Community Assistance Grants and Sponsorship Application 2025-2026

Community Assistance Grants and Sponsorship Funding applications close:

12pm on Friday, 26 June 2026.

It is a condition of funding that the Applicant:

• Contact Alison Reliti, on 9576 4645, to discuss their application

• Attend the grants information session Monday, 18 May 2026 before making their submission.

Please register via email to funding@chittering.wa.gov.au

Section A: PROJECT / EVENT SUMMARY

Name of Organisation*

Project or Event Title*

Project or Event Start Date*

Project or Event Finish Date

Total Project or Event Cost*

Requested Funding*

Date Shire Officer was Contacted*

Community Grants Workshop*

YesNo

Will you need any of the following equipment?

CinemaSignageMarqueesWorks

A temporary booking will be recorded for the event date listed above. You will then be sent hire forms which will need to be completed and returned immediately, along with any relevant payments to confirm your booking.

Section B: ORGANISATION DETAILS

Postal Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact Person*

Phone Number*

Email Address*

ABN

If you do not have an ABN, please download, complete and enclose a Statement by Supplier Form available from www.ato.gov.au/forms/statement-by-a-supplier-not-quoting-an-abn/

Upload your Statement by Supplier Form

Max File Size: 50.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Is your organisation registered for GST?*

YesNo

Do you have Public Liability Insurance?*

YesNo

Upload your Public Liability Insurance

Max File Size: 50.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Have you checked with your insurer that it covers your proposed activity or event?*

YesNo

Is your organisation incorporated?*

YesNo

Upload your Certificate of Incorporation

Max File Size: 50.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

AUSPICING ORGANISATION DETAILS (if applicable)

Please attach a copy of your auspicing agreement

Max File Size: 50.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Organisation Name*

Organisation Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact Person*

Position*

If the Auspice is a State Governing Body, who will be managing the funding and acquittal for this grant application?

OrganisationAuspicing Organisation

Section C: FUNDING CATEGORY

Please identify which of the following funding categories you are applying for. You will be required to submit an individual form for each category you are requesting funding for.*

Community Events and Programs
Capacity Building and Volunteer Support Initiatives
Capital Infrastructure, Signage and Equipment

Section D: PROJECT DETAILS / EVENT DETAILS (PROGRAM LOGIC)

To assist the Working Group to assess your application, please provide details of your project, including its benefit to the residents of the Shire of Chittering.

You are welcome to attach additional pages, or your Project Plan, should there be insufficient space.

Proposed Actions / Purchases

What do you hope to achieve from your project or event?

Have you identified any risks to your project or event? If so, provide details about the risks and how you plan to mitigate them.

Attach your Risk Management Plan if you have one

Max File Size: 100.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Who will benefit from your project or event? You may choose more than one

Our OrganisationOur Local CommunityWhole of the ShireAdults 18+
Local BusinessVisitorsKids 0-5Kids 6-10
Youth 10-17SeniorsElderly / VulnerableOther

If other, please list*

Which Council Strategic Community Plan OUTCOME does your project best align with?

Inclusive, Active, and Resilient CommunitySustainable and Environmentally Responsible FutureBalance Between Development and ConversationStimulate Sustainable Economic Growth

Any additional information you would like to include

Max File Size: 100.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Section E: BUDGET

INCOME
Income Sources	Cash (GST excl)	In-Kind Contribution	Confirmed (yes/no)
Own (Applicant's) Organisation Contribution
Shire of Chittering Grant or Sponsorship Requested Funding
List other sources such as grants being applied for or local sponsorship

EXPENDITURE
Item(s) Description	Cash (GST excl)	In-Kind	Total










Total $ cost of items

Upload your Budget Document

Max File Size: 50.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Section F: DECLARATION

I hereby declare that the information supplied here on behalf of the named organisation is correct. We consent to the Shire of Chittering collecting the personal contact details provided above. We acknowledge the Shire of Chittering’s right to have access to our personal information, in accordance with the Privacy Act 2000. The named organisation agrees that should we be successful, we agree to sign the Shire of Chittering Funding Agreement as per the Community Assistance Grants and Sponsorship Guidelines provided to us. We, as the authorised contacts of the named organisations also declare that we have read the Shire of Chittering Community Assistance Grants and Sponsorship Guidelines and agree to comply with the provisions included.

Name

Date*

Position

Signature