Name *

First Name

Last Name

Phone number *

(###)

###

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Grant application *

Receipts may be requested

$50

$100

$150

$200

Terms of application *

All areas must be accepted for your application to be considered.

I confirm that the information provided is true and correct.

I understand that applying for this grant does not guarantee funding or that partial funding may be offered in some circumstances.

I understand that any funding received must be spent on the event specified and that funds cannot be used to purchase alcohol, tobacco products, or to fund illegal activities.

I understand a condition of applying is to submit a short feedback report (including pictures) upon completion of the event.

I will ensure photos provided as part of the reporting process are only of people who have given their express permission for the images to be shared with Community Waitākere and our funders.

I understand that preference may be given to those who have not received Neighbours Aotearoa funding in the past two years.

I understand I must acknowledge the local board and Community Waitākere as supplying the grant in our collateral, invites and event.