Get Going application form - Web viewImprove services to meet the needs of club . ... a project...

Application checklist

Please read the Get Going Guidelines (www.nprsr.qld.gov.au/getinthegame) and complete the following checklist prior to filling in the application form.

Have you read the guidelines for the program? This will assist you in clearly understanding the objectives of the program and whether your organisation or your project and its elements would be eligible for funding under Get Going.Do you know the following details of your organisation: legal name, ABN, Incorporation Number/Australian Company Number, whether registered for GST, postal address, street address/es and accountable officer details?

If your organisation has junior members, have you registered for Get Started?

Is your organisation compliant with its legal obligations as an incorporated organisation, e.g. do you have any outstanding issues with the Office of Fair Trading (refer to guidelines)?

If you have any projects already funded by the department, have you met all of the department’s requirements for that project?

Have you clearly determined how the project relates to the Get Going program objectives?

Have you consulted with the committee, members and other groups that could be interested or involved in the project?

Have you considered the providers and/or suppliers for the project?

Have you planned timeframes for the project delivery (if relevant)?

Have you considered how much the project will cost?

It is advised that you contact your nearest Sport and Recreation Services regional office to discuss your project prior to submitting an application form. Contact details can be found on the department’s website at www.nprsr.qld.gov.au/contactus/offices or telephone 1300 656 191.

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http://www.nprsr.qld.gov.au/contactus/offices

http://www.nprsr.qld.gov.au/getinthegame

This application form is for Get Going. Organisations may only apply for one project under this program. Refer to the guidelines for the program at www.nprsr.qld.gov.au /getinthegame .

Organisation details 1 Applicant organisation details

Full legal/incorporated name

ABN (Successful applicants will require an ABN)

Incorporation Number/Australian Company Number

GST registered? Yes No

Postal address

Postal address

Suburb/town

State/postcode

Street address

Street address

Suburb/town

State/postcode

Organisation contact details

Telephone

Fax

Email address

Accountable officer (e.g. President, Chief Executive Officer, Management Committee Member - all correspondence will be sent to this person)

Mr/Mrs/Ms/Miss

Full name

Job title

Telephone Mobile

Fax

Email address

Under which Act are you incorporated? (Tick the relevant box)

Associations Incorporation Act 1981 (Qld)

Corporations Act 2001 (Cwlth)

Cooperatives Act 2002 (Cwlth)

Corporations (Aboriginal and Torres Strait Islander) Act 2006 (Cwlth)

Other (please specify)

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2 Does your organisation provide sport/recreation activities for children and young people from the age of five and under the age of 18?

Yes (continue to question 3)

Yes, but we do not have active members that join our organisation (e.g. regional association) (continue to Project details, question 4)

No (continue to Project details, question 4)

3 If you answered ‘Yes’ above (and have active junior members), has your organisation registered for Get Started? Yes (continue to Project details, question 4)

No - your organisation is not eligible for funding under Get Going until registered for Get Started. Please review the Get Going guidelines or contact your nearest Sport and Recreation Services regional office on 1300 656 191.

4 Has your organisation consulted with a Sport and Recreation Services regional advisor? (Refer to page 11 of guidelines for contact details)

Yes

No

Project details5 Who is the contact person for this project? (if same as accountable officer, write ‘as above’)

Mr/Mrs/Ms/Miss

Full name

Job title

Telephone Mobile

Fax

Email address

6 What are the Lot and Plan numbers for the project? (If the project is across multiple sites, use the organisation’s street address as the property description. If you are unsure, check your rates notice, certificate of title or contact your local council for details)

Lot number

Plan number

7 What is the physical address of the project? (If the project is across multiple sites, use the organisation’s street address)

No./park name

Street address

Suburb/town

State QLD Postcode

8 Please write a summary of the project you are applying for. (Word limit of 100 words)

e.g. Conducting an 8 week program for primary school students at nearby schools to encourage new active members to the club by providing lunchtime activities in basketball, netball, touch football and AFL.

9 Has your organisation previously been funded for a project under Get Going? Yes (Please note your project may be considered a low priority dependent on the demand for the program)

No

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NeedThe following questions relate to the key assessment criteria of need, program priorities and ability to deliver. You need to demonstrate you have undertaken an appropriate level of planning for your project.10 Outline current membership information and the sport/recreation activities provided for your members. (Refer to

the program guidelines for the definition and classification of ‘active members’ for this program) Membership information

2014 members (current)

Member type Female Male

Senior members Junior members Event/Program participants

Current sport/recreation activities provided for members

11 Clearly identify WHY you need to: (Only answer the questions that apply to your project)

(a) increase your club’s active membership

(b) improve services and activities for active members

(c) increase the number and/or skills of your volunteers

(d) coordinate projects to support new active members

12 WHAT consultation did you undertake during the development of your project? (Only include information on stakeholders that have a direct relationship to the project)

Who did you consult?(position)

What interest does this organisation have in the project?

What is their involvement/contribution to the project?

Own organisation Who?

State level organisation/sWho?

Local council/sWho?

Other club/sWho?

Local community organisation/sWho?

Local school/sWho?

OtherWho?

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Program priorities

13 Please describe HOW the proposed project will meet one or more of the program objectives below. (Only include responses to the objectives that apply to your project)

Increase your club’s active membership

Develop better programs and services so more Queenslanders become active members of your club

Improve services to meet the needs of club active members

Women and girls

14 (a) Is the proposed project aimed at attracting, retaining and/or accommodating active female members? Yes

No (go to question 15)

(b) Describe how the project would attract, retain and/or accommodate active female members outside of your normal membership drives and the objectives of your organisation?

