Required fields are marked with an asterisk (*).

Applicant details

1. Contact name for proposal *

2. Email *

3. Phone *

4. Choose the option that applies to you *

Note: Council may request evidence of strategic planning, financial capacity/insurances, and trends in membership numbers for assessment of this proposal.

• Sports club
• Community group
• Individual

4a. Name of sporting club or community group (if applicable)

4b. Is your organisation incorporated

• Yes
• No

4c. Are you registered for GST

• Yes
• No

4d. Current membership number

4e. Club / group / organisation objectives

Project details

5. Title of project *

6. Project location *

7. Details of proposed works *

8. Project rationale eg. what identified community need is this project addressing? How will the project benefit the community?

9. List all stakeholders affected by the project eg. user groups, community groups and engaged individuals.

10. Describe how you have consulted with these stakeholders *

Attach any relevant strategies, project plans, designs, and/or evidence of consultation you can upload up to 10 files to a maximum of 1MB each. PDF format is preferred.

Project cost

11. Total anticipated project cost: *

12. Basis of cost estimate * provide details of costs for individual elements eg. planning, assessments, approvals, design, construction, operational.

13. How will your project be funded? * If self funded, how much funding is currently available?

14. Who will manage/deliver the project? Specify project components, eg. planning, approvals, design, procurement, construction.

15. Who will be responsible for maintenance work and ongoing costs after the project is complete?

16. How will ongoing costs be funded?

17. What is the expected asset life?

18. Who will fund renewal of the asset?

Project delivery

19. What assistance do you require from Council in the delivery of this project?

20. Additional comments Anything else you would like to add?

Attach any relevant documents You can upload up to 10 files at a maximum of 1MB each. PDF format is preferred.