Community Funding - application form

Community funding 2025 - social, cultural, environmental

For more details on what you can apply for see “What can I apply?” for under the Community funding.

Please fill in all fields on the form below and submit your application along with any supporting documentation. If you would like a PDF version of the application form please email the Trust.

Organisation name:

Contact person:

First Name

Last Name

Address

Email contact:

Phone

(###)

###

####

Bank account number

Bank account name

Is your organisation GST registered?

Yes

GST No. (if applicable)

Charities or Incorporated Society number

Please briefly describe the purpose of your organisation

Please select which of the following categories your application aligns with

Social

Cultural

Environmental

Purpose for which grant is being sought?

When is this activity or project going to commence?

Cost of Project

Please provide as much detail as possible

Amount requested

What are you contributing from your own sources?

Are you able to fund this activity or project if no grant is awarded by the Trust or grant given is less than requested?

Yes

Has additional funding been sought from other sources? If so, please provide details.

If grant relates to a Wairarapa wide event or organisation, what number of participants are from the Greytown electoral district?

Other supporting information

Provide further comments which you consider the Trust should be aware of in considering your application

Tell us how you will spend the grant funds

Complete below or attach a budget for the activity or project. If you are GST registered please use GST-exclusive figures.

Declaration

As representative of the applicant organisation, I agree to the following terms and conditions: a) Eligible applications are considered by the Greytown Lands Trust Trustees and awarded at their discretion and on the merits of each project for the greater well-being of the Greytown community. b) Applicants must acknowledge receipt of the funds for audit purposes. c) If successful, the funds awarded must be applied to the purpose as stated in this application and not applied to any other purpose without first seeking approval from the Trust Manager. d) That Greytown Lands Trust may publish the name of your organisation, a description of your project, the amount of funds awarded and any photographic images. e) At completion of the project, applicants are required to complete an Evaluation Form reporting on the result of the project.

Name

First Name

Last Name

Position within organisation

Date

YYYY

Community Funding - application form

Thank you for your grant application.

We will be in touch in due course.