Online Form - Community Financial Assistance Program

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Are you an incorporated group *
Do you have public liability insurance *
Maximum size of ALL attachments is 976.56 MB

Please select the relevant category for your project. *

Please describe the objectives and outcomes you hope to achieve for your event / project?

Some specific examples could be (by a survey, number of social media likes, membership increase, number of participants at the event etc.)

Please submit the below documents:

Maximum size of ALL attachments is 976.56 MB
Maximum size of ALL attachments is 976.56 MB

Note: Please make sure you have read what will and will not be funded in the Guidelines and Criteria 

EVENT / PROJECT BUDGET

Attach a detailed budget including income and expenditure and highlighting how the grant funding will be spent.

Click here to download a budget template that you can complete and submit.

Maximum size of ALL attachments is 976.56 MB
Maximum size of ALL attachments is 976.56 MB

CONDITIONS AND REQUIREMENTS:

When you are successful in receiving a grant from the Shire of Denmark, you are required to meet the below conditions and requirements:

  • The project must commence and be completed within the financial year for which funding has been approved.
  • When the amount of the grant is $500 or more, 50% of the grant will be paid on approval of the project, on production of a tax invoice. The balance will be paid following successful acquittal of the project and on production of a tax invoice. The acquittal must be accompanied by proof of expenditure such as invoices paid, receipts or copies of statements.
  • When the amount of the grant is less than $500, payment of the full amount can be paid on commencement of the project on production of a tax invoice, and the acquittal must be sent on completion of the project.
  • Where the scope of the approved project changes, applicants are to contact the Director Corporate and Community Services, who will determine if the changes are deemed to be “substantial” and if a reconsideration of the grant funding is required.
  • Project and financial reports must be submitted to the Shire within one month from the completion of the project on the acquittal form provided.
  • Applicants are permitted to only apply successfully for one round in each financial year.
  • Applicants are to have public liability insurance.
  • Acknowledgement that "This project is assisted by the Shire of Denmark" must be made in all publicity associated with the project. Use of the Shire of Denmark logo is encouraged.

DECLARATION

By submitting this application, I agree that:

  • If my application is successful, I will acknowledge and ensure recognition of council funding as mentioned above. 
  • I have read the guidelines relating to grants under this program and certify that to the best of my knowledge the information provided in this form is correct and disclose a full and accurate account of income, expenditure and activities.
  • At the completion of the project I will provide an acquittal within 4 weeks.
I agree to the above terms and conditions *

Validate and Submit Form

 
Get Audio Code