2024 Community Grant Application Form

Office Use Only
Application Status
Purpose of Grant
Amount of Grant
Date Meeting Approved

DayMonthYear
Reason declined

COMMUNITY GRANT POLICY

Omataroa Rangitaiki Charitable Trust have community grants available to specified community organisations to support and promote cultural activities and encourage group participation within the community across all age groups.

Criteria for Eligibility

To be eligible for this grant the Organisation must be a Group specified in the OMR2 Community Grants Policy.
An online grant application must be submitted and all required information must be uploaded.
The Organisation must have a bank account in their own name and provide verification.
Dress uniforms are excluded.

Opening and Closing Dates

Available from 1 February 2024 and close 30 November 2024, 4pm.

Grants Allocation Table

Organisation	Grant Purpose	No of Applications Available	Grant Value
Kohanga Reo	Health & Safety Repairs & Maintenance Purchase of Equipment Purchase of Educational Resources	5	up to $2,000
Primary Schools	Purchase of Educational Resources Health & Safety Purchase of Equipment	2	up to $3,000
Kaumatua & Other Groups	Event Hosting Health & Safety Repairs & Maintenance Purchase of Equipment Purchase of Educational Resources Travel	6	up to $2,500
Religious Groups	Event Hosting Repairs & Maintenance Purchase of Equipment Purchase of Educational Resources Travel	7	up to $2,000
Cultural Groups	Purchase of Uniforms Purchase of Equipment Travel	3	up to $3,000
Marae Groups	Event Hosting Repairs & Maintenance Purchase of Equipment	10	up to $5,000

2024 Community Grant Application Form
Name of Organisation*
Select the name of your Organisation

Document Checklist

You must have all the information available before commencing the grant application.
Do you have this information ready to upload?

Organisation Contact Information
Organisation Name*
Name of Main Contact Details *
This person must be listed on the committee members section below
Role*
Postal Address for Organisation*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Current Committee Members
List the main Committee Members *

Grant Purpose
Type of Grant*
Brief explanation of grant purpose:*
Maximum of 100 words

Supporting Documentation

Proof of Purchase

2024 tax invoices must be uploaded as proof of purchase(s) your organisation has made.
Total Amount Invoice or Receipt*
Enter the amount from your Quote. For example 222.72
Upload Tax Invoice or Receipt of Payment *

Click here to Browse Files upload tax invoice

Cancelof
Have your bank details changed?
Organisation Bank Details
Organisation Bank Account Name*
The bank account must be in the of the organisation
Bank Account Number*
Type as 00-0000-0000000-00.
Upload Bank Account Verification *

Click here to Browse Files and upload pre-printed deposit Slip or Bank statement

Cancelof

Declaration
Name
Name of person that has completed this form
Date Signed*

DayMonthYear
Should be Empty:

Office Use Only

2024 Community Grant Application Form

Organisation Contact Information

Current Committee Members

Grant Purpose

Organisation Bank Details

Declaration