Please ensure you have read through the Community Funding Guidelines before completing this application. 

Applicant Information

Details

Representation Selection 

Representation Selection contact details

Bank Account Details 

Funding type sought:

Supporting Documentation

One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
One file only.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
Unlimited number of files can be uploaded to this field.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.

Acknowledgement

City of Palmerston’s support will be publicly acknowledged in the following ways:

Conditions of Funding and Declaration

1.    The information provided in this application is true and correct.
2.    I have not received any other funding through the Community Funding Program during the current financial year.
3.    Any funding awarded will be used only for the purpose outlined in this application.
4.    I will notify City of Palmerston if I am unable to participate in the approved activity.
5.    I will acknowledge City of Palmerston's support and provide evidence of that acknowledgement.
6.    I agree to provide photos from the activity where reasonably possible and grant permission for City of Palmerston to use these images for promotional, reporting and community recognition purposes.
7.    I understand that funding may be recovered if false or misleading information has been provided, I am found to be ineligible, or the funded activity does not proceed.

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