Bald Hills Wind Farm Community Fund
Application Form
Bald Hills Wind Farm has set up a Community Fund to provide money for projects of social,
economic or environmental benefit to the Tarwin Lower, Venus Bay, Walkerville districts. This may
include funding for local sporting groups, charities, community groups, education, culture, arts and
other not-for-profit organisations or other community needs. $33,596 has been allocated to the
fund for 2016. Applications will be split into three categories; grants to $500, grants from $501 to
$2000 and grants more than $2000.
Applications will be assessed by a committee of community members and successful applicants will
be advised. The funding for successful applications will be paid by Bald Hills Wind Farm directly to
the suppliers of goods and services, upon presentation of a tax invoice.
To apply for a grant please complete the three simple steps on this form and return it to Bald Hills
Wind Farm Community Fund. Applications open on 12 April 2016 and close on 31 May 2016. If
further information is required to assess projects more than $2000, the organisation will be advised
in June and will request that this information is provided by 30 June.
Return the completed form and any supporting documentation to
Bald Hills Wind Farm Community Fund by 31 May 2016.
[email protected]
or
Bald Hills Wind Farm Community Fund
c/o Level 15, 120 Collins Street
Melbourne Vic 3000
Applications must be received by 5.00pm on 31 May 2016
Before completing the application form below please ensure you meet the eligibility for funding:

Proof of not-for-profit organisation (i.e. incorporation, charter, prospectus, or other
evidence)

The project will/does provide services within the Tarwin Lower, Venus Bay and Walkerville
districts

The organisation has been in existence for more than 12 months
STEP 1 – YOUR DETAILS
1. What is the project?:___________________________________________________
2. Total cost of the project $_______________________________________________
3. Please tick your grant preference:
 Up to $500
 From $501 to $2000
 More than $2000
4. Association Name:____________________________________________________
Note:
Please provide proof of not-for-profit organisation (i.e. incorporation, charter,
prospectus, or other evidence)
5. Length of time the organisation has been operating:
Note:
The organisation must have been in existence for more than 12 months
6. Contact Name: ______________________________________________________
7. Address: ____________________________________________________________
8. City: ________
Postcode: __________________
9. Phone: _____________________________ Fax: ____________________________
10. Is the only application to the Bald Hills Wind Farm Community Fund from this organisation this
year?
❑ Yes
❑ No
(If no, please provide the project name/s and grant/s requested for other applications)
Other project name/s: ______________________________ Other grant/s requested: $___________
11. Has the organisation has applied for supplementary funding from another grant source for the
same project?
❑ Yes
❑ No
(If yes, please provide the name of the grant source and amount requested)
Other grant source name: ____________________________Grant/s requested: $_______________
STEP 2: Please indicate the category in which funding will be used.

Sporting / Community group requirements: (uniforms for sporting groups, boy scouts etc.)

Project work: (e.g. building maintenance, sporting facilities, environmental project works)

Education: (e.g. education, books for library, computers)

Culture/ Arts: (e.g. community arts classes, theatre groups)

Events: (charities, festivals, fundraising) N.B Where the fundraising is for an event or charity held or
active in the Tarwin Lower, Venus Bay or Walkerville area, the Bald Hills Community Fund Committee will review
applications for funding required for the running of such events, however, it will not contribute directly to the
fundraising activities at these events.
STEP 3: A detailed description of the proposed use of the funds must be attached in order to be
considered. N.B This description must include how the funds will benefit the Tarwin Lower, Venus
Bay and/or Walkerville community/ies
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Memorandum of understanding
Please tick and sign.
❑ I consent to the Bald Hills Wind Farm using this information and subsequent related information
or photography for publicity purposes.
❑ If this application is successful, I understand Bald Hills Wind Farm will pay money directly to the
supplier of the goods and/ or services upon presentation of a tax invoice
Name:
Signature:
Date: