2020/21 - Small Equipment Grants Program Form Preview
1. Eligibility Check
* indicates a required field Are you eligible?
Make sure you read the guidelines before getting started. Visit Cumberland City Council website for further information about grants program.
1.1 Is this application for an equipment purchase or contribution to an equipment purchase? * ○ Yes ○ No - not eligible Please note, maximum amount that can be applied for is $1,500. Uniform purchases are capped at $1000
1.2 Is this equipment to be used in the Cumberland Local Government Area? * ○ Yes ○ No If no, your organisation is not eligible.
1.3 Will the equipment be primarily used by residents of Cumberland City Council? * ○ Yes ○ No If no, your organisation is not eligible.
Organisation
1.4 Is your organisation a not-for-profit, community based organisation? * ○ Yes ○ No If no, your organisation is not eligible.
1.5 Is your organisation currently located or will be delivering services/projects in the Cumberland Local Government Area (LGA) or have specialist expertise not currently available in the Cumberland LGA? * ○ Yes ○ No If no, your organisation is not eligible.
1.6 Will you be able to provide proof of appropriate insurance including public liability insurance (minimum of $10 million liability) and/or Professional Indemnity or Workers Compensation? * ○ Yes ○ No For example: public liability, volunteers, professional indemnity, workers compensation.
Your application is not eligible. Consider applying for the below grant: • Community Participation Small Grants Program Sign up to the Cumberland Grants Bulletin to receive a monthly email with grant opportunities. Click here to sign up.
Page 1 of 11
2020/21 - Small Equipment Grants Program Form Preview
2. Organisation Contact Details
* indicates a required field Applicant Organisation Details
2.1 Full legal Name of Applicant Organisation * 2.2 Trading or Business Name Organisation Name Organisation Name
Name of organisation applying for the grant 2.4 Postal Address Address 2.3 Primary Address Address
Any, but at least one field is required. Country Any, but at least one field is required. Coordinates must be Australia Required. Country must be Australia 2.6 Office Phone Number * 2.5 Email * Must be an Australian phone number. Must be an email address. e.g. [email protected] 2.8 Link to Social Media Account - Facebook/Twitter etc
2.7 Website Must be a URL Must be a URL. 2.10 Do you have an ABN? * ○ Yes ○ No
2.9 Are you registered for GST? * All valid applications must have a current ○ Yes ○ No registered Australian Business Number (ABN). You can apply online at ABR register
2.11 Australian Business Number or Australian Company Number *
The ABN provided will be used to look up the following information. Click Lookup above to check that you have entered the ABN correctly. Information from the Australian Business Register ABN Entity name ABN status Entity type Goods & Services Tax (GST) DGR Endorsed ATO Charity Type More information ACNC Registration Tax Concessions
Page 2 of 11
2020/21 - Small Equipment Grants Program Form Preview
Main business location
Must be an ABN.
Organisation Incorporation Details
2.12 Are you an incorporated legal entity? * ○ Yes ○ No If no, your organisation must be auspiced, please refer 2.15
2.13 Please select which form of Incorporation? * ○ Australian Public Company ○ Registered Australian Body ○ Company Limited by Guarantee ○ Act of Parliament ○ Co-operative ○ Other:
○ Not for profit Incorporated Association
2.14 Please provide incorporation Number *
If your response is Act of Parliament, Please state which act of parliament
Management Committee Representative or Organisations' CEO
The application needs to be approved by a representative of the organisations' management committee.
2.15 Name * 2.16 Position * Title First Name Last Name
2.18 Phone Number * 2.17 Email *
Must be an Australian phone number. Must be an email address.
Project Coordinator
This is the person who will be the point of contact for the grant. It must be a different person to that listed as the 'Management Committee Representative'.
2.19 Project Contact * 2.20 Position * Title First Name Last Name
2.22 Email * 2.21 Phone Number *
Must be an email address. Must be an Australian phone number.
Are you auspicing the project?
Page 3 of 11
2020/21 - Small Equipment Grants Program Form Preview
Cumberland City Council requires ALL organisations without incorporation to be auspiced. Definitions: Auspicee - the group requiring support is known as the ‘auspicee’. Auspicor - the incorporated organisation that auspices the group or individual is known as the ‘auspicor’. When using an auspice arrangement, the relationship is often described as one where the auspicee will be carrying out the project ‘under the auspices of’ the incorporated organisation – the auspicor. The auspicor receives funding or enters into relevant agreements for the auspicee. This section needs to be completed by the auspicee. Council recommends that the auspicee and auspicor develop an Auspice Agreement before submitting the grant application. Further information on what to include in this agreement can be found at https://www.nfplaw.org.au/auspicing. Cumberland City Council can only enter into a Funding Agreement with a legally constituted, incorporated organisation. This organisation will manage the funding and distribute the funds to you.
