Sustainability Fund application

* Required information

Applicant details

Name of the lead organisation applying to this fund

Please specify

Principle contact details

Full name

Position held in organisation

Phone

Email

Physical address

Project details

Please consider the Sustainability Fund’s stated purpose and evaluation criteria when completing the following sections.

Name of project

Please specify

Project overview
Describe your project, its aims and the problem or opportunity being addressed.

Relevance
Describe how your project will advance the Council’s climate change objectives or targets.

e.g. How will the project reduce greenhouse gas emissions from Christchurch or strengthen our resilience to climate change? What is the issue or opportunity being addressed by your project?

Benefit
Describe the nature and scale of the benefits that will be delivered by your project

E.g. Who will benefit from this project, in what ways and by how much? Is the project supporting public good (not private gain)? What will be the estimated reduction energy, water, waste or greenhouse gas emissions? What level of community engagement is anticipated? How will things improve for Christchurch?

Legacy
Describe how your project will continue to deliver its benefits beyond the funding period?

E.g. Does the project have enduring or lasting benefits or how can the project be self-sustaining? What will be the lasting legacy of the project?

Deliverable
Show that you have the required experience, skills, support and resources to successfully deliver your project.

E.g. Is the project ready to proceed? Can the project be completed within twelve months or by clearly defined and achievable milestones?

Measurable
Describe how will you measure and report project success and share learning?

E.g. What are the key metrics or indicators that will measure your impact (quantity or quality)? For example: the amount of energy, water, waste, greenhouse gas emissions reduced; the number or perspectives of people benefiting; media exposure; photographs of improvements made; stories or information captured and shared with others. What will be the measurable, tangible outcomes achieved by the project?

Project milestones and deliverables

Please provide a list of high level milestones and specific project deliverables with realistic dates to successfully undertake your project.

Please note projects should start within 4 months of receiving funds and be completed within 12 months.

Project start date

Project milestone and date

Project finish date

Funding and support

List all funding or support this project has received from the Christchurch City Council.

List the name and value of any confirmed or secured funding or support (cash and in-kind contributions) for this project from other groups or individuals.

List the name and value of any groups or individuals approached and not yet confirmed for funding or support of this project.

Will the project proceed if no funding is given from Council?

YesNo

High-level budget summary

Please provide a high-level summary for your project budget.

We will ask you to attach a full budget below.

Total costs ($)

Total income, including confirmed and anticipated support, cash and in-kind contributions ($)

Funding

Funding requested from Council ($)

Important: Council will generally provide a maximum of 60% of your total project cost.

Percent of costs you are requesting for funding (%)

Provide a high-level description of how the Council funding will be used in this project.

E.g. The Council funds will be used to employ staff who will…, funds will be used to purchase equipment, supplies or services that will be used to… etc.

Supporting documents

You must attach the following supporting documents:

Full project budget detailing your income and expenses

Please ensure your full budget clearly identifies what Council funding will be used for.

Bank deposit slip

We cannot process your application without the above documents.

Optional supporting documents

Optional documents you may wish to provide in support of your application include:

Job descriptions, when applying for salary or wages
Staff curriculum vitae to provide evidence of relevant skills and experience
Evidence of legal status
Your most recent annual report
List of volunteers duties if applying for volunteer costs
Quotes for significant goods, services, or contracts
Project plan or business case
Designs or images
Supporting research, evidence or examples
Letter of support from partners, stakeholders or end users.

Clearly label each document with your project name.

Upload a support document

Confidential information

This application form and the Council’s funding decision for all successful and unsuccessful applications will be publicly released following the Council’s funding decision, with any sensitive or confidential information redacted.

If there are aspects of your application that are confidential in accordance with the Local Government Official Information and Meetings Act, clearly state this below.

Is there any aspect of your application that is confidential?

YesNo

What specific aspects of your fund application are confidential and why?

When will the information no longer be confidential and what conditions or timeframes would allow this information to be released?

Declaration

I make the following declarations.

I hereby:

declare that the details contained in this application are true and correct to the best of my knowledge.
confirm that I am the applicant, or that I have obtained the appropriate authorisation to submit this application and make the relevant acknowledgements, authorisations, declarations and confirmations in full on behalf of the relevant organisation and any other person or organisation noted in this application.
have read and understood the Council’s Grant Funding Agreement template

I acknowledge that the Council:

has the sole discretion to approve or reject applications.
will not enter into any further correspondence for unsuccessful applications.
will not be liable for any loss caused by any reliance (whether perceived or real) on any unsuccessful application.

I acknowledge that if my application is successful I will be required to:

enter into a funding agreement with the Council that is a contract and is in a form substantially the same as the template Agreement, but that may contain additional terms and conditions if required by the Council.
complete or have in operation, the approved project within 4 months of signing the funding agreement.
provide a project report within 12 months of signing the funding agreement
participate in any audit or review conducted and required by the Council or any other organisation.
give positive acknowledgement in respect of the grant from time to time, as outlined in the Grant Funding Agreement

I have read and agree to the above

Privacy Act 1993

Council will collect the information provided in this application pursuant to the Privacy Act 1993 (the Act).

I hereby acknowledge that:

Council is collecting this information for the purposes of considering and assessing the eligibility of this application, promotional purposes and conducting its relationship with the applicant (if the application is accepted).
the information will be held by Council and any personal information provided by Council to other agencies will be held by those agencies.

I understand that I have rights of access to and correction of the information held by Council in accordance with the Act.

I authorise Council to:

collect any information in relation to this application and the relevant person or organisation from any third party or source.
disclose any information to any third party Council deems appropriate or is required to by law.
collect, retain, use and disclose personal information about individuals and organisations who are noted in this application for the purposes described above; and use any information received in respect of the application for promotional purposes.

I have read and agree to the above

Please note:

Successful applications will need to submit a project completion report.
Keep all receipts as you may be asked to produce these.
Once you submit your application you cannot make changes.