregistered groups.

The roles and responsibilities of an umbrella organisation are:

  • To receive and hold the grant on behalf of a community group.
  • To pay out the funds as required by the community group.
  • To pay out the funds in line with the purpose of the project for which funding was awarded.
  • To endorse accountability reports on the project.
  • To repay any unspent funds to the Palmerston North City Council.

If you have questions please contact Brooke Carter, at brooke.carter@pncc.govt.nz or 06 356 8199.

Must be a New Zealand phone number. 
Must be an email address. 
The Charity Registration Number provided will be used to look up the following information.
Click Lookup above to check that you have entered the Charity Registration Number correctly.
New Zealand Charities Register Information
Reg Number
Legal Name
Other Names
Reg Status
Charity's Street Address
Charity's Postal Address
Phone
Fax
Email
Website
Reg Date
Must be formatted correctly. 
The NZBN provided will be used to look up the following information.
Click Lookup above to check that you have entered the NZBN correctly.
New Zealand Companies Register Information
NZBN
Entity Name
Registration Date
Entity Status
Entity Type
Registered Address
Office Address
Must be formatted correctly. 

This section is not applicable because of your response to question: "Does your group have a formal legal status?" on page 1

The umbrella organisation contact person named above must agree to the following * Required
Response required.Response required.
At least 3 choices must be selected. 

Conflicts of interest

All known conflicts of interest (whether actual, potential or perceived) must be declared. All Council officers involved in the funding process are also required to declare any conflicts of interest.

Are there any Palmerston North City Council staff members or elected members in your organisation? * Required

This section is not applicable because of your response to question: "Are there any Palmerston North City Council staff members or elected members in your organisation?" on page 1

Are you aware of any other conflicts of interest which could affect this proposal? * Required

This section is not applicable because of your response to question: "Are you aware of any other conflicts of interest which could affect this proposal?" on page 1

Local Initiatives Fund criteria

Why you are requesting funding from the Local Initiatives Fund?
Please identify the Council funding priorities that your proposal will contribute towards:
The Fund supports projects that contribute towards the priorities from Council’s Connected Community Strategy.

Project details

Word count:
Provide a short description (100 words recommended) of your project - what are you out to do?
Must be a date. 
Must be a date. 
Must be a number. 
Describe the project, activities or services you want to deliver.
Describe the specific issues or needs you want to address.
Which group(s) will benefit most from this project? Please indicate if you are targeting a particular community, such as an ethnic group, neighbourhood or age group.
What are the the expected benefits/outcomes for participants or others?
Describe three changes you will see if the expected outcomes of the project occur.

Financial details

The average Local Initiatives Fund grant is $6,000, with past grants ranging from $650 to $12,000. We have $28,287 available to allocate this year.

Must be a dollar amount. 
Must be a dollar amount. 
Are you seeking funding from other sources for this event?

This section is not applicable because of your response to question: "Are you seeking funding from other sources for this event?" on page 1

Please provide details of other funding you have requested for this event.

FunderAmount requestedConfirmed?
Must be a dollar amount. 

GST

Are you GST registered?

Expenditure

Please set out the costs for the entire project in the table below. Remember to include support in kind (like donated materials) and volunteer hours (number of hours and estimated cost/value per hour). These items should be included in the income table too.

The Local Initiatives Fund guidelines list the kinds of costs that are eligible and ineligible for funding.

ItemAmount
This number/amount is calculated. 

    Income

    Work out the income for the entire project in the below table. Include the grant you are requesting from PNCC, as well as any other funders you have applied to. Remember to include support in kind as listed in your expenditure table above.

    It’s rare for us to fund whole projects, so think about where else you will access funds. Will your organisation be contributing some of its own funds? The value of volunteer effort and donated materials will be considered as part of your contribution.

    Source of incomeAmount
    This number/amount is calculated. 

    Expenditure – income

    This number/amount is calculated. If the box shows a positive number, you need to add or request extra income or cut down your expenditure.

    Supporting information

    If you have any additional material you would like us to refer to, please enter it in the sections below. This is not a requirement.

      Terms of agreement

      You will only be bound by these terms if your application is successful.

      1. In accepting the offer of funding from the Palmerston North City Council (the Council), the applicant agrees to:

      • complete the project as outlined in the application (or request permission in writing from the Council for any change to the project)
      • use the grant money for the expenses identified in the success letter
      • return any unspent funds
      • operate in an open and publicly transparent manner
      • manage the project in a financially prudent manner with full, up to date and accurate records
      • keep invoices/receipts and a record of all expenditure for seven years
      • participate in any funding audit of my organisation or event conducted by the Council
      • contact the Council to let us know of any public event or presentation that is funded by us
      • give permission for my/our name, brief details about the event, and the amount of the grant to be made available to the public
      • ensure that service delivery adheres to legislative requirements, including requirements under the Vulnerable Children Act 2014, Health and Safety Act 2015, and Employment Relations Act 2015
      • establish a risk management plan for any event, including compliance with health and safety regulations (including provision for spectator safety and roading issues)
      • complete and return a written report no later than three months following completion of the project. I/we understand the information given in the project result form will be referred to if I/we apply for further funding
      • notify the Council of any changes to office holders of the organisation, or changes to the organisation’s address or other contact details, should this occur before I/we return the final report.

      2. Palmerston North City Council shall not be liable for any loss or damage incurred or sustained by the applicant, or any of its employees, agents, contractors, customers or volunteers.

      3. Representatives of both parties to this agreement will discuss any issues relating to the achievement or non-achievement of the expectations outlined in the agreement. If either party identifies any issues, such discussions will take place as soon as practical.

      4. No alteration to, deletion from, or amendment to, any of the provisions of this agreement shall be binding on the parties unless both parties agree, and this agreement is recorded in writing.

      5. Palmerston North City Council may terminate this agreement, with two months written notice, where it considers there are serious performance problems against the expectations outlined in this agreement.

      6. In the event that the applicant fails to comply with these terms of agreement, Palmerston North City Council is entitled to terminate the agreement immediately. In the event of termination the applicant is required to repay the grant money to Palmerston North City Council.

      Do you accept the terms of agreement outlined above? * Required

      Declaration

      You must agree to the below statements before submitting your proposal: * Required
      Response required.Response required.
      At least 7 choices must be selected.