COMMUNITY SUPPORT FUNDING 2017/2018
APPLICATION FORM
FOR APPLICATIONS UNDER $500
APPLICATION / REGISTRATION INFORMATION
ENQUIRIES AND APPLICATION / REGISTRATION FORMS TO:
Renmark Paringa Council –
PO Box 730
61 Eighteenth Street, Renmark SA 5341
Phone: 08 8580 3000
Fax: 08 8580 3030
Email: [email protected]
OVERVIEW:
1. Please refer to the “Community Support Funding Guidelines” prior to completing this
form.
2. Please do not staple applications, also there is no need to use display folders as Councils
records department will only have to dismantle them.
3. If you have any queries/comments regarding completing this application form please do
not hesitate to contact Community Services Staff on 8580 3000.
PROCEDURE:
1. Applications must be completed electronically (handwritten applications will not be
accepted). The application and supporting documents are to be submitted by post or
hand delivered:
Council Office:
Renmark Paringa Council, 61 Eighteenth Street, Renmark
Postal Address:
Renmark Paringa Council, PO Box 730, Renmark SA 5341
Applications close 5pm, Tuesday 28 February, 2017
SECTION 1: DESCRIPTION OF APPLICANT
The applicant organisation is the body undertaking the project or activity for which the funds are
being sought.
1. Name of Group
/
Organisation:
2. Postal Address
of Group /
Organisation:
Name of Contact
Person:
Position held in
Group:
3. Contact Details
Home Phone:
Mobile Phone:
Business Phone:
Fax:
Email Address:
Council are focusing on communicating with the community, your email
address will be added to a database to receive monthly e-newsletters.
Please tick this box if you do not wish to receive email communication
from Council. 
Website:
Facebook:
Council has made it mandatory for all Community Groups receiving funding to be listed on the
Connecting Up online database. (Please refer to Guidelines for more information).
4. Has your group If you have answered no, your organisation must register at
registered online? www.sacommunity.org or you will be ineligible for funding.
(yes/no)
If you have answered yes, please ensure that details listed on the SA
Community/Connecting Up website are up to date.
5. Do you have an
ABN ? If yes,
please list your
ABN:
If no, you will be required to complete & return with grant acceptance, “Statement by a supplier
form – reason for not quoting an Australian Business Number (ABN) to an enterprise”. Copies
available from Council, Australia Post or ATO.
SECTION 2: PROPOSED PROJECT INFORMATION
1. What will the funding
be used for? Please
provide a detailed
description.
2. How will Councils
contribution be formally
acknowledged?
SECTION 3 (a): FINANCIAL DETAILS
1. In-Kind Support.
Will you be seeking any
If you have answered yes, please provide details.
in-kind support from
Council for this
application? Eg: road
closures, supply of bins,
Please note that this is required for information purposes only. If you
power, additional
wish to apply for these services, or for more information which may
cleaning services,
make part of your Event Permit Application, please contact the
marking of irrigation lines, Renmark Paringa Visitor Information Centre on 8586 6704.
etc?
SECTION 3 (b): BUDGET
EXPENDITURE (what you have to pay for)
For example: equipment, promotion/advertising, materials, presenter fees, infrastructure,
tradespeople, labour, etc.
$
$
$
$
$
$
$
$
TOTAL EXPENDITURE
$
INCOME (where the money is coming from to pay for items above)
(Please note – total income must equal the total expenditure/project costs)
(A) Your Organisations Cash Contribution:
$
(B) Council Grant Amount requested: (you may apply for up to $5,000)
$
(C) Any other cash donations/grants/expected revenue from sales:
$
TOTAL INCOME: (A + B + C)
$
VOLUNTEER LABOUR & EQUIPMENT DONATIONS (people’s time/equipment that’s
donated) (please see attachment 1 – this document is to be used for listing further details
of volunteer labour)
Total of Skilled (approx. $45/hr):
$
Total of Unskilled (approx. $20/hr):
$
Donations or reduction of fees for equipment and specialist labour $
(Evidence / confirmation letters from suppliers required)
TOTAL VOLUNTEER LABOUR & EQUIPMENT DONATIONS:
$
TOTAL PROJECT COST: expenditure OR income (they will be the
same) + volunteer labour & equipment donations
$
SECTION 4: DECLARATION
I hereby certify that I have been authorised to prepare and submit this application on behalf of
the above-mentioned group/organisation. The information contained herein is true and correct
to the best of my knowledge.
1. Authorised
Signatory Signature:
PLEASE PRINT THIS DOCUMENT OFF AND SIGN
SIGNATURES TYPED IN A SIGNATURE FONT STYLE WILL NOT
BE ACCEPTED.
2. Name:
3. Position in
Organisation:
4. Date:
SECTION 5: OFFICE USE ONLY
Date Received:
Incoming Mail
Registration Number:
COMMUNITY SUPPORT FUNDING 2017/2018
APPLICATION FORM
Guidelines & Information for Applicants
OBJECTIVE
To provide financial and in-kind assistance to local community-based organisations, groups or
individuals to:
 Promote strong community networks and mutual support; and contribute to the
development and strengthening of local communities;
 Respond to emerging and specific needs of disadvantaged groups;
 Promote community capacity and leadership;
 Provide support to community groups who experience restricted access to resources;
 Develop partnerships between Council and community groups to achieve Council’s
strategic directions;
 To provide young district persons with financial sponsorship to enable participation in State,
National and International competitions.
POLICY
The intent of this Policy is to create positive partnerships between Council and the Community.
Council will make provisions annually in its Budget for the provision of Community Support
Funding on the following basis:
Community Support Funding
Community Support Funding consists of the following types of requests:
 Donations/Financial Contributions
 In-Kind/Infrastructure Support (eg road closures, advertising, delivery of additional bins,
installation/erection of signage/banners, additional clean-up following events, marking of
irrigation, access to power)
1. All requests for Community Support Funding are required to be completed on the relevant
application form.
 Community Support Funding Application Form Under $500 OR Community Support
Funding Application Form Over $500;
2. Requests for Community Support Funding must be submitted annually.
3. Funding requests must be completed on the relevant application form each financial year.
4. If funding has been provided previously, successful acquittals must be submitted before
further funding can be applied for.
5. Funding requests must be submitted by no later than the end of February.
6. Applicants can apply for both Community Support Funding and Community Development
Grants in the same financial year but must have addressed item 4 (above) and clearly
identify all assistance provided by Council in their respective applications.
7. Where possible/practical, Council will seek to waive fees such as venue hire, outdoor staff
labour, equipment use etc in preference to paying funds and then charging.
Eligibility Criteria
Any agency/group that provides a service to the Renmark Paringa district that achieves the policy
objectives and meets the criteria set out in the relevant application form.
Application Process
Community Services Staff will collate all requests for financial support and donations and they will
then be reviewed by the Grants Assessment Panel, who will then provide a written report to
Council for consideration as part of the Annual Business Planning process.
Decision Making Process
Delegated Authority to Elected Members through the Annual Business Planning Process.