2014 Application Form

Transcription

1 Our Neighbourhood Our Neighbourhood Community Grants Small Business Grants e l p m a S Application Form 2014 Application Form Applications close: Thursday, 2 April 2015 at 5.00pm AWST

2 We re looking forward to receiving your application for a small business grant. Before you fill everything in, have a read through the pointers below, to make sure your application is eligible. Eligibility and application procedures Due to the number of worthy grant applications we receive, we focus our attention on certain areas. Have a read through our eligibility criteria on page 3 of the Application Kit. We ve also provided some guidance of strong and weak applications on page 6 of this Application Form. You should only submit an application for a proposal idea once. But you re welcome to submit more than one application if they re for different proposals. If you send us an online application and a paper-based application, we ll only consider the online one. We won t consider ed or faxed applications. We give preference to applications that are completed in full. You ll need to include everything within the Application Form we won t be reading attachments. If we need more information from you, we ll let you know. We consult with external industry experts in order to review some applications. They may contact you to validate your application and undertake due diligence. By submitting your application, you agree to the Terms and Conditions (on page 10 of the Application Kit). Submitting your application If you d prefer to submit your application online, you can fill out the form at ourneighbourhood.com.au (we use the Smarty Grants management tool and encourage you to apply online). If you re completing a paper-based application, it will need to be post marked Thursday, 2 April 2015, or earlier, to be eligible. Post paper-based applications (without a stamp) to: Australia Post Program Manager Our Neighbourhood Community Grants Reply Paid MELBOURNE VIC Our Neighbourhood Small Business Grants 2015 Application Form

3 SECTION 1 - Business details 1.1 Business name and details Organisation name (Name of the business applying for a grant) Trading name (if different) Street address State Postcode Tick here if your postal address is the same as your street address Postal address (if different to street address) State Business website (If applicable) Postcode ABN (Please tell us your ABN. Don t know the ABN? Go to or call the Australian Business Register. Please note you must have an ABN to be eligible). Not-for-profit community business (Please tick if your organisation is a not-for-profit community business. Please note if you are not a not-for-profit community business you are still eligible to apply). ATO registered charity (Please tick if your organisation is registered as a charity with the Australian Tax Office (ATO). If you are not sure go to or call the ACNC advice line. Please note businesses that are not ACNC registered charities are still eligible to apply). Yes Yes No No DGR1 Deductible Gift Recipient (Please tick if your business has DGR Item 1 status. If you are not sure go to or call the ATO not-for-profit help line. Please note businesses that do not have DGR1 are still eligible to apply). Yes No Social Enterprise (Please tick if your business is a social enterprise). Yes No Our Neighbourhood Small Business Grants 2015 Application Form 3

4 1.2 Your business (Tell us about your business and its purpose, including mission, objectives, number of paid staff, key products/services). Max 350 words. 4 Our Neighbourhood Small Business Grants 2015 Application Form

5 SECTION 2 - Contact details 2.1 Primary contact name (This person will be the day to day contact for queries relating to this application) Title (Mr, Mrs, Ms, Miss) First name Surname Position held: Phone number ( ) Title (Mr, Mrs, Ms, Miss) First name Surname Position held Phone number Mobile (Please include an address so we can better communicate with you. You will only receive information regarding the 2015 Our Neighbourhood Small Business Grants program, unless you give authorisation to sign up to the mailing list in Section 7.3.) Please check your address is correct, as this is the primary method we will use to contact you. 2.2 Head of business name (Please ask the head of your business to sign the last page of this Application Form to ensure your application is considered). ( ) Mobile (Please include an address so we can better communicate with you. You will only receive information regarding the 2015 Our Neighbourhood Small Business Grants program, unless you give authorisation to sign up to the mailing list in Section 7.3). Our Neighbourhood Small Business Grants 2015 Application Form 5

6 SECTION 3 - Project Examples If you ve read through our eligibility requirements on page 3 of the Application Kit, you ll have a good idea of the types of things we re looking for in grant applications. Here are some more general examples of strong and weak applications. Weak funding application Strong funding application Reason Updating a local business s computer software package. Rebranding a local business s website so it has a more contemporary look and feel. A request for customer service training (but without a focus on how the training will impact business growth or benefit the community). A small business in regional Australia is unable to meet its production volumes due to a slow, manual barcoding process. It s requesting funding to purchase a computer, software and printer so it can implement automated barcoding, and in doing so meet demands and offer employment opportunities. A retailer of locally made produce wants to develop a new website. They ve explained how the website will allow them to expand sales of their existing produce, and also bring other local suppliers on board. A small domestic cleaning business is in high demand. It s requesting funding to train three people with a disability to become employees, helping the company grow further. This business is ready to grow and develop, and wanting to do things differently. Funding will drive business growth and foster economic opportunities in regional Australia. Funding the stronger application will help grow the business through the use of technology, while also fostering economic growth in the wider community. The stronger application supports small business expansion and creates employment for marginalised members of the community. 6 Our Neighbourhood Small Business Grants 2015 Application Form

7 SECTION 4 - Grant proposal details If your business meets all of the eligibility criteria, please continue. 4.1 Proposal title (Tell us what you would like your proposal to be called make sure it tells us what the proposal is about). 4.2 Target customer (Tell us who the target customer for your proposal is). 4.3 Target market and location (Tell us your target market and locations for your proposal). 4.4 Role in community (Tell us the role your business plays in the community and why your business is important to the community). Our Neighbourhood Small Business Grants 2015 Application Form 7

