Community Participation Small Grants Program (Up to $5,000) Form Preview

2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

Eligibility Check

* indicates a required ﬁeld

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 a new or signiﬁcant expansion of an existing project? * ○ Yes ○ No Ongoing projects will not be funded.

1.2 Will residents of Cumberland LGA be the primary beneﬁciaries or participants in this project? * ○ Yes ○ No If no, your organisation is not eligible.

1.3 Is this an application for a funding up to $5,000? * ○ Yes ○ No If no, your organisation is not eligible.

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 in 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)? * ○ Yes ○ No For example: public liability, volunteers, professional indemnity, workers compensation.

Your application is not eligible. Consider applying for the following grant streams: • Small Equipment Grant Program Sign up to the Cumberland Grants Bulletin to receive a monthly email with grant opportunities. Click here to sign up.

Organisation Contact Details

* indicates a required ﬁeld

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

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 Primary Email * 2.5 Primary Phone Number * Must be an email address. Must be an Australian phone number. e.g. [email protected]

2.7 Website 2.8 Link to Social Media Account - Facebook/Twitter etc

Must be a URL. Must be a URL

2.9 Are you registered for GST? * 2.10 Do you have an ABN? * ○ Yes ○ No ○ Yes ○ No All valid applications must have a current registered Australian Business Number (ABN). You can apply for an ABN online at ABR register

2.11 Australian Business Number or 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 Main business location

Must be an ABN.

Organisation Incorporation Details

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

2.12 Are you an incorporated legal entity? * ○ Yes ○ No If no, your organisation must be auspiced, please refer 2.23

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 your incorporation Number *

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

2.19 Project Contact * 2.20 Position * Title First Name Last Name

This is the person who will be the point of contact 2.22 Primary Phone Number * for the project. It must be a diﬀerent person to that listed as the 'Management Committee Representative'. Must be an Australian phone number.

2.21 Email *

Are you auspicing this project?

Cumberland City Council requires ALL organisations without incorporation to be auspiced. Deﬁnitions: Auspicee - the group requiring support is known as the ‘auspicee’.

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

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 this project? * ○ Yes - complete the auspice section ○ No

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 100 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 LGA? *

Word count: Must be between 50 and 100 words.

3.4 Has your organisation been involved in any litigation or prosecution in the past three years? * ○ Yes ○ No

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

3.4a If yes, please provide further details.

Word count: Must be between 50 and 100 words

Supporting Documents

Documents must be less than two years old.

3.5 Annual Report or Statement of Aim and Objective * Attach a ﬁle:

Auspicee Organisation

* indicates a required ﬁeld Auspicee Organisation Details

4.1 Organisation Name * Organisation Name

Name of auspicee organisation

4.2 Organisation ABN *

Must be an ABN.

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

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.

Auspicee Project Contact

4.8 Project Contact * 4.9 Position * Title First Name Last Name

4.11 Phone Number * 4.10 Email *

Must be an Australian phone number. Must be an email address.

Documents of Auspicee

Documents must be less than two years old.

4.12 Annual Report less than 2 years old, if you do not have a recent one, please attach Constitution or Statement of Aims and Objectives Attach a ﬁle:

Project Details

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

* indicates a required ﬁeld Project Information

Details of the particular project 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. What date does project start?

5.3 Project End Date *

Must be a date and between 1/7/2021 and 30/6/2022. What date does project end?

5.4 Indicate the address of the facility the project will be held. Address

5.5 Amount Requested

This number/amount is calculated. Amount will be automatically calculated when you complete the budget section.

5.6 This application is for: * ○ A new project ○ An expansion of an existing project

5.7 Please explain how you plan to grow and expand your project? *

Word count: Must be no more than 50 words. You must clearly demonstrate the elements which will be expanded. If you don’t, the project will be deemed ineligible.

5.8 Provide a short description of your project? *

Word count: Must be no more than 30 words.

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

This will be the published project description.

5.9 What are the aims of this project? Brieﬂy describe the project activities? *

Must be between 50 and 150 words. Brieﬂy list (bullet points) the speciﬁc activities that will take place.

5.10 Describe the target group you are seeking to engage in this project? Who are they and what are their needs? *

Must be between 50 and 150 words. Describe the estimated number, gender, age and location/region of those participating in the project. Describe the speciﬁc issue or need you want to address.

5.11 How were these needs impacted by COVID-19? *

Word count: Must be between 50 and 100 words.

5.12 How will your project address these needs? *

Word count: Must be between 50 and 100 words.

5.13 What type of consultation has occurred to involve the target group in the development of your project? *

Word count: Must be between 50 and 100 words. Who is involved in the planning and delivery of your project

5.14 Please tell us about how you will manage COVID-19 and other risks to safely manage this project? *

Word count: Must be no more than 100 words.

