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Business and Community Recovery Grants
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Business and Community Recovery Grants Program Application
Business and Community Recovery Grants Program
Business and Community Recovery Grants – Application Form
Applications close Friday, September 11 2020 at 4pm
PART 1 - Your details
Name of Organisation / Business / Group
If a business please provide your ABN:
Postal Address
Applicant Name
Applicant Position
Applicant Phone Contact
Applicant Email
Please provide a brief description of your Organisation / Business / Group
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PART 2 - Project Details
Name of Project
Project Description (No more than a paragraph describing the overall purpose and objectives sought by the project)
Grant amount requested
The Business and Community Recovery Grants are divided into two streams each with focus areas designed to achieve the purpose of the grants program. Select the stream your project is supported by.
Stream 1 - Community Support
Stream 2 - Business Support
COMMUNITY SUPPORT (STREAM 1) Select the type of project you are undertaking: You should select one box in this field only.
Equipment
Festivals, Celebrations Events
Capital Works
Other Projects
BUSINESS SUPPORT (STREAM 2) Select the type of project you are undertaking: You should select one box in this field only.
Online and E-commerce
Training and Professional Development
Capital Works and Equipment
Other Projects
What engagement has your organisation / business / group undertaken in relation to gaining support for this project? If you have a letter of support for your project please upload a copy of this with your submission.
How has your Organisation / Business / Group been impacted by bushfire and/or COVID19? (This might include submission of year-on-year financials or the impact it has had on the community that gives merit to your project.) Supporting documentation can be uploaded with your submission.
Please provide a timeline for your project. Your project must be completed by 30 June 2021.
How does your project fulfil the objectives outlined in the Grant Guidelines document? Please ensure you are viewing the correct stream guidelines (i.e. Stream One: Community Support & Stream Two: Business Support) when answering this question.
What value/benefit does your project provide to the Community or Business Sector within the Rural City of Wangaratta?
How will the project deliver a positive impact on the local environment and/or promote environmental stewardship and sustainability? (e.g. utilising renewable energy and energy efficient technologies, encouraging waste reduction through procurement of recycled goods or minimising packaging, reducing threats and risks to the natural environment through minimising erosion, run off to waterways, or protecting remnant vegetation.)
How will you measure the success of your project? This may be the number of people attending an event or program, an increase in participation from a sporting facility upgrade or allowing your business to operate outside of its brick and mortar store during instances of lockdown.
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PART 3 - Financial Details
Breakdown of Project Income
Please summarise in the sections below. You can also upload a detailed budget if required.
1. Local Government - Rural City of Wangaratta
Status of above funding
Anticipated
Confirmed
2. Applicant Contribution (cash)
Status of above funding
Anticipated
Confirmed
3. Applicant In-Kind Contribution (i.e volunteer labour calculated at $20 per hour per person)
Status of above funding
Anticipated
Confirmed
4. State Government funding type eg. Regional Development Victoria (please specify):
State Government amount:
Status of above funding
Anticipated
Confirmed
5. Other (please specify)
Other amount:
Status of above funding
Anticipated
Confirmed
Total Project Income
Breakdown of project costs - GST inclusive (Please provide written quotes where applicable. )
Please summarise in the sections below. You can also upload a detailed budget if required.
Item 1
Estimated Cost (GST exclusive)
Anticipated completion date
Item 2
Estimated Cost (GST exclusive)
Anticipated completion date
Item 3
Estimated Cost (GST exclusive)
Anticipated completion date
Item 4
Estimated Cost (GST exclusive)
Anticipated completion date
Grand Total of Estimated Costs
What percentage of your project’s cash expenses are from local suppliers within the Rural City of Wangaratta.
Please provide written quotes where applicable.
Filename
Size
Process
Status
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Part 4 - Authorisation
I declare that the information supplied in this form is to the best of my knowledge accurate and complete and I have been delegated by the applying organisation to submit this application.
Name
First Name
Last Name
Title
Group / Organisation
Phone Number
Upload your documents (if required)
Upload one or more documents
Filename
Size
Process
Status
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Declaration
I declare that the information supplied in this form is to the best of my knowledge accurate and complete and I have been delegated by the applying organisation to submit this application
Electronic Signature
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