Sport BOP Tu Manawa Major Fund

Play Fund application

Tū Manawa Active Aotearoa
About your organisation
Organisation name*
Organisation website/social media account*
Tell us about the purpose of your organisation and what you do*

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What 'type' of organisation are you?*
If relevant, what is your New Zealand Business Number (NZBN) or Incorporated Society Number
Name and contact details of person submitting the application (e.g. Chairperson, CEO etc.)*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Role in organisation*
Is your organisation GST registered?*
GST number*
Organisation's bank account name*
Organisation's bank account number*
Please attach a PDF of your bank account name and number*

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Application for funds
Project or programme summary - tell us the name of your project, what it is, where it will occur and who you will be working with*

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What type of physical activity does your programme involve?*
If you are unsure if your proposed project meets the criteria for play, please contact our regional play systems lead Steph Reichardt to discuss further: stephr@sportbop.co.nz or phone 021 315 206.
Is this application being submitted for a project that is provided in a kaupapa Māori context?
Will the project be delivered in te reo Māori?
Proposed start date*

DayMonthYear
Date
Proposed end date*

DayMonthYear
Date
Is this a new, existing or modified/expanded project or programme*
What setting/s will your project take place in?*
If any part of your project is to be delivered in schools/kura please advise when*
If you selected 'in-class time' in the previous question, your application needs to be accompanied by an in-school delivery checklist. The checklist is available at https://bit.ly/3l5Sb9N. Please upload completed checklist below.

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Tamariki (children 5-11)Rangatahi (young people 12-18)Young Women (19-24)Disabled children or young peopleOther
How do you know this project is needed? (i.e. Who have you spoken to? What evidence or insights do you have? Applications must show evidence of the 'voice of the participant'.) Upload files - photos, videos etc. - if needed. *

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What are the specific activities that will be delivered as part of this project? (I.e. location, number of sessions, length of sessions, expected number of participants, who the activities are for.)
What are the key changes (outcomes) your programme is trying to bring about in the people and/or the communities you are working with? (name up to 3 outcomes)*

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Taking the outcomes above, how will you know you have achieved them? What will you measure and how? (e.g. measuring changes via a survey, interviews, feedback from participants, case study, participation/physical activity information, attendance and project management records)*

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Who will you be working with to deliver this programme? (Please include the organisations' names)*

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What is the total cost of your project?*
What amount are you applying for from Tū Manawa Active Aotearoa?*
Please upload a budget that includes all the costs you are applying for and what they will be used for, and shows any other income against this specific project*

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If there is a difference in the total costs and the amount you are requesting, how do you intend to fund the outstanding amount?*

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Conditions of application
I confirm that I am authorised to submit this application on behalf of the organisation, and that our directors and/or trustees and/or treasurer are aware of and support this submission.*
I have read the “Tū Manawa Active Aotearoa Community Guidelines 2020-2021”.*
I will comply with the requirements set out in the“Protecting your information”section of the Tū Manawa Active Aotearoa Community Guidelines 2020-2021” and have advised my organisations’ Directors,Trustees and/or committee members of the information in that section*
I confirm that information in this application is correct, and that any amount we receive as a result of this application will be used solely for the purposes specified in this application.*
I acknowledge that Sport NZ/Sport Bay of Plenty has the right to audit the information provided in this application and the use of any funds granted. I will provide full cooperation in the event of such an audit being undertaken.*
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Play Fund application

About your organisation

Application for funds

Conditions of application