<p>NEW ZEALAND POLICE COUNCIL OF SPORT DISTRICT FUNDING APPLICATION FOR FUNDS</p><p>1. Name of organisation/individual</p><p>2. Address for correspondence</p><p>3.(1) Individuals Yes/No Are you a member of the Police Council of Sport?</p><p>3.(2) Group applicants How many of your members belong to the Police Council of Sport?</p><p>4. Correct name of payee account to appear on grant cheque and bank account details. 5. Specific description of what the grant is to be used for. Eg: equipment, travel, entry fees, and accommodation. 6.(1) Have you applied to any other organisation for funding for this purpose/event?</p><p>(2) If yes (a) who have you a.) applied to for funding? (b) How much funding have b.) you received?</p><p>7.Amount requested from the Council $ http://www.policesport.org.nz Page 1 of 2</p><p>8. Are you receiving funding Yes/No from NZPCoS Nationally? </p><p>9. List names of members benefiting from this grant.</p><p>______</p><p>I hereby declare that the above information is correct.______Signed</p><p>Name & Date ______</p><p>Please forward applications to your local DSO.</p><p> http://www.policesport.org.nz Page 2 of 2</p>