It is a requirement of receiving a Community Grant, Event or Sponsorship contribution for your project, event, sporting or cultural pursuits from the Coorong District Council that you complete this form.

The information you include on this form and the items you attach to demonstrate the completion of your activity are our record of how the Council’s funding has been utilised.

In accordance with our Community Grants, Sponsorship and Funding Policy (and Procedure) , this form must be completed within 3 months of project completion or prior to applying for funding within the same category, whichever comes first.

For any further questions or assistance please contact Council’s Community Development Special Projects Officer, Tammy O'Malley on 1300 7850 277 or by email to council@coorong.sa.gov.au

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1. Applicant Contact details (Required.)

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2. Total actual cost of project
(please also include the total amount of ‘in kind’ contributions)
(Required.)

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3. Funding amount received from Council
(Required.)

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4. Date funding was received

Date

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5. Please describe how Council’s contribution was used and how the project, event or activity undertaken has benefited your target group or sporting/cultural endeavours. (Required.)

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6. Evidence that your project has been completed
At least one of the following 3 boxes must be ticked as well as a copy attached.
(Required.)

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7. Please upload copies of the above evidence (Required.)

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8. Statement of Income and Expenditure
Please attach a statement showing all income and expenditure for the project for which funding was received. This document should be signed by the treasurer if this application is not being submitted by the treasurer.
(Required.)

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9. Paid invoices and receipts
Please attach all paid invoices and receipts relating to the expenditure of this funding (receipts/invoices must add up to at least the amount received by Council).
(Required.)

 
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