Community Fund Application

Murihiku Rūnaka and Rio Tinto NZAS Community Development Fund

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Community Fund Application

Applicant Details

Organisation / Name of Applicant

Organisation NZBN number (if applicable)

Postal Address

Website Address and Name of Facebook page (if applicable)

Phone Number

Your email

Name for Key Contact Person for this application

Address for Key Contact Person for this application

Is your Organisation GST registered?

Yes

GST number

Project Details

Project Title

0/70 (70 left)

One Line Project Summary

0/140 (140 left)

Who are the primary beneficiaries / intended groups likely to be positively impacted most by the Project?

How was the project identified, did it have participation or input from those most impacted by the change? (collaboration/co-design)

Project goals and focus

What are the Project Goals, and how does the Project support investment in a sustainable and positive future for manawhenua and the wider Murihiku community?

Which Focus Area/s does this Project relate to?

Human Rights

Culture, Heritage and Place

Community, Capacity and Connections

Economic Opportunity and Decarbonisation

How does the Project contribute towards change in the Focus Area(s) you selected?

Success and governance

How will success be measured during and after your Project?

How will your project be governed?

Cost and funding

Total Project Cost

NZ$

How much Money are you requesting?

NZ$

What will the Grant Money specifically be used for?

Provide information on a) deliverables and b) budget

Information on funding requests made to other organisations relating to this project

Funding Organisation	Amount Requested	Date Applied	Outcome ( approved / declined )	If still waiting decision - anticipated date of notification	Amount Funded $	Actions
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Additional information

You may attach a brief project / implementation plan (not a requirement)

or drag them here