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Application form - Commemorating Waitangi Day Fund

Applications close at 5pm Monday, 9 October 2017.

IMPORTANT: Before you begin this form please ensure that you have the following documents available to attach.

  1. Proof of entity status (if you are a recognised entity and this is the first time you have applied for the fund) - See Section A4
  2. A detailed account of your proposed event (no more than one A4 page) - See Section B1
  3. Two letters of support for your event. These are to be current and specific to the event. See Section D1
  4. If you experience any problems with this form please contact Harriet Ongley on (04) 499 4229 or email waitangi.fund@mch.govt.nz

You will be notified of the outcome of your application during November 2017.

 

SECTION A: OVERVIEW
If you have a registered name, please use this
A2. Contact details
Please attach one of the following: current constitution or trust deed and certificate of incorporation, letter from your District Māori Council/appropriate iwi authority, copy of a Māori Land Court Order, bank account details, proof of organisational structure and/or copies of minutes of meetings/annual general meetings
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt odp.
SECTION B: EVENT
Applicants should demonstrate how recognition of the Treaty of Waitangi and New Zealand nationhood is a central theme in their event.
Please select an end date if your event runs over multiple days.
SECTION C: EVENT MANAGEMENT AND COSTS
$
You may be required to submit a complete budget upon request.
$
Please be aware that the full amount may not be available but your organisation may be granted part of this amount.

C3. Please list, in order of priority, the most important items that require funding. Please do not include the cost of voluntary labour.

$
$
$
$

C5. Please name the sources and the amount of funding and indicate whether that funding has been approved.

$
$
“In kind” support is support by way of goods and / or services, rather than money. Instead of giving money to buy needed goods and services, the goods and services themselves are given.
If yes, please list the amount of the entrance fee, and provide some reasoning for charging for entrance to the event:
SECTION D: EXTERNAL SUPPORT

D1. Please attach two letters of community or official support of the event and include contact details of the providers. The letters must be current and specific to the event.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt.
SECTION E: PERSONAL INFORMATION NOTICE

Information about applications provided to Manatū Taonga - Ministry for Culture and Heritage will be held by the Chief Executive for the purpose of permitting the Ministry to assess and evaluate the application, and to administer the grant.

Information supplied may be passed onto other relevant agencies to assist with the evaluation of the proposal.

Names of the grant recipients and the amounts will be made public. This information will be published on the Ministry’s website and may be published elsewhere from time to time.

Each applicant consents to the use and disclosure of their personal and other information in the manner as described above. If requested information with respect to the applicant is not supplied, the application may be declined for consideration.

Applicants and those who support the event may, under the Privacy Act 1993, request access to and correction of their personal information by the Ministry. These requests must be in writing.

The Chief Executive is subject to the Official Information Act and may be required to release information in terms of that Act.

SECTION F: DECLARATION

This application must be supported by at least two people. One person must be either the Director, Chief Executive or Trustee of the organisation.

The details we have given in all sections of the application are true and correct to the best of our knowledge. We have authority to commit our organisation to this application and we understand and will meet the requirements of this Fund. In signing this form, and if this application is successful, we agree to provide Manatū Taonga - Ministry for Culture and Heritage with an evaluation and expenditure report ONE month after the event.

Person completing this form

By typing your name here you are "electronically signing" this form.

Director, Chief Executive or Trustee

SECTION G: ATTACHMENTS

Please check that you have attached the following documents with this application:


Updated on 21st August 2017