The following must be read and accepted by the Primary Contact Person listed.
I/We hereby declare that the information supplied here on behalf of myself /our organisation, to the best of my/our knowledge, is true and correct and that I/we have the authority to make this application on behalf of our group (if applicable).
I/We hereby declare that we have a Health and Safety Plan in place for the project / programme.
I/We consent to Ashburton District Council collecting the personal contact details provided above, retaining and using these details for the purpose of review of the Community Project Grant. I/We acknowledge my/our right to have access to this information. This consent is given in accordance with the Privacy Act 1993.
I/We understand that my/our project/programme details may be used for promotion of the Community Project Grant and that I/we will be contacted if Ashburton District Council wishes to use these.
I/We understand that the funds received as a result of this application may only be used for the purpose in which they were granted and that a report form with supporting invoices must be submitted to Ashburton District Council on completion of the project / programme.
You must click "SUBMIT" below for your application to be submitted.
Please note you will be directed to a new page if correctly filled out and receive a confirmation email.
If you are directed back to the top of the page please scroll down to see what has been missed.