Creative Communities Scheme application

1. Start

• Type your email address in the box underneath these instructions.
• Ensure you allow pop-ups for this browser while completing this form; error messages may appear as pop-ups.

TIP:  Save your responses in a word document to then paste into the application form when ready.

2. Save progress: you can start your application now, save it, and finish it later.

• Check that you have entered your email address.
• Click the Save progress and Exit button.
• We will send you an email containing a link and a password.
• If you do not receive a confirmation email please contact us.
• Save this email and use the link and password to return to your saved application as required.
• Check that any uploaded files are still attached.
• NOTE: this does NOT submit your application to DCC.

3. Submit application

• Click the Submit button after you have completed your application form and attached your files - this submits your application to DCC.
• A thank-you page will appear - we recommend printing this page as a copy of your completed application.
• We will send you an email to confirm that we have received your application - the confirmation will also contain a copy of your application.
• If you do not receive a confirmation email or have any problems sending us your application, please contact us.

Applicant details

Please tell us your organisations trustees, executive committee or key people and attach this information as a supporting document in the Declaration and attachments section of this form

If you are a new applicant or have had a change to the bank details previously provided please supply a copy of your bank details as verification. This can be a bank deposit slip, print from a bank statement or image of online bank details. Please upload a copy of this in the Declaration, checklist and attachments section of this form.

Bank	Branch	Account	Suffix

Ethnicity of applicant/group		Detail
(mark with an X, you can select multiple options)
New Zealand European/Pākehā:
Māori:
Pacific Peoples
Asian:
Middle Eastern/Latin American/African:
Other:

Project details

Project details - budget

Please download this worksheet and enter the Project Costs and Income into the worksheet. Transfer the Total Project Costs, Total Project Income, Costs less Income and Amount you are requesting  figures into the fields below

Project Costs and Income Worksheet (excel, 12.4kb, new window)

Save and name the worksheet with your organisation's name. Upload the completed worksheet on the last page of this form.

Total income * (required)
Total costs * (required)
Income less cost * (required)
Amount you are requesting from the Creative Communities Scheme * (required)

Tell us about any other funding you have applied for or received for this project (remember you can’t receive funds for your project from both CCS and Creative New Zealand’s other funding programmes).
Date Applied	Who to	How much	Confirmed/ unconfirmed

Tell us about other grants you have received through the Creative Communities Scheme in the past three years.
Date	Project title	Amount Received	Project completion report submitted (yes/no)

Other financial information

Groups or organisations must provide a copy of their latest financial statement. This can be a copy of the audited accounts, an income and expenditure statement or a copy of the unaudited management accounts.

If your group or organisation has reserves which are not being used for this project you should include your reserves statement or policy

Attachments, Declaration and Checklist

(The documents can also include financial accounts, evidence of community support or previous practice, or any other information you want to support your application.)

Declaration

You must read and select the answer option at the bottom of the declaration to show that you have read the information and agree to each section.

• I/We understand that if this application is successful I/we cannot receive funds for the same project from Creative New Zealand’s other funding programmes.
• I/We declare that the details contained in this application are correct and that I/we have authority to commit to the following conditions.

If this application is successful, I/we agree to:

• complete the project as outlined in this application (or request permission in writing from the CCS Administrator for any significant change to the project)
• complete the project within a year of the funding being approved
• complete and return a project report form (this will be sent with the grant approval letter) within two months after the project is completed
• return any unspent funds
• keep receipts and a record of all expenditure for seven years
• participate in any funding audit of my organisation or project conducted by the local council
• contact the CCS administrator to let them know of any public event or presentation that is funded by the scheme
• acknowledge CCS funding at event openings, presentations or performances
• use the  CCS  logo in all publicity (eg poster, flyers, e-newsletters) for the project and follow the guidelines for use of the logo. Logo and guidelines can be downloaded from the Creative New Zealand website: http://www.creativenz.govt.nz/about-creative-new-zealand/logos
• I understand that the Dunedin City Council is bound by the Local Government Official Information and Meetings Act 1987
• I/we consent to the Dunedin City Council recording the personal contact details provided in this application, retaining and using these details, and disclosing them to Creative New Zealand for the purpose of evaluating the Creative Communities Scheme.
• I/we understand that my/our name and brief details about the project may be released to the media or appear in publicity material.
• I/we undertake that I/we have obtained the consent of all people involved to provide these details. I/we understand that I/we have the right to have access to this information.
• This consent is given in accordance with the Privacy Act 1993