Cultural Grant Application Form

Cultural Grant Application Form

Please fill out all the required fields to apply for the grant.
Applicant Details
Is this application for an individual or group/organisation?*

IndividualGroup
Individual
Full Name*

First NameLast Name
Date of Birth *

MonthDayYear
Date
Ngati Porou Registration Number*
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Postal Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Group/Organisation
Group/Organisation Name*
GST registered?*

YesNo
GST Number*
Type N/A if not GST registered
Contact Person*

First NameLast Name
Ngati Porou Registration Number*
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Postal Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Alternate Contact Person*

First NameLast Name
Ngati Porou Registration Number*
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Postal Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Kaupapa Overview
Kaupapa Title*
Kaupapa Description*
Location(s)*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Financial Information
Tier of funding applied for*

Mo te IwiA-HapuTakitahi/A-WhanauPurapura
Requested Grant Amount (NZD)*
Budget Breakdown*
Include all sources of other funding both applied for and confirmed. Please specify if this kaupapa will generate it's own income e.g registrations. If uploading a breakdown, type see attached in space provided.
Account Name*
Account Number*
Proof of Bank Account*

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Supporting Finanical Documentation

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Alignment with Matrix
1. Reo / Cultural Impact (40%)*
How does your kaupapa uplift Ngāti Porou identity, reo, tikanga, or cultural wellbeing?
2. Reo + Tikanga Integration (20%)*
How is Ngati Porou tikanga embedded in your kaupapa — not just on the side, but in how you design and deliver it?
3. Cultural Integrity (20%)*
Is this kaupapa Ngāti Porou-led, grounded in whakapapa, mātauranga, and for the benefit of Ngāti Porou?
4. Reach & Inclusion (10%)*
Who will benefit, and how widely?
5. Sustainability (10%)*
Innovation & Learning Potential
Does your kaupapa create new ideas, knowledge, or resources that others can learn from?
Holistic Wellbeing - Which wellbeing domains will this funding contribute to?

Spiritual: Does it uplift wairua, whakapono, karakia, or connection to atua/ancestors?Economic: Does it create jobs, build skills, or strengthen financial resilience?Environmental: Does it care for taiao — whenua, awa, moana, ngahere?Social: Does it bring people together, strengthen whānau bonds, or improve hauora?
Explain how:
Endorsement
Attach a letter of Endorsement*

Endorsement form one of the following: Marae Chair or Trustee, Ngati Porou School Principal, Taurahere Chairs or Committee Members. Can attach multiple files.
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Declaration
I/We declare that the information provided in this application is true, correct, and complete. I/We understand that providing false or misleading information may result in this application being declined and/or repayment of funds.*

Confirm
If successful, I/We commit to: Using the grant solely for the purposes stated in this application and in line with the Toitū Ngāti Porou Trust Deed. Submitting all required reports (progress and accountability) by the specified deadlines. Providing evidence of both financial expenditure and kaupapa outcomes. Meeting all legal, tax, and compliance obligations. Accepting that failure to comply may result in repayment of funds and/or ineligibility for future funding.*

Confirm
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Cultural Grant Application Form

Applicant Details

Individual

Group/Organisation

Kaupapa Overview

Financial Information

Alignment with Matrix

Endorsement

Declaration