WWSC Community Quick Response Grant

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Community Quick Response Grant Application

* indicates a required field.

What you need before you start

This application form is for applicants who wish to apply for a Community Quick Response Grant.
To you use this form, start filling out the required details and then select which type of support you are applying for.

The options are:

  • Financial Support of up to $1000
  • In-Kind Support (Council non monetary support)


Criteria

In-kind and/or financial support for

  • Unforeseen expenses or urgent issues
  • To take advantage of an unexpected opportunity
  • To support the establishment of a new group / program
  • As a result of a disaster or emergency event


If you would like assistance completing this form, please call 13 99 72 or email grants@westwimmera.vic.gov.au. 

You can start this form, and save and return to it later. 

Have you read and understood the Quick Response Grant Guidelines? * Required
Response required.
You can view the guidelines here: https://www.westwimmera.vic.gov.au/Council/Grants-and-Funding/Quick-Response-Grant
The following documents/items may be required as part of this application
Clear the selected value for The following documents/items may be required as part of this application
Please upload these documents in the upload section of this application form

Application Details

Response required.
Clear the selected value for Applicant
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. 
Must be an Australian phone number. 
Must be an email address. 
The ABN provided will be used to look up the following information.
Click Lookup above to check that you have entered the ABN correctly.
Information from the Australian Business Register
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity TypeMore information
ACNC Registration
Tax Concessions
Main business location
Must be an ABN. 
Are you a not-for-profit community groups operating in the West Wimmera Shire Council?
Are you a State Government affiliated organisation? If so how?
What type of support are you requesting from Council? * Required
Response required.Response required.
Clear the selected value for What type of support are you requesting from Council?
You can select one or more of these options

Sponsorship Request (Not Applicable)

This section is not applicable because of your response to question: "What type of support are you requesting from Council?" on page 1

Must be a dollar amount. If not requesting funding, please just put $0
Attach a file: Select stored file
    Attach a file: Select stored file

      In Kind Support/Sponsorship Request (Not Applicable)

      This section is not applicable because of your response to question: "What type of support are you requesting from Council?" on page 1

      What is a grant? A grant is a service provided by Council. This could be support by way of funding, services or in kind support such as traffic management, risk management assistance, maintenance, waste and refuge support or other support as available and approved. 

      Do you require a meeting to determine what support you require/would like to request? * Required
      Response required.
      Would you like to request to use a Waste Trailer (Conditions of use apply)

      In Kind Requirements (Not Applicable)

      This section is not applicable because of your response to question: "What type of support are you requesting from Council?" on page 1

      Qty RequiredIn-Kind Item
      Must be a number. 
      Item that you wish Council to provide

      Must be at least 1 rows

      Waste Trailer Request (Not Applicable)

      This section is not applicable because of your response to question: "Would you like to request to use a Waste Trailer (Conditions of use apply)" on page 1

      Please note that the waste trailers are provided free of charge, however the organisation/group/individual submitting this application will be invoiced for the cost of the disposable of waste based on the Council's current schedule of fees. See more information below in the conditions of use. 

      Please indicate which waste trailer you are requesting
      Clear the selected value for Please indicate which waste trailer you are requesting

      Conditions of Use

      • Trailers are supplied free of charge and will be delivered and picked up from your event.
      • On pick up the trailer will be taken directly to the waste disposal facility where the total waste will be calculated and an invoice for the disposal of the waste will be sent to you for payment based upon Councils current schedule of fees.
      • Waste costs are calculated per total number of full bins received or volume in the skip bin.
      • Your request for the use of one of our trailers indicates your acceptance of the fee payable for waste disposal.
      • Non-payment of waste disposal fees will result in the availability of in-kind assets from Council being made unavailable until full payment is made.
      Have you read and understood these conditions?

      Document Uploads for Sponsorship Requests (Not Applicable)

      This section is not applicable because of your response to question: "What type of support are you requesting from Council?" on page 1

      Attach a file: Select stored file
        Attach a file: Select stored file
          Attach a file: Select stored file
            Attach a file: Select stored file
              Attach a file: Select stored file

                Document Uploads for In-Kind Support (Not Applicable)

                This section is not applicable because of your response to question: "What type of support are you requesting from Council?" on page 1

                These documents may be required for Events and/or In-kind support requests. Staff will be in contact with any additional documents required. If you are unsure, leave this area blank.

                Attach a file: Select stored file
                  Attach a file: Select stored file

                    Declaration

                    • I certify that to the best of my knowledge the statements made in this application are true.
                    • I am authorised by my group/organisation to complete this form and I agree that:
                    • the statements made in this application are true
                    • all necessary permits/approvals will be obtained prior to the beginning of the project
                    • the project will be covered by appropriate insurance
                    • all relevant health and safety standards will be met
                    • council does not accept any liability or responsibility for the project.

                    If successful, I will:

                    • ensure that acquittal requirements are met within 8 weeks of the nominated project completion date
                    • ensure that funds are claimed within three months of notification, except where there is a co-funding requirement
                    • accept the terms of the grant in accordance with council requirement
                    • provide proof of successful co-funding (other grant sources) within six months of notification
                    • complete the project within twelve months of receiving council funding.
                    I agree to this declaration * Required
                    Response required.
                    Must be a date.