Funding guidelines and application form - Home

Building Inclusive Businesses and Organisations
Funding Application Guidelines
Applications for grants of up to $500 are invited from businesses or community
organisations to assist them to:
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Increase the number of people with a disability as customers, members or
employees; or
Support customers, members or employees by providing accessible and
inclusive services, information or environments.
To be eligible for a grant, a business or community organisation must:
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Be located in the East Gippsland Shire.
Develop a plan listing intended actions (see details below).
Work in partnership with the Rural Access Project Officer
Applicants will be required to contribute to the proposal either financially or by
providing other in-house resources.
Priority will be given to proposals which:

Demonstrate a genuine commitment to improving access and inclusion of
people with a disability; or

Provide an ongoing impact on increasing the number of people with a
disability as customers, visitors or employees; or

Provide an accessible and inclusive service, information or environment for
customers, members of employees.
The funding for the grants is being provided by Rural Access - East Gippsland Shire
Council.
Examples of Proposals
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Undertake a process to develop a Disability Action Plan.
Undertake a process to obtain the Communication Access symbol for your
business or organisation.
Make some alterations to your premises to provide improved access for
employees, customers or visitors.
Deliver disability awareness training to your staff or members.
Provide information to your customers in different formats (e.g. large print,
pictures, audio or electronic formats).
Deliver a program or service that is accessible and inclusive.
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Plan Listing Intended Actions
This plan does not need to be complicated. All that is required is a list of intended
actions be included in your application (see Application Form).
Criteria for Allocation of Grants
All funding applications will be assessed against the following criteria:
 Genuine commitment to improving access and inclusion for people with a
disability.
 Ongoing impact on increasing the number of people with a disability as
customers, members or employees.
 Genuine commitment to providing an accessible and inclusive service,
information or environment for customers, visitors or employees
 Located within the East Gippsland Shire.
 Demonstrate the actions can be completed by 30th June 2016 and provide
evidence of the completed action/s.
 Applicants are required to partner with the Rural Access Project Officer.
Application Process and Closing Date
The application form is attached to these Guidelines.
Fill in the Application Form and send or email it to:
Rural Access Project Officer
East Gippsland Shire Council
P.O. Box 1618
Bairnsdale Vic 3875
Email: [email protected]
Applications close at 5.00 p.m.on Friday, 22 May 2015
Contact details: Rural Access Project Officer:
Phone: 5153 9500
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Building Inclusive Businesses and Organisations
- Funding Application Form
Business / Organisation
………………………………………………………………...
Contact Person
…………………………………………………..
Address
………………………………………………………………..
…………………………………. Postcode ………………..
Phone …………………….. Email ……………………………………………………….
Funding Requested
$ ……………….. (Up to $500)
Brief Description of Your Proposal
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
………………………………………………………………………………………………..
Plan and Costing
Please list the Intended Actions below with the amount of grant money allocated and
the contribution you will put towards the action.
Intended Action and Date of
Completion
$ Grant
Allocation
Your Contribution
Total
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How will your proposal have an ongoing impact on increasing the number of
people with a disability as customers, members or employees?
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………..
Is your business or community group Incorporated?
Yes: …………………..………….
(if yes, please provide a copy of the incorporation document).
No: …………………..………….
(if no, please name the auspice agency and provide a letter from the nominated
Organisation that indicates its willingness to accept management responsibility and
commitment to abide by the funding agreement). Details about what an auspice
agency is and the form to be completed is provided below:
Name …………………..…………. Date ……….………Signature …………………….
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Auspice Information
What is an auspice organisation?
Any legally constituted body may act as an auspice. The auspice organisation will
agree to receive any funds allocated and is responsible for the management of the
project and the acquital of grant funds. It is recommended that applicants have a
clear written agreement with the auspice organisation.
Why an auspice?
Many groups applying for funds may not have the need to be incorporated to meet
the needs of their project/s.
Roles and Responsibilities of Auspice Agenices
The auspice agency listed is fully responsible for the managemengt of all apsects of
the funded project including:
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Receipt, banking and administration of all monies;
Project Monitoring;
Providing the required evidence at the completion of the project;
Project Completion.
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Grant Auspice Request (complete if an orgnaisation has agreed for your project to
be under its auspices).
Section A: to be completed by the Grant Applicant
Applicant Name:
Contact Name:
Street Address:
Postal Address:
Telephone contact
number/s:
Email:
I wish the organisation noted below to receive the funds due from the above grant, as
I am entering into an auspice agreement with that organisation. I understand that
this does not alter in any way my liabilities under the Agreement relating to this grant.
Name:
Signature (or send in an authorisation via email with your application):
Date:
Section B: to be completed by the Auspice Organisation
We agree to take responsibility for administering the grant on behalf of the applicant.
We will forward an invoice/tax invoice (as applicable) for the full amount of the grant
within 14 days of receiving confirmation of approval.
Organisation Name:
Contact Name:
Street Address:
Postal Address:
Telephone contact
number/s:
Email:
What is your ABN?
Are you registered
Yes
for the purposes of
No
GST:
Name:
Signature (or send in an authorisation via email with your application):
Date:
Position:
Personal Information:
Personal information we collect from you in connection with applications to the Building
Inclusive Businesses and Organisations Grants will be used by the East Gippsland Shire
Council for the purpose of managing, asessing, advising upon and determining the relevant
application. Failure to provide the information may result in the grant auspice request not
being considered.
Personal information will be managed in accordance with the Privacy and Data Protection
Act 2014 and may be accessed by the individual to whom it relates on request to East
Gippsland Shire Council.
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