Water Safety New Zealand Funding Application 2025

Applicant name*
Applicant primary address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant postal address

Same as primary addres above
Street Address

Street Address Line 2

CityProvince / Area

Postal / Zip Code
Applicant website
Primary contact person*
Position held in organisation*
Primary phone number*
Primary contact email*
example@example.com
Has WSNZ funded your organisation before?

YesNo
Which funding priority does your application relate to?
Applicant's primary bank account*
Please upload a printed copy of your bank deposit slip, or a copy of your validated bank account

(File size max 5MB)
Cancelof
Are you GST registered?*

YesNo
GST number
(if registered)
Organisations legal structure and type
What type of organisation / group are you?
Applicant NZBN
Applicant NZ Charity Registration Number (CRN)
If you are an Incorporated Society, please upload a copy of your Incorporated Society certificate here

(File size max 5MB)
Cancelof
Have your financial statements been reviewed or audited?*

YesNo
If 'yes' please upload the most recent copy of your annual report

(File size max 5MB)
Cancelof

Application questions – project title and summary
Give a description of the programme that you are seeking funding to support.
What programme is it – where is it situated? Name the places, towns or region, and who is delivering the programme.*
Who are you aiming to support and why do they need your support? Please include (target number, describe the group, and why it is an at-risk group.
For the Water Skills for Life fund, include each school involved, specify the type of support provided (eg, school pool support or away-from-school support) and the student year groups that will be participating*
What will be different as a result of your support? (What will people know, do, or feel differently? How will you know change has happened? How will you track if change has occurred?)*
What are the risks/challenges/uncertainties that need to be managed for you to be successful? (What could make it hard to run? What problems might people taking part have? What could stop it from going well? What will you do if problems come up?)*
What do you need from WSNZ? (What do you need help with?, How will this help your programme?, Is there anything else WSNZ can do to support you?) *
What is your total project/ programme cost

Please complete the income and expenditure tables below with your project/programme’s budget. Clearly describe each item listed under both 'Income' and 'Expenditure'. Include all funding sources, this may include the Water Safety NZ funding you are seeking. You must indicate whether each one has been confirmed. Examples of income: district council funding, community grants, fundraising events, company sponsorships. Examples of expenses: administration, staff transport, part-time staff. Important: Your budget must balance – ie, total income must equal total expenditure.
Summary of income to support this programme/project

Income source (e.g. Water Safety NZ, Local Council, participant fee, etc)

	Income ($)	Source	Confirmed?
Source 1
Source 2
Source 3
Source 4

Total income needed*
'In kind' support, donations, volunteers (please describe the support)
Budgeted expenditure amount for this programme/project

Expense category (e.g. staff, travel, equipment, venue hire, koha, etc)

	Expense ($)	Source	Confirmed?
Expense 1
Expense 2
Expense 3
Expense 4

Total expenses*
We’re interested in who you will work with and your supporters. Please describe who you will work with to deliver this programme.
If your funding application is successful, you must be able to demonstrate that:
- A health and safety plan is in place for the funded activity
- All personnel hold appropriate and relevant qualifications
- All legal requirements under New Zealand law are met
- There are policies and procedures in place to safeguard children aged 15 and under.
Should be Empty:

Organisations legal structure and type

Application questions – project title and summary

What is your total project/ programme cost

Summary of income to support this programme/project

Budgeted expenditure amount for this programme/project