Halls Category Round 1 2021/2022 Form Preview
Hall Insurance
* indicates a required field
Through the Community Development Grants program, Council provides financial assistance to eligible community organisations to deliver projects which respond to community need, support council's strategic objectives and enhance the social and community development of the region. Before completing this application you must: 1. Speak with an officer from Council's Community Partnerships Team. Please call 1300 307 800 or email grantsadmin@gympie.qld.gov.au to arrange an appointment. 2. Read the Community Development Grants Program 2021/22 Guidelines. 3. Applications will only be accepted by submission through the Smarty Grants portal. NB: No late or incomplete applications will be accepted. If you require further assistance with using the Smarty Grants Portal please click here to access the FAQ's. Parts of this application will require supporting documentation. Please ensure that documentation is clear and legible.
Grant Category - Hall Insurance
Purpose: To support the organisational capacity of four non-Council owned/trustee community halls to meet their insurance obligations. The eligible halls are not currently supported by the products and public liability, associations liability and personal accident pool scheme coordinated by Council. The category is limited to applications from the following hall committees: • Glastonbury Hall • Gunalda Hall • Theebine Memorial Recreation Hall • Widgee Memorial Hall Maximum grant: $1,000 plus GST Applicant contribution: No co-contribution to be evidenced in the application. Priority: Address insurance risk management by contribution to halls insurance. Support material: Evidence of Certificate of Currency for insurance policy or quote to be provided in the application. The insurance must as a minimum inclusion of products and public liability insurance. A copy of the certificate of currency of insurance must be provided to Council with the acquittal.
Eligibility
This section of the application form is designed to help you, and us, understand if you are eligible for this grant.
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Halls Category Round 1 2021/2022 Form Preview
It is crucial that you complete these questions before any others to ensure you do not waste your time applying for an unsuitable grant. If you have any questions in regards to these eligibility criteria, please contact a Community Partnerships Officer on 1300 307 800 or email [email protected]
This category is limited to applications from the following hall committees. Please select which hall you are applying on behalf of: * ○ Glastonbury Hall ○ Gunalda Hall ○ Theebine Memorial Recreation Hall ○ Widgee Memorial Hall
I confirm that my organisation...... * ☐ is a not-for-profit community organisation ☐ is incorporated, or is auspiced by an incorporated community organisation (including co- operatives and companies limited by guarantee) for the purpose of this application. ☐ has no outstanding debt with Council ☐ has satisfied requirements of previous Gympie Regional Council Community Development Grant funding ☐ is based in, or provides direct benefits to, the Gympie region. ☐ is not listed as an ineligible applicant as per the Community Development Grants Program 2021/22 guidelines. All choices must be selected.
Applicant details
* indicates a required field Privacy Notice
Gympie Regional Council collects information in accordance with our Information Privacy Policy, a copy of which is available from the Council website or click here. In providing any personal information, please note that you are agreeing to the possible transfer of your information outside Australia via the internet under s33 of the Information Privacy Act 2009. If for any reason you are unable to agree to these terms, please contact Council 1300 307 800 to discuss alternate arrangements.
Organisation Name * Organisation Name
(as listed with the Office of Fair Trading or ASIC)
Physical Address * Address
Address Line 1, Suburb/Town, State/Province, and Postcode are required.
Postal Address (if different to above) *
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Halls Category Round 1 2021/2022 Form Preview
Address
Address Line 1, Suburb/Town, State/Province, and Postcode are required.
Contact person for this grant * Title First Name Last Name
Position within organisation *
President, Treasurer, Secretary, Grants officer
Phone Number *
Must be an Australian phone number.
Alternate Phone Number *
Must be an Australian phone number.
Email address *
Must be an email address.
Applicant ABN
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 ACNC Registration Tax Concessions Main business location
Must be an ABN.
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Halls Category Round 1 2021/2022 Form Preview
Information about your organisation
* indicates a required field
How many members or volunteers do you have? *
Has your organisation received a Gympie Regional Council Community Assistance Grant in the last 5 years? * ○ Yes ○ No
Has your organisation completed and successfully acquitted previous Gympie Regional Council Community Grant funding? ○ Yes ○ No If you currently have a Community Development Grant with Council that has not been acquitted you are ineligible. Please contact Council 1300 307 800.
As per the Community Development Grant guidelines, applicants must speak with a member of the Community Partnerships Team before they apply.