2.23 Are you auspicing the project? ○ Yes - complete the auspice section ○ No
3.Organisation Background
* indicates a required field Organisation Summary
3.1 What is the purpose of your organisation? What does the organisation currently do in the community? *
Word count: Must be no more than 150 words
3.2 What is the organisations' experience managing projects with or without funding? Please provide examples. *
Word count: Must be no more than 150 words
3.3 What existing links or partnerships do you have within the Cumberland City LGA? *
Word count: Must be between 50 and 150 words.
Page 4 of 11
2020/21 - Small Equipment Grants Program Form Preview
3.4 Has your organisation been involved in any litigation or prosecution in the past three years? * ○ Yes ○ No
3.4a If yes, please provide further details.
Word count: Must be between 50 and 100 words
Supporting Documents
Document must be less than two years old.
3.5 Annual Report or Statement of Aims and Objectives * Attach a file:
4. Auspicee Organisation Details
* indicates a required field Auspicee Organisation Details
This section needs to be completed by the auspicee.
4.1 Organisation Name * Organisation Name
Name of auspicee organisation
4.2 Organisation ABN *
The ABN provided will be used to look up the following information. Click Lookup above to check that you have entered the ABN correctly. Information from the Australian Business Register ABN Entity name ABN status Entity type Goods & Services Tax (GST) DGR Endorsed ATO Charity Type More information
Page 5 of 11
2020/21 - Small Equipment Grants Program Form Preview
ACNC Registration Tax Concessions Main business location
Must be an ABN.
4.3 Office Address Address
Must be an Australian postcode.
4.4 Postal Address Address
Must be an Australian postcode.
4.5 Office Email *
Must be an email address.
4.6 Office Website
Must be a URL.
4.7 Office Phone Number *
Must be an Australian phone number.
Project Contact
This will be the person who will be responsible for managing the project
4.8 Project Contact * 4.9 Position * Title First Name Last Name
4.11 Primary Number * 4.10 Email *
Must be an Australian phone number. Must be an email address.
Provide the following
Document must be less than two years old.
4.13 Annual Report or Statement of Aims and Objectives
Page 6 of 11
2020/21 - Small Equipment Grants Program Form Preview
Attach a file:
5. Equipment Details
* indicates a required field Project Information
Details of the particular equipment being applied for.
5.1 Project Title *
5.2 Project Start Date *
Must be a date and between 1/7/2021 and 30/6/2022.
5.3 Project End Date *
Must be a date and between 1/7/2021 and 30/6/2022.
5.4 Amount Requested *
Whole numbers and up to $1,500. What is the total financial support you are requesting in this application?
5.5 What equipment are you applying for? *
Word count: Must be no more than 30 words. This will be the published project description.
5.6 Briefly describe why this equipment is required? What will it achieve? *
Word count:
5.7 Who will benefit from this equipment? *
Word count: Must be between 50 and 100 words.
Page 7 of 11
2020/21 - Small Equipment Grants Program Form Preview
How does the equipment being purchased meet the needs of the community that resulted from the impact of COVID-19? *
Word count: Must be between 50 and 100 words.
5.8 Where will the equipment be stored? *
Word count: Must be between 30 and 50 words. Must be a physical address
Upload Quotes
Please provide 2 comparative quotations for all Item/s.
5.9 Please attach quotes for equipment requested in this application. * Attach a file:
Maximum 25mb per file attachment. Recommended no more than 5mb per attachment.
5.10 Please attach quotes for equipment requested in this application. Attach a file:
Funding Priority
5.11 Which funding priority outcome does your project address? * ○ Cultural ○ Environmental ○ Recreational ○ Social
5.12 How does your project address this funding priority? *
Word count:
6. Equipment Classification
* indicates a required field
The following information helps us to better scope and understand the projects we fund.
6.1 How many people will benefit from the use of this equipment? *
a whole number (no decimal place)
Page 8 of 11
2020/21 - Small Equipment Grants Program Form Preview
6.2 How many users will be residents of the Cumberland LGA? *
Must be a number
6.3 What is the primary age group to benefit from the equipment? * ○ All age groups ○ Children and Pre-teen (2-12 ○ Adults (19+ years) years) ○ Infant and Toddlers (0-2 ○ Youth (13-18 years) ○ Seniors (65+ years) years)
6.4 What is the primary gender type to benefit from this equipment? * ○ Involves all gender ○ Mainly male ○ Diverse Gender Equality (DGI) ○ Mainly female
Project Location
To view a map of the Cumberland City Local Government Area go to: Cumberland Community Profile.
6.5 Granville Ward * ☐ Granville ☐ Holroyd ☐ Merrylands West ☐ Guildford ☐ Merrylands ☐ Not Applicable
6.6 Greystanes Ward * ☐ Fairfield ☐ Pemulwuy ☐ Wood Park ☐ Greystanes ☐ Prospect ☐ Yennora ☐ Guildford West ☐ Smithfield ☐ Not Applicable ☐ Merrylands West
6.7 Regents Park Ward * ☐ Berala ☐ Lidcombe ☐ Rookwood ☐ Homebush West ☐ Regents Park ☐ Not Applicable
6.8 South Granville Ward * ☐ Auburn ☐ South Granville ☐ Not Applicable ☐ Chester Hill
6.9 Wentworthville Ward * ☐ Girraween ☐ South Wentworthville ☐ Westmead ☐ Mays Hill ☐ Toongabbie ☐ Not Applicable ☐ Pendle Hill ☐ Wentworthville
6.10 Not in the Cumberland LGA. Please indicate the suburb.
7. Privacy, Declaration, Consent, Authority, Information and Feedback
Page 9 of 11
2020/21 - Small Equipment Grants Program Form Preview
* indicates a required field 7.1 Privacy Statement
Some information that Cumberland City Council (Council) is collecting from you is personal information for the purposes of the Privacy and Personal Information Protection Act 1998 (“PPIP Act”). The supply of the information by you is voluntary. If you do not provide the information Council may not be able to accept your application for the Small Equipment Grants Program. The information will be retained by Council and stored in Council’s Central Records System and will not be made publicly available. You may make an application for access or amendment to your personal information. You may make a request that Council suppress your personal information from a public register. Council will consider any such application in accordance with the PPIP Act. Cumberland City Council is to be regarded as the agency that holds the information. For more information about your privacy please contact Cumberland City Council. Complaints or concerns regarding the use of your personal information can be made to Council’s Privacy Contact Officers.
7.2 Declaration, Consent and Authority
This MUST be completed by the applicant organisation. • I certify that to the best of my knowledge the statements made in this application are true. • I understand that if Council approves the application, I will be bound by the contents of my application to carry out my project as I have described and my application will form part of my contractual agreement with Cumberland City Council. • I understand that the information provided on my grant application and in any related documentation/discussions may be provided to members of the assessment panel in order to assist Council in processing your grant application. Members of the assessment panel may include Council and non Council representatives. • I consent to the information contained within this application being disclosed to or by the Council for the purpose of assessing, administering and monitoring my current and any future Council grant applications. • By submitting an application I consent to Council publishing the applicant's name, project description and amount funded on our website, this information may also be used for promoting the Cumberland Community Grants Program. • I am authorised by the Applicant to submit this application, to make the above Declaration and provide the above Consent. I understand that this is an application only and may not necessarily result in funding approval.
* ○ Yes
Name * Title First Name Last Name
Position *
Page 10 of 11
2020/21 - Small Equipment Grants Program Form Preview
Email *
Must be an email address.
Phone *
Must be an Australian phone number.
Date *
a date
7.3 Information from Cumberland City Council
Please indicate if you would like to be added to the the following newsletters and databases.
Cumberland Grants Bulletin - a monthly grants bulletin with grant opportunities. * ○ Yes ○ No Visit: Grants Bulletin
Community Information Directory - an online database of local services. * ○ Yes ○ No View the Community Information Directory here.
Council enews - a fortnightly electronic newsletter from Cumberland City Council. * ○ Yes ○ No Visit: Council E news
Cumberland City Council Community Database. To receive hard copy information. Sent periodically about various projects and programs. * ○ Yes ○ No
7.4 Feedback
How easy was it to fill out the form? * ○ Very Easy ○ Difficult ○ Easy ○ Very Difficult ○ Moderate
Tell us about your experience in completing this application form?
Word count: No more than 50 words
Page 11 of 11