8 4.5 Long proposal description (Tell us in detail about the proposal you are seeking grant funding for. Please be clear and concise in your description, and outline how you will achieve economic growth, support the local community, and help the wider community thrive. You may use bullet points and/or add examples if relevant. Please do not write all capitals). Max 500 words. 4.6 Short proposal description (Tell us in one sentence about the proposal you are seeking grant funding for. This description may be displayed on ourneighbourhood.com.au should your application be successful. Please do not write all capitals). Max 20 words. 4.7 Business maturity (Tell us why your business is ready to grow to the next level). 8 Our Neighbourhood Small Business Grants 2015 Application Form

9 4.8 Growth challenges (Tell us what is preventing your business from growing to the next level). 4.9 Key challenges (As a business, please tell us what your key challenges are, number from 1 to 7, with 1 being the challenge that has the biggest impact). Time Having the right processes and tools in place to keep your business running smoothly Money/cash flow Providing your customers with exceptional service Setting a vision for your business, and putting plans in place to get there Expanding your professional network and connecting with people who can help your business grow Marketing and communications Other please specify 4.10 Expected proposal start date: (Tell us when you expect to begin/implement the proposal. Please note proposals that begin before grant funds are issued (1 October 2015) will not be eligible). / / (dd/mm/yy) 4.11 Expected proposal end date: (Tell us when you expect the proposal to be completed. Please note proposals that will end more than 12 months following the date grant funds are issued (after 1 October 2016) will not be eligible). / / (dd/mm/yy) Our Neighbourhood Small Business Grants 2015 Application Form 9

10 SECTION 5 - Proposal finances 5.1 Grant funding request amount (Tell us the total funding amount you are applying for the maximum is $10,000). $ 5.2 Does the amount requested cover the full proposal cost? Yes No other sources of funding will be required 5.3 Total proposal funding allocation (Tell us in detail how much the proposal will cost. Is the funding request for full-funding or part-funding of the proposal idea? If your request is for part-funding please tell us if you have already sourced the outstanding amount and/or how you will source the difference). Max 350 words. 10 Our Neighbourhood Small Business Grants 2015 Application Form

11 5.4 Proposal budget (Tell us what the income and expenditure will be for your proposal. Please list all income sources on a separate line. Remember your income must balance to your expenses). Income e.g. Other grant donation Our Neighbourhood Community Grant $1,000 Expenses e.g. Computer software TOTAL (must balance expenses) $ TOTAL (must balance income) $ Please note: The insurance requirements as specified in the Our Neighbourhood Small Business Grants Application Kit Terms and Conditions. Our Neighbourhood Small Business Grants 2015 Application Form 11

12 SECTION 6 - Measurement 6.1 Key milestone dates (Tell us how you will implement the proposal including the key milestone dates e.g. when you will plan, when you will implement or run the proposal, and when you will evaluate the proposal). Max 150 words. 6.2 Expected success measures (Tell us how you will know if your proposal has been a success. Please provide the outcomes/outputs in measurable objectives. E.g. Our proposal will increase our sales by 40%, allow us to hire three people with a disability and also allow us to bring two more local suppliers on board). Max 200 words. 12 Our Neighbourhood Small Business Grants 2015 Application Form

13 6.3 Proposal key facts: (If relevant to your business, tell us the main statistics relating to your proposal). 1 How many people will be directly employed due to your proposal? 2 If any, estimate how many people will be indirectly employed due to your proposal? 3 Do you employ any marginalised community members? If so, how many and what group (i.e. Aboriginal and Torres Strait Islander peoples, culturally and linguistically diverse, people with a disability, economically disadvantaged)? 4 Are there any other key measurement statistics you can offer to support the benefit of your proposal? SECTION 7 - Authorisation details 7.1 Conditions of agreement (In signing of this agreement, the below terms and the terms and conditions as stated in the 2015 Our Neighbourhood Small Business Grants Application Kit and online at ourneighbourhood.com.au are agreed to). Terms and Conditions: By placing a tick in this box I confirm that I have read, understood and accepted the Terms and Conditions as stated in the 2015 Our Neighbourhood Small Business Grants Application Kit and online at ourneighbourhood.com.au 1. I am the person named in this form as the person responsible for submitting the Application. 2. I have been authorised by the business named in this form to complete and submit this Application. 3. I acknowledge the information provided to be true and correct. 4. Australia Post has the right to accept the authority of the undersigned as conclusive evidence of that person s authority to execute this agreement on behalf of the business. Our Neighbourhood Small Business Grants 2015 Application Form 13

14 Please make sure the Head of the Business signs here for this application to be considered. Title: (Mr, Mrs, Ms, Miss) First name Surname Position held Organisation Date To be considered for an Our Neighbourhood Small Business Grant all completed paper-based applications must be post marked Thursday, 2 April 2015 or earlier. 7.2 How did you hear about the Our Neighbourhood Small Business Grants program? In-store from a member of the Post Office or Business Hub at (please insert store address) Professional Networks Local Radio Local Newspaper Other (please specify) Primary Contact: Signed Internet Industry newsletter 7.3 Would you like to sign up to the Australia Post Our Neighbourhood newsletter? Head of Business: I already receive the Our Neighbourhood newsletter. Yes, please sign me up to start receiving the Our Neighbourhood newsletter. No thank you, please do not sign me up. I already receive the Our Neighbourhood newsletter. Yes, please sign me up to start receiving the Our Neighbourhood newsletter. No thank you, please do not sign me up. 14 Our Neighbourhood Small Business Grants 2015 Application Form

15 Thank you Thanks for applying for an Our Neighbourhood Small Business Grant. What you need to do now Please pull out your completed application form and post it to: Australia Post Program Manager Our Neighbourhood Small Business Grants Reply Paid MELBOURNE VIC 8060 You don t need a postage stamp. Any questions? Feel free to get in touch: (during normal business hours). grants@ourneighbourhood.com.au

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