Application for Funding

Information about your organisation

1. Name of lead organisation

2. Postal address of lead organisation

Address

Suburb

City/Town

3. Lead contact person

Name

Designation

Phone

4. Chair/President/Principal of lead organisation

Name

Designation

Phone

5. If this is a joint application, which other organisation(s) is/are involved?

(Partnerships is a requirement for KiwiSport Funding, please individually list all partnerships involved in this application.)

Organisation 1

Organisation 2

Organisation 3

Organisation 4

(For these and any additional partnerships, please attach their name, contact details and statement of support for this project to this application).

6. Does your organisation have a basic strategic or business plan for the length of your proposed project?

(If no, then use one of the templates provided in "Sport Wellington Resources". Contact us for further information or guidance if necessary.)

7. Is your organisation affiliated to any governing, regional or national body?

Name of affiliated organisation

8. Does your governing, regional or national body support this application?

(If yes, please attach a statement of support for this project with the application.)

9. Please provide bank account details:

Account Name

Account Number

Information about your project

10. Please provide a brief overview of your project

11. The following questions help us understand your project and how it will achieve KiwiSport outcomes:

A. How does your project get more kids involved in organised sport, provide more opportunities or increase the skill level of school aged children?

Current participation numbers and predicted increases
Current opportunities and type of opportunities that will be available
What skills kids will be learning

B. Describe what the grassroots delivery of sport will look with your project.

What the kids or participants will actually be doing
What equipment will be used
What’s the structure of delivery

C. What new or existing partnerships have been (or will be) formed between community organisations because of this project?

Details of partnerships (what service each partner is providing)
Benefits to the community of this partnership

D. How does your project fulfill the priorities of the Wellington region community?

In what area/s of the priorities listed below your project would fall under and why
Skill Development
Skilled sport deliverers in schools settings
Volunteers and coaching
Sport development in communities
Strengthening communities
Other community priorities that you are aware of and want to address with this project

E. What are your project milestones and how will you know if your project has been successful?

Project timeframes
Milestones
Success factors
How will changes in participation rates or skill level be measured
Coach/Leader/Instructor/Teacher/Volunteer numbers and their contribution

F. Who are you targeting for this project and have you considered 'opportunities for all' (as per the Wellington KiwiSport Regional Partnership Fund Plan)?

The targeted community demographics
Consideration of disability, social and economic inequalities

G. Does the project include professional development of coaches, leaders, instructors, teachers, volunteers?

Current number of coaches/leaders/instructors/teachers/volunteers and predicted increases in qualified personnel to deliver your activity/project
The courses or training that will be available
Considerations of volunteer management

H. How is the project being promoted to the target community and how will successes be shared across the region/country?

Information that will be going out and in what format
How current non-participants in sport will be approached/invited/encouraged to participate
How Sport Wellington and others will know of the success of your project
If this project or a similar project is being delivered in other areas/regions, how are you sharing ideas and learning's

I. Facilities and transport were important considerations for the Wellington community during KiwiSport consultation, have you considered this in your project?

Where is your project based or delivered, and why
How kids are getting to the venue/s (car/bike/train/bus/walk)

J. What potential risks have you identified and how will you manage these?

Identification of potential risks
An outline of how you intend to manage these

Project Budget

Please attach a complete budget and summarise below (GST exclusive):

Total project cost $

Lead organisation total $

Partnership contribution

Amount ($)

From who/for what?

KiwiSport direct fund

Participation fees

Gaming/trust grant

Local authority grant

Community grant

NSO/RSO contribution

Sporting association/clubs/groups

Sponsorship

Partner contribution total $

Total KiwiSport funding request $

NOTE: 'In Kind' contributions are not to be included unless they represent a significant element of a project

Additional Information – feel free to provide a full detailed project proposal with this application.

Attachments

Organisation's basic strategic or business plan

Project budget (GST excluded)

Copy of your most recent audited financial accounts/financial review

Full project plan

Check list

Have you:

Answered all the questions?

Provided your organisation’s basic strategic or business plan?

Attached a complete project budget (Income vs expenditure, GST exclusive)?

Attached a copy your most recent audited financial accounts/financial review?

Attached a full project plan (optional)?

Read declaration (below)?

Provided a list of any additional partner organisations?

Declaration

We declare that:

We have the authority to commit the organisation to this application

All information provided in this application is, to the best of our knowledge, true and correct

We acknowledge that any decision made by Sport Wellington is final

We acknowledge that all of the funding received needs to be spent on this project in this region

We acknowledge that any unspent funds will need to be returned to Sport Wellington

We acknowledge that we may have to provide an expenditure breakdown or provide audit information at any time throughout the project

Submitting this form will also send you a copy.