Application Form v2

Name

This field is for validation purposes and should be left unchanged.

Eligibility Check

Before you begin your application, please confirm your organisation and project meet the Chenery Trust funding criteria.

Which best describes your organisation?*

If Other, please describe your organisation*

Is your organisation located in New Zealand?*

Yes

Is this funding for operational expenses such as salaries, wages, rent, administration costs, utilities, or general overheads?*

Yes

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This Application Does Not Meet Eligibility Criteria

Unfortunately, this application does not meet the current funding criteria set by the Trusts.

You're Eligible – Let's Continue Your Application

Thank you. Your application meets the initial eligibility criteria. Please continue with the full application below.

Date*

MM slash DD slash YYYY

Name of Applicant or Organisation*

Postal Address*

Contact Name*

Contact Ph Number*

Email Address*

Is the organisation registered for GST ?*

Yes

Is your organisation a registered Charity?*

Yes

Please enter your Charity Registration Number*

The story behind the application, “what is the funding for?”*

Bank Details

The Bank Account Name*

The Bank Account Number for the organisation*

Project Information

Has this project already started?*

Yes

What type of funding are you applying for?*

Does the project provide food, welfare support, or assistance to disadvantaged families?*

Yes

Who in the community will benefit from the funding and/or the project*

Approximately how many people will directly benefit from this project?*

1-20

21-50

51-100

101-500

500+

The Total Project Cost*

The Amount of Funding Requested from the Trusts*

Please enter a number less than or equal to 15000.

Have you previously received funding from the Trust?*

Yes

If yes, what was the year, amount, and purpose?*

The Amount of Funding provided by your Organisation for the Project

Are you seeking funding from other organisations for this project?*

Yes

From whom and how will additional funds be sourced?*

What other clubs or organisations will be providing funding?

Who is the lead funder for the project?*

The Date when funds are required*

MM slash DD slash YYYY

Community Organisations*

Please upload one of the following: a Certificate of Incorporation or Constitution, or a recent bank statement showing account ownership and organisation name.

Max. file size: 50 MB.

Rotary/Lions Clubs*

Please upload one of the following: club letterhead authorising this funding application, a bank verification document showing account details, or a letter of authority signed by the club executive committee.

Max. file size: 50 MB.

Schools*

Please upload one of the following: school letterhead confirming the funding application, or an official bank verification document showing school account details.

Max. file size: 50 MB.

Registered Charities*

Please upload one of the following: a recent bank statement showing organisation name and bank account number, a bank deposit slip, or a bank verification letter confirming account details.

Max. file size: 50 MB.

Evidence*

Please upload one of the following: a document that verifies your organisation’s legal status (such as a trust deed, constitution, or certificate of incorporation), or a recent bank statement showing organisation name and account ownership.

Max. file size: 50 MB.

Consent*

I certify that the information supplied in this application is true and accurate, and that the applicant organisation meets the eligibility requirements of the Chenery Trust. I acknowledge that the Trust may verify this information and reject or revoke funding if any information is found to be false or misleading.