In this Section

Application for Community Innovation Grants

Welcome to the City of Vincent’s online application form. You can save your application at any time and continue later.

Before starting your application, please read the Guidelines and Criteria.

= Required Fields

Navigation

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Email Address:

Password:

Clicking the next/previous button will automatically save your form.

Note: Incomplete forms are kept for a period of 7 day(s) hour(s), after this time the system will automatically delete your response.

Organisation name *

Organisation address *

Contact name *

Phone *

Email *

Website

Project Title *

....

Project Start Date *

Project End Date *

Where will your project be located? (Please provide all locations) *

How much will you be charging attendees? (entry fee etc) *

Who is your target audience? (age, gender etc) *

How many people do you expect to attend? *

Please describe your proposed project and why it is needed in the City of Vincent *

How will your project provide educational, recreational and/or cultural benefit to the community? *

What opportunities will there be for the community to be involved and actively participate in the project? *

Have you undertaken this project or similar in the past? *

YesNo

If you answered YES to above, please provide details of your past project

Please tell us more about any other project/event experience your organisation has

Describe what your organisation will bring to the proposed project? (resources, staffing, programs etc) *

Are you receiving any funding or in-kind support from other sources? *

YesNo

If you answered YES to above, please tell us what kind of funding or in-kind support you are receiving from other sources

Have you consulted with your target audience or key stakeholders to determine support and viability of the project? (residents, businesses, town teams, community groups, special interest groups etc) Who are your stakeholders and describe your engagement with them? *

Do you have any letters of support or other evidence about the consultation you have undertaken? *

YesNo

Attach any letters of support or other evidence about the consultation process

What outcomes do you want to achieve and will they be measured? Include at least 3 outcomes.

Provide specific examples (by a survey, number of social media likes, membership increase, number of participants at the event).

Outcome 1 and Measurement *

Outcome 2 and Measurement *

Outcome 3 and Measurement *

What amount of funding are you applying for? *

Attach a budget detailing income and expenditure and highlighting how the grant funding will be spent *

Note: Make sure you have read what will and will not be funded in the Guidelines and Criteria.

Does your budget include items over $500? *

Yes
No

If you answered YES to above, please provide at least 1 quote for any item over $500

If the City is not able to provide the full amount of funding you are seeking will your project still go ahead? *

YesNo

If you answered Yes to the above, please provide details on how this will be achieved? (list changes to project, alternative funding sources etc)

Attach your organisation’s most recent financial statements, to indicate your ability to deliver this project

Please provide the details of two funding referees who can attest that your organisation is able to financially manage and acquit funding.

Referee 1

Organisation name *

Contact name *

Title *

Phone *

Email *

Relationship *

Referee 2

Organisation name

Contact name

Title

Phone

Relationship *

Recognition of Council Funding and Contractual Requirements

When you are successful in receiving a grant from the City of Vincent, you are required to acknowledge the support of the City for its financial support, as follows:

Include the City on all promotional material in a prominent place, for example on posters, flyers, web page graphics, media releases, advertisements and footage.
Use the City of Vincent logo in accordance with our style guide in publicity of any kind (including brochures, signage, advertising, and invitations).
Acknowledge the City in all public announcements and any written material of the project.
Acknowledge the City in your organisation’s annual report.
Provide photographs from your project, copies of media articles and social media posts.
Tag @cityofvincent in social media posts and email a link to your social posts and events to socialmedia@vincent.wa.gov.au so we can help cross-promote your event on our channels.
Invite a local council representative to any launch or public event associated with the funding. Where they are able to attend, they should be acknowledged as official guests. Where practicable, they should be afforded the courtesy of publicly addressing the event.
As per the City of Vincent Welcome to Country Policy, a Welcome or Acknowledgement of Country may be required for this project. You should contact the Community Partnerships team to determine the correct acknowledgement, if any, for your project.
Complete an evaluation form (provided by the City of Vincent).
Submit a certified financial statement of expenditure as per the approved grant allocation.

By submitting this application, I agree that:

If my application is successful, I will ensure recognition of council funding and contractual requirements as mentioned above.
At the completion of the project I will provide an acquittal within 8 weeks.
The information contained herein is to the best of my knowledge, true and correct.

I agree to the above Terms & Conditions

Yes

Validate and Submit Form

Get Audio Code

Type the code from the image