15 What activities/equipment will be delivered/purchased as part of the project? Complete the table below, and ensure that measures specifically relate to the project you expect to deliver (examples of project activities and what to measure are provided below).

Activity/equipment What will be measured?

training accreditation attendance at workshop/conference/

seminar/professional development volunteer recognition events

number of participants

sport and recreation equipment equipment purchased

participation activities delivery of workshop/conference/seminar/

professional development volunteer recruitment

number of hours

Activity/equipment Expected outcomes What will be measured? Current level Target

e.g. Level 1 coach accreditation for four new female coaches

New female coaches will provide a better standard of coaching to new girls under 7s and under 8s teams

e.g. Number of new coaches undertaking training e.g. 0 e.g. 4

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Ability to deliver16 Provide a breakdown of all costs associated with the delivery of your activities/purchase of equipment. All costs

are to be exclusive of GST. (Organisations not registered for GST will need to consider the impact of GST on the overall costs for delivering the project, as the GST component of project costs cannot be claimed when acquitting the funding. Any unspent funds will need to be refunded to the department as the GST exclusive amount.)

Consider the following expenses when developing your budget:

Volunteer education/training costs Advertising and promotion

Travel and accommodation Equipment purchase/hire

Postage/freight Meeting costs (catering costs not eligible)

Refer to the National Standard Chart of Accounts - Expenses section to assist with the categories of expenses that your project items will relate to – expand on these where necessary (you can download the tables at wiki.qut.edu.au/display/CPNS/National)

Item description Cost per item Quantity Requested under Get

Going?Project costs

(ex GST)

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

$ $

Total project costs (ex GST) $

Your organisation’s contribution (ex GST) $

Amount requested under Get Going (ex GST) $

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https://wiki.qut.edu.au/display/CPNS/National

17 Provide details of how your organisation will fund its contribution towards the cost of the project. (Only complete if total project cost is over the amount requested for eligible project costs)

Your contribution/funding sources Amount (GST exclusive)

Cash at bank (your organisation’s contribution if applicable)* $

Donations received $

Other cash contributions (please specify)*:

1. $

2. $

3. $

4. $

5. $

Total contribution (ex GST) $ * Please provide details of the composition of financial contribution to the project e.g. cash at bank, cash donations. Include

details of funding that has been sourced from other State or Commonwealth government agencies and the current status, e.g. has it been approved.

You will need to include relevant documentation confirming the sources of funding (e.g. a copy of your bank account, copy of a letter from your lender(s) confirming a loan and/or copy of a letter confirming cash donation/other grant).

Organisations not registered for GST will need to consider the impact of GST on the overall costs for delivering the project, as the GST component of project costs cannot be claimed when acquitting the funding. Any unspent funds from organisations not registered for GST will need to be refunded to the department as the GST exclusive amount.

Question 18 relates to the activities being delivered and whether you have appropriately qualified and accredited providers that can deliver within the project timeframes. If this is not applicable, go to question 19. If there is no equipment being purchased, then go question 20.

18 (a) Have you confirmed the availability of the individual/organisation providing project activities so they are delivered within the program timeframes?

Yes

No

Not applicable

(b) What qualifications and/or accreditation does the individual and/or organisation providing the services have to be able to provide these activities?

19 Have you confirmed that the equipment will be available for delivery within the project timeframes?

Yes

No

Note: Have you demonstrated how this equipment will support new members or help to attract new participants in question 13.

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20 Complete the table below, outlining the key milestones for your project. (If you are seeking funding for equipment purchases only, do not complete the table)

Task Responsible person

Estimated start date

Estimated finish date

Determine project committee (including key stakeholders) for the project

Assign person to be responsible for overseeing delivery of project

Develop project scope, including required resources and expected outcomes

Complete project delivery

Follow up/evaluation of project, including collection of numbers involved in project and recommendations for future projects

Provide grant acquittal/project report to department

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Funding Terms and ConditionsThe following terms and conditions will apply to the funding if this application is approved. If the application is successful, then a letter of approval will be issued.

A. ‘Department’ means the State of Queensland through the Department of National Parks, Recreation, Sport and Racing. B. ‘Organisation’ means the organisation specified in Question 1 of the Application Form which has been approved to

receive funding under the Get Going Program.C. ‘Approved Funding’ means that amount as stipulated in the Department’s notification letter.D. ‘Get Going Guidelines’ means the Get Going Guidelines available at www.nprsr.qld.gov.au/getinthegame.E. ‘Approved Project’ means the project outlined in Question 6, 7 and 16 of your application and approved by the

Department, as stipulated in the Department’s notification letter.F. ‘Funding Agreement’ means the Department’s notification letter (including any attachments), this application form

(including these Funding Terms and Conditions) and the Get Going Guidelines.

1. In consideration of the Organisation complying with these Funding Terms and Conditions, the Department will provide the Organisation with the Approved Funding in accordance with the Organisation’s details specified in Schedule 1, within 30 days of the later of the following:a. the date of the Department’s notification letter or execution of an additional funding agreement, if required; and b. the Organisation providing the Department with notification of the Organisation’s ABN.

2. The Organisation’s use of the Approved Funding will be deemed as acceptance of these Funding Terms and Conditions. The Funding Agreement commences on the day the Approved Funds are deposited into the Organisation’s bank account and ends 30 days after the submission of all reports and acquittals under clause 5.h to the Department’s satisfaction, unless terminated earlier in accordance with clauses 15 or 16. The Department may in its absolute discretion, require the Organisation to enter into an additional funding agreement in circumstances for example, if the Department determines that the project is complex. If the Department’s notification letