SWDC Building Lease Application Form

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* 1. I am applying to lease:

Old Library at Stella Bull Park, Greytown

Old Courthouse on Clifford Square, Featherston

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* 2. Your community group contact details

Community group name

Postal address

Phone

Organisation email

Website

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* 3. Contact person

Full name

Position

Daytime contact phone number

Postal address

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* 4. Length of proposed lease:

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* 5. Organisation type

Sole proprietorship

Registered charity

Charitable trust

Partnership

Incorporated society

Company

Trust

Other (please specify)

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* 6. Charity registration number

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* 7. Are you a not-for-profit?

Yes

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* 8. Under what governance structure does your group operate?

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* 9. What is the primary purpose of your group?

Sports/recreation

Childcare/education

Arts

Community

Social

Other (please specify)

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* 10. Please explain how your service benefits the community?

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* 11. Please explain how your service supports Council’s community outcomes as defined in the Long term plan - see page 16 of the Long term plan.

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* 12. Explain why your business requires a community occupancy lease or licence

What would your group do if Council land was not available?

What effect would this have on the group or its sustainability?

Would other options be feasible e.g shared facility?

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* 13. Describe your Community Group’s proposed use of the building:
What services will your community group use the building to provide e.g types of activities, services and programmes

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* 14. Does your proposal require the use of any outdoor space surrounding the building?

Yes

If yes please describe your proposed use of outdoor space and how much space you would require.

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* 15. How often will your community group use the building?
Please specify time of use and for what purpose e.g. 1-2pm meeting, yoga class 5-7pm.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 16. Will your Business/Community Group be sharing the building with other user groups i.e from outside of your organisation?

Yes

If yes please provide details, if no please comment on whether you would you be willing to share the property with other compatible groups?

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* 17. Do you propose to sub-lease the property?
Please note a sub-lease requires the Council’s approval, hireage does not

Yes

If yes please describe:

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* 18. Will there be any commercial activities undertaken from the facility?
Commercial activities require Council approval. One-off fundraising activities such as sausage sizzles do not require approval.

Yes

If yes, please outline entity that would operate commercial activity for what purpose and fill in the commercial activity form.

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* 19. Please describe how the activity may affect the amenity of other reserve/park users or neighbours? Consider:

Hours of operation

Noise (levels/hours/type)

Lighting (lux level, spread, hours)

Parking requirements or members /users and the effect of this on the users

Provision of a facility of the wider community or exclusion of other activities

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* 20. How long has your group/s been in existence?
Establishment date:

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* 21. Number of paid staff (part or full-time) and volunteers in the past year?

Paid staff

Volunteers

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* 22. Are there any restrictions on membership or participation. i.e. age, gender, location, limits on membership numbers?

Yes

If yes, please describe:

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* 23. Please provide details of the types of membership/services, fees and users/membership numbers over the past 12 months

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* 24. What is your membership trend over the last five years? (Increasing, stable, declining)

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* 25. Do you have any concerns about the sustainability of your group?
e.g. low membership, lack of available funds, lack of volunteers etc

Yes

If yes, please explain your concerns and your plans to increase sustainability in the future or alternate options e.g amalgamation, sharing building, regularly booking building

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* 26. Please provide financial summary from your last accounts (include income, expenditure, surplus/deficit, any government funding and current funds on hand)

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* 27. If you have any supplementary information to support your application, please upload the document here.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 28. DECLARATION

In making this application I declare I am authorised to do so and to the best of my knowledge the information provided is true and correct.

SWDC Building Lease Application Form - Community

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* 1. I am applying to lease:

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* 2. Your community group contact details

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* 3. Contact person

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* 4. Length of proposed lease:

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* 5. Organisation type

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* 6. Charity registration number

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* 7. Are you a not-for-profit?

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* 8. Under what governance structure does your group operate?

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* 9. What is the primary purpose of your group?

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* 10. Please explain how your service benefits the community?

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* 11. Please explain how your service supports Council’s community outcomes as defined in the Long term plan - see page 16 of the Long term plan.

Question Title

* 12. Explain why your business requires a community occupancy lease or licence What would your group do if Council land was not available? What effect would this have on the group or its sustainability? Would other options be feasible e.g shared facility?

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* 13. Describe your Community Group’s proposed use of the building:What services will your community group use the building to provide e.g types of activities, services and programmes

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* 14. Does your proposal require the use of any outdoor space surrounding the building?

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* 15. How often will your community group use the building?Please specify time of use and for what purpose e.g. 1-2pm meeting, yoga class 5-7pm.

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* 16. Will your Business/Community Group be sharing the building with other user groups i.e from outside of your organisation?

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* 17. Do you propose to sub-lease the property?Please note a sub-lease requires the Council’s approval, hireage does not

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* 18. Will there be any commercial activities undertaken from the facility?Commercial activities require Council approval. One-off fundraising activities such as sausage sizzles do not require approval.

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* 20. How long has your group/s been in existence? Establishment date:

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* 21. Number of paid staff (part or full-time) and volunteers in the past year?

Question Title

* 22. Are there any restrictions on membership or participation. i.e. age, gender, location, limits on membership numbers?

Question Title

* 23. Please provide details of the types of membership/services, fees and users/membership numbers over the past 12 months

Question Title

* 24. What is your membership trend over the last five years? (Increasing, stable, declining)

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* 25. Do you have any concerns about the sustainability of your group?e.g. low membership, lack of available funds, lack of volunteers etc

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* 26. Please provide financial summary from your last accounts (include income, expenditure, surplus/deficit, any government funding and current funds on hand)

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* 27. If you have any supplementary information to support your application, please upload the document here.

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* 28. DECLARATION

* 12. Explain why your business requires a community occupancy lease or licence

What would your group do if Council land was not available?

What effect would this have on the group or its sustainability?

Would other options be feasible e.g shared facility?

* 13. Describe your Community Group’s proposed use of the building:
What services will your community group use the building to provide e.g types of activities, services and programmes

* 15. How often will your community group use the building?
Please specify time of use and for what purpose e.g. 1-2pm meeting, yoga class 5-7pm.

* 17. Do you propose to sub-lease the property?
Please note a sub-lease requires the Council’s approval, hireage does not

* 18. Will there be any commercial activities undertaken from the facility?
Commercial activities require Council approval. One-off fundraising activities such as sausage sizzles do not require approval.

* 20. How long has your group/s been in existence?
Establishment date:

* 25. Do you have any concerns about the sustainability of your group?
e.g. low membership, lack of available funds, lack of volunteers etc