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Applicant details

Name of applicant / fund holder

Postal address

Email address

Phone number

Website URL

Date(s) of project

Location of project

Amount of funding requested

Date funding required

Bank account name

Where funds will be deposited if successful.

Bank account number

Application is from

Registered charity: Registered with Department of Internal Affairs - Charities
Not for profit incorporation: e.g. Incorporated Society, Charitable Trust (registered with Companies Office but not Internal Affairs)
Informal group: e.g. an unincorporated society

Describe other

The project

Brief description of the project

Aim/purpose 1

Aim/purpose 2

Aim/purpose 3

The project supports the Kete Ora Trust's aims by

Please pay particular attention to this - Kete Ora Trust can fund only activities that meet its aims, as specified in the funding criteria information.

Who is responsible for the project, and what are their skills and background?

The person(s) to be employed on the project (e.g. researchers, speakers) and their background/qualifications

Project details (when, where and how the activity will happen)

The people to be directly educated are

The number and source of people likely to benefit as a result of this project are

What are the expected outcomes of the project?

How will you measure the outcomes?

Financial

In step 2 you will also email a detailed budget.

The total cost of the project is

The actual expenses for which we are seeking funding (amount and purpose) are

People being paid for goods or services are

This expenditure will come within charitable rules because

The project could not easily proceed without funding because

We have considered/sought this other funding

Promotion and community support

Community support for this project is demonstrated by

We will publicise and promote the project and Kete Ora Trust by

We confirm that

We believe that the estimated qualitative and quantitative benefits to New Zealanders are expected to exceed the costs of the project.
The project will not lead to direct financial benefits to individuals involved (except reimbursement for expenses and work done).
The project is not a commercial project.
The current published general terms and conditions will be adhered to.

We confirm the statements above

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