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Grant Application

or

Apply the Grant Online

You will be contacted by the Trust after your application has been considered.

*Full name of applicant or group:

*Email:

*Contact person ( for a group ):

*Phone number:

Your Contact

*Are you applying as an individual or a group?

Individual

Address if living in Otorohanga:

Or tell us how you are associated with Otorohanga District:

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Group

( please tick as many as are applicable )

Registration number:

please specify:

Individual or Group

What and How

*What are you seeking a grant for? (Please describe your project in detail including when it will happen.)

*How will your project benefit the Otorohanga District?

Budget and Funding

Project budget

Project funding

Amount requested from Otorohanga Charitable Trust:

Item

Total  $

Cost

Source of funding 

                                (e.g. fundraising, grant applications, sponsorship, donations)

Amount

Confirmed

(yes or no)

Total  $

Confirmed

(yes or no)

Do you give permission for us to share information about what you do or any grant we may approve to you on our facebook page or other social media?

Your Permission

Supporting information

(e.g. letters of support, quote)

 

Please combine all the supporting documents into one file.

*For groups: your most recent set of financial statements (required)

Please combine all the statements into one file.

*Proof of bank account details for account any grant will be paid into (required)

Add a File
Add a File

Financial Statements

Add a File

Proof of bank account

Please Attach

*Signed:

*Name:

*Position:

You will be contacted by the Trust after your application has been considered.

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Your Signature

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