Provide the name of the Community Partnerships Officer team member you have spoken with. *
If you have not spoken with an officer please call 1300 307 800 or email [email protected]
Hall insurance details
* indicates a required field
Community Halls eligible for this grant category can apply for a grant for either: 1. Reimbursement of up to $1,000 towards the cost of a current insurance policy (with a minimum inclusion of products and public liability insurance) that commenced after 1 January 2021, or 2. Assistance of up to $1,000 towards the cost of a future insurance policy to commence after 30 August 2021 and prior to 31 December 2021, with minimum inclusion of products and public liability insurance). Please note that evidence of Certificate of Currency or quote (including amount of annual policy) is to be provided in the application.
Is this application for the reimbursement of a current insurance policy? * ○ Yes, our organisation has current insurance that commenced after 1 January 2021
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Halls Category Round 1 2021/2022 Form Preview
○ No, our organisation will be entering a new or renewing an existing policy prior to 31 December 2021
Current insurance details
Name of insurer *
Date current policy commenced *
Must be a date and between 1/1/2021 and 30/8/2021.
Date current policy expires *
Must be a date.
Please upload a copy of current insurance policy Attach a file:
This must include the amount paid for the annual policy and the date the policy commenced.
Please confirm the amount of the grant requested from Council * $ Must be a dollar amount. Maximum grant request is $1,000.
New or renewing insurance details
Name of proposed insurer(s) *
Date policy is to commence *
Must be a date and between 30/8/2021 and 31/12/2021.
Date proposed policy will expire *
Must be a date.
Please upload a copy of proposed insurance quote(s) Attach a file:
This document(s) must include the amount to be paid for the annual policy and the date the policy will commence. You can upload more than one document.
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Halls Category Round 1 2021/2022 Form Preview
Please confirm the amount of the grant requested from Council * $ Must be a dollar amount. Maximum grant request is $1,000.
Attachments and Supporting Information
Ensure documentation can be easily read, is not distorted or unclear.
Evidence of current financial position Attach a file:
E.g. Bank statement, annual report, profit and loss statement, statement of financial position.
Any additional documents you would like to include? Attach a file:
E.g. Community surveys, strategic plans, community consultation, meeting minutes, evidence of Hall use and activities.
Further Documentation
Please ensure the following documents are available if requested by Council: • Meeting Minutes • Certificate of Incorporation
Certification and Feedback
* indicates a required field
I certify that: * ☐ to the best of my knowledge the statements made within this application are true and correct ☐ I have read and accepted the Community Development Grants Program 2021/22 Guidelines ☐ I agree to contact Gympie Regional Council should any changes be made to the project ☐ I agree to prepare and complete the project acquittal and return to Council within 4 weeks of the project end date. ☐ Our organisation has bookkeeping processes in place to adequately record the grant income and expenditure. The grant expenditure will be supported by tax invoices and copies of those tax invoices will attached to the acquittal ☐ I acknowledge that if any member of our organisation lobbies a Councillor or staff member in relation to this grant application, the application is disqualified All responses are required
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Halls Category Round 1 2021/2022 Form Preview
* Title First Name Last Name
Position in organisation *
Date *
Must be a date.
Applicant Feedback
You are nearing the end of the application process. Before you review your application please take a few moments to provide some feedback.
Would you like to subscribe to Council's Info Share newsletter to keep up to date on other grant opportunities? * ○ Yes ○ No
Please indicate how easy the online application process was: * ☐ Very Easy ☐ Easy ☐ Neutral ☐ Difficult ☐ Very Difficult
Do you have any suggestions on how the application process/form could be improved? *
Where did you hear about the Community Development Grants program? * ☐ Information Flyer ☐ Council's Community Info share (e-newsletter) ☐ Council's Facebook ☐ Council's website ☐ Council staff ☐ Word of Mouth Other
Did you attend a Gympie Regional Council Community Grants Information Session? * ○ Yes ○ No
Did you find the information session helpful? ○ Yes ○ No
Do you have any other comments you wish to make about the grants process?
Thank you for your feedback. Please ensure you review your application before you press submit.
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Halls Category Round 1 2021/2022 Form Preview
After pressing SUBMIT, you will receive an email confirming your submission has been made. If you require further support, please call the Community Partnerships Team on 1300 307 800.
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