Funding Priority

5.15 Which funding priority does your project address? Select one only. * ○ Community Safety ○ Health and Wellbeing

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

○ Sustainability ○ Social Cohesion and Participation ○ Education and Employment ○ Youth Select one only

5.16 How does your project address this funding priority? *

Word count: between 50 and 150 words

Project Classiﬁcation

* indicates a required ﬁeld

6.1 Number of participants involved in this project? *

A whole number (no decimal places)

6.2 How many participants will be residents of the Cumberland LGA? *

Must be a number

6.3 What is the primary age group to beneﬁt from your project? * ○ 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 project? * ○ Involves all gender ○ Mainly male ○ Mainly female ○ Diverse Gender Equality (DGI)

Project Location

To view a map of the Cumberland 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 *

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

☐ 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.

Outcomes, Evaluation and Project Partners

* indicates a required ﬁeld

7.1 What are the expected outcomes of the project? Identify and describe at least three things you want the project to achieve in terms of beneﬁts for participants? *

Word count: Must be between 50 and 150 words.

7.2 How will you measure if these outcomes have been achieved? Please indicate evaluation methods and tools? *

Word count: Must be between 50 and 150 words. Examples could include testimonial, surveys, interviews, questionnaires, case studies, anecdotal evidence etc.

Project Partners

Is your project supported by any other community organisation/s or do you intend to work in partnership with any other organisation on this project? If yes, supporting organisations are required to complete the ‘Project Partner Acknowledgment Form’ and submit it with the funding application. The form is an editable pdf - you can type into the form, save on your computer and upload with your application. You do not need to print the form. Project Partner Acknowledgement Form

7.3 Do you work with other Partner(s)? *

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

○ Yes ○ No

7.4 Project Partner Acknowledgement Form Attach a ﬁle:

Budget

* indicates a required ﬁeld Sample Budget

Expenditure Amount requested from Cumberland Council Amount from other funding source Indicate if other funding source is conﬁrmed or not conﬁrmed? Name of the other funding source Workshop Facilitator (30 hours @ $40 per hour x 26w) $1,200

Arts materials $1300

Venue (10 sessions @ $75 per hire) $750 $3000 Conﬁrmed Internal funds from organisation Administration – stationary, printing $500

8.1 Detailed Budget

Outline below the budget for your project, including funding from Cumberland City Council and any other funding sources. Include costs of hiring Council owned facilities. Current fees are available on Council’s website. Provide clear itemised budgets that are well researched and reﬂect actual costs. While individual budget items may include GST, GST is not to be applied to the funding request as a whole.

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

All quotes below are GST inclusive.

Expenditure Amount Amount from Indicate if other Name of the Item requested from other funding funding source other funding Cumberland sources is conﬁrmed or source City Council not conﬁrmed? a dollar amount Must be a dollar amount. $ $

Project Budget

8.2 Total amount requested from Cumberland City Council. * 8.3 What is the total budgeted cost (dollars) of your project excluding in kind contributions. * $ $ This number/amount is calculated. The amounts listed in the budget table will This number/amount is calculated. automatically calculate here. Do not include non cash value (inkind). The responses to the budget table will automatically calculate this answer.

8.4 In-kind Contribution

What are the inkind contributions for this project?. This is any non - cash contributions to the project, e.g. provision of a venue at no cost or value of volunteer labour.

In-kind Contribution Amount $

Total In kind Contribution

This number/amount is calculated.

Quotes

8.5 Will you be purchasing or hiring any items that cost over $1,000? *

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

○ Yes ○ No

Upload Quotes

Please provide 2 comparative quotations for all items over $1,000

8.6 Quotation * Attach a ﬁle:

Maximum 25mb per ﬁle attachment. Recommended no more than 5mb per attachment.

8.7 Quotation * Attach a ﬁle:

Privacy, Declaration, Consent, Authority, Information and Feedback

* indicates a required ﬁeld 9.1 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 Community Participation Small 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.

9.2 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.

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

• 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 *

Email *

Must be an email address.

Phone *

Must be an Australian phone number.

Date *

a date

9.3 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 Council. * ○ Yes ○ No Visit: Council E news

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2020/2021 - Community Participation Small Grants Program (up to $5,000) Form Preview

Cumberland Council Community Database. To receive hard copy information about projects and programs. * ○ Yes ○ No

9.4 Feedback

How easy was it to fill out the form? ○ Very Easy ○ Moderate ○ Very Difficult ○ Easy ○ Difficult

Tell us about your experience in completing this application form?

Word count: No more than 50 words

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