Community Action Grant Application 2022/23

Community Action Grant Application 2024/25

Applications Close: 5:00pm on Friday 28 February 2025
Please note: Before proceeding with your application, have you:

1) Prepared any Quotes/Information that the funds with may be used for,

2) Read the Community Action Grants Guidelines

We suggest you collate any appropriate documents ready for upload prior to commencing, to avoid any issues with the online application.

If you need to leave this document at any time before you have submitted the application, ensure you hit 'save' at the bottom of the page. This form does not save automatically.

PRIVACY STATEMENT

Hindmarsh Shire Council collects personal information to enable us to perform our statutory functions and provide services, activities and events. Council stores personal information in secure information technology systems and shares information, only when necessary, amongst internal work areas (including contractors) to facilitate a more efficient customer experience across Council’s business. If the personal information is not collected, Council may not be able to provide you with Council services, discharge our functions or keep you updated on the progress of your service request.

We will handle any personal information you have provided in this form in accordance with the Privacy and Data Protection Act 2014. Our privacy policy contains information about how you may access your personal information and seek correction of such information; as well as how to complain about a breach of the Australian Privacy Principles and how we will deal with such a complaint. For more information, please see our Privacy Policy or contact our team on (03) 5391 4444. Your personal information will not be disclosed to any other party unless Council is required to do so by law, has gained your consent to do so or an information privacy principle exemption applies.
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au

Grant and Organisation Details
Organisation Name*
Postal Address*

Street Address

Street Address Line 2

TownState

Post Code
Full Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Category applying for:*
Amount Applying for (excluding GST)*
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au

Project Details
Project Description & Brief Summary of objectives/activities:*
Explain how the project will improve social connections, as well as achieve economic benefit for the community:*
Explain the demonstrated community need for this project, and how it will build community wellbeing:*
Who is your target audience? And, how many participants are expected to engage with the project?*
Please detail how the Hindmarsh Shire Council's contribution will be recognised and acknowledged:*
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au

Has your organisation previously applied for a grant from the Hindmarsh Shire Council?*

YesNo
If yes, please fill out the following:
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au

Budget

Financial and In-Kind Contributions.
Will funding be sought from other sources? (if yes, please show in templates below)*

YesNo
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au
Budget Template

The following Income/Expense Budget Template needs to be completed for your project.

Please ensure you include any financial contribution from the organisation, requested contribution from Hindmarsh Shire Council, any external funding, In-Kind/Volunteer labour, and any other income relevant to this project.

Your expense table should include every expense that the income is covering and both Income and Expense Total should equal the same amount.

Income and Expenses (income and expense total should be EQUAL):

	Name of Income	Income Amount $	Name of Expense	Expense Amount $
1
2
3
4
5
6
7

Total of Income:*
$
Total of Expenses:*
$
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au

Risk Management Form
Please prepare your completed Risk Management Form for submission.

If you have completed the risk management plan as a document there will be a field where you can upload this document at the end of this application.

No applications will be accepted until a risk management plan is complete.

Please complete the following Risk Management Template (consider all risks associated with your event and input them below):

	Name of Risk	Likelihood	Consequence	Control/Treatment
1
2
3
4
5
6
7

Example Template

Supporting Documents
Quotes:*

Cancelof
Risk Assessment Template (where necessary):

Cancelof
Other Supporting Documents:

Cancelof
If you have any questions or queries, please contact our Community Wellbeing Team.
Ph: 03 5391 4444, or email: grants@hindmarsh.vic.gov.au
Should be Empty:

Community Action Grant Application 2024/25

Grant and Organisation Details

Project Details

Budget

Risk Management Form

Example Template

Supporting Documents