GRANT APPLICATION FORM

Before you start, there are a few things you should have prepared or thought about …

Is it local? The terms of the Martinborough Fair Trust require us to consider the direct benefit of each grant to groups or individuals within the South Wairarapa community (with the exception of international disaster and medical relief).
How much are you applying for? With limited funds available, South Wairarapa Rotary prefers to make donations of between $200 and $2000.
What precisely are you applying for? South Wairarapa Rotary prefers to fund capital items or capital item upgrades, but will consider other funding requests. Aim to make your request for a specific part of your project, with clear costs/quotes available.
Do you have a budget prepared, with quotes to support your estimated costs? We will want to see copies of this documentation.
Are you GST registered? Have your registration number ready if so.
Are you a registered charity? Have your Charities Commission Registration Number ready if so.
What bank account should these funds be deposited to? Have these details ready.
What other funds have been received or applied for to support this project? Have these details ready.
What protocols are in place to ensure the mopney will be correctly spent and accounted for?
Will you publicise your project? If so, how do you propose to acknowledge the funding received from Rotary?

South Wairarapa Rotary Martinborough Fair Charitable Trust

Applicant Name *

Email *

Phone *

Address

Which of the following best describes the beneficiaries of this grant?

Legal Name of Organisation or Beneficiary *

Funds Requested ($) *

Main activity of Organisation or Beneficiary

Date Funds Required

Estimated Total Cost of Project ($) *

GST Number (if applicable)

Charities Commission Registration Number

Bank Account Number *

Bank Account Name *

Briefly describe the project and objectives *

How will this project benefit the community and/or improve the lives of those in need? *

Please list any other groups or organizations that will work with you on this project. *

What funds have already been raised or promised by other parties towards this project? *

Who will be responsible for managing the project, and what protocols are in place to ensure that the funds are correctly spent and accounted for? *

How will you publicize this project? Will Rotary be included? *

Please upload a copy of your quote or costings/project budget here.

Drop your file here or click here to upload You can upload up to 1 files.

The applicant agrees that *

1. All of information provided in this application is true and accurate
2. Any funds received will only be used for the purposes stated in this application.
3. The support of the Rotary Club of South Wairarapa Martinborough Fair Charitable Trust Inc. will be acknowledged in any promotional materials for this project
4. A written report on the progress and/or completion of the project will be provided to the Rotary Club of South Wairarapa within three months of receipt of funds

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