Community Wellbeing Fund Application

Before you start

  • Applications can only be submitted using this document. If you are unable to type into the form directly, please print a copy and complete by hand.
  • We recommend that you keep a copy of your completed application for your own references.
  • Please only upload attachments in PDF or Microsoft Word format.
  • You can save your changes by clicking “save and continue later”. If you don’t see your latest changes when you return via the link, press F5 to refresh your page.

Community Wellbeing Fund Application Form

  • Part 1 – Applicant Details













































  • Part 2 – Details of the Activity



  • Please only upload attachments in PDF or Microsoft Word format.
    Drop files here or

    Max. file size: 100 MB.

    • Please describe the activity by answering the questions below:










    • Part 3 – Activity Budget Information

      You may upload your forecasted budget to support the information in the tables below.
    • Please only upload attachments in PDF or Microsoft Word format.
      Drop files here or

      Max. file size: 100 MB.




      • ItemDetailAmount $ 
      • IncomeDetailAmount $ 
      • Funding SourceConfirmed Yes/NoAmount $ 

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      • DateName of Fund applied toActivityAmount $ 









      • Part 4 – Declaration

      • I/We agree:

        • That the information supplied in this application is true and correct to the best of my/our knowledge.
        • That I/We have the authority to commit our organisation to this funding application.
        • That the details about our funding application may be shared with other local funders.
        • That any funding received will be used only for the activity for which it is approved.
        • To participate in any funding audit of the organisation as required by the Invercargill City Council.
        • To complete the accountability requirements and provide receipts where requested.
        • That I/We will provide a complete evaluation and/or report detailing the spending and outcome of the activity.
        • That the details about our funding application may be released to the media or appear in publicity material.
        • As Invercargill City Council is bound under Local Government Official Information Act 1987 and details entered in this application may be released under the act.
        • To Invercargill City Council collecting the personal contact details provided on this form. This consent is given in accordance with the requirements of the Privacy Act 1994.








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