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Community-Led Adaptation Funding online form

Community Led Adaptation Funding Application Form

Applicant information
Yes
No
Incorporated Society
Charitable Trust
Trust
Community Group
Other
Enter details of any existing relationships that members/trustees of the applicant have with staff at Council or Councillors.
Are you currently receiving funding from BOPRC for other projects? Enter details here; fund, key contact, project title.
Project information
What is the project seeking to achieve? What are the benefits and who will benefit?
How will the project achieve the Project objectives? What will actually be delivered, e.g. technical work, workshops? Who will be involved?
Broadly, the project’s scope defines the allocation of funding sources in a way that delivers the desired objectives while meeting the expectations of the funding. What's in scope, and what's out of scope?
Please provide (upload a file) detailed costs breakdown associated with delivery of the project. Formats allowed: PDF/Excel/Word.
(Maximum $20,000.)
Provide a simple list of estimated or more specific timeframes.
Project resources are the people, capital, and/or material goods required for the successful execution and completion of a project – things you need to get work done, please list. (Also be clear if the project is dependent upon the support of other parties).
Please tick the appropriate option.
We would like Council to provide or organise technical support on our behalf (Council can engage pre-approved suppliers. All suppliers have been assessed for suitability through a Council procurement process. Council may also be able to provide in-house expertise, please speak with us first)
We would prefer to receive the funds directly and engage our own technical suppliers (Note: Council may still assist by sharing supplier information if appropriate.)
Not applicable – we do not need technical support
Create a list of the potential risks to delivery of the project, and a note on how these will be managed.
Declaration

By ticking this box you agree to the declaration below and can continue submitting the application

We, as Applicant, make the following declarations:

  • This application has the formal approval of our Trustees/Board/Members.

  • We have read and understand the Community led Climate Change Adaptation Funding Guidelines and meet the eligibility requirements. 

  • We acknowledge that the details given in this application, or supplied by the organisation in support of this application are true and correct to the best of our knowledge.

  • We will provide Council with any updated or additional information should the information or circumstances described in this application form change. 

  • We authorise Council to disclose our information to any third party it chooses for the purpose of verifying the accuracy of the information in the application, and evaluation and decision making concerning this application.

  • We acknowledge that the information provided in this application may be made public and consent to such publication, in particular, Council may publish the name of our organisation, a description of our project, the amount of the funds awarded and any photographic images.

  • We acknowledge that any decision made by Council is final. We accept that no reasons for such decisions will be given, nor will any correspondence be entered into. 

  • We understand that if this application is successful, the funds awarded will be applied to the purpose as stated in this application and not applied to any other purpose without the express permission of Council having first been obtained.

  • We agree to sign a Funding Agreement with Council in a form acceptable to Council and that no funds shall be paid prior to signing of that Agreement.

  • We are a community-based group, not a private individual, commercial entity, Government agency or district/city council and do not stand to gain financially from this project.

  • We as a group, are within the Bay of Plenty region.

  • We agree that Council can use the project and our organisation in promotional material.

We acknowledge that the privacy statement of Council (available at https://www.boprc.govt.nz/privacy-statement) will apply to any personal information contained in this application.