Online Form - Community Growth Fund Application

Application form for the Shire of Chapman Valley's Community Growth Fund.




Please read the guidelines before completing this form.

Please fully complete the form to ensure your application can be considered.

Organisation type:*
Are you expecting any other funding for your project (your organisation contribution, sponsorship, other grants)*
Does your organisation have the ability to fund this project upfront and receive grant funding through reimbursement?*
Do you require the Shire of Chapman Valley to auspice your grant funds?*
GENERAL DETAILS <br> Have you included a quote with your application*
Is the project subject to an existing management license or similar arrangement?*
Is the project subject to a Statutory/Permit/ Approval (e.g. Building, Planning, Event)*
Is the project undertaken on Shire of Chapman Valley owned property?*
Are you registered for GST?*
Do you have public liability insurance? If yes, please attach a copy of 'Certificate of Currency'*
Have you applied for funding from the Shire for this project previously? If yes, what year*
Have you received a grant in the past? If yes, please detail*
Is this project dependant on Shire funding to proceed?*
Does your project include other local organisations?*
Do you agree to acknowledge the Shire's contribution to your project in all media, promotional documents and visual signage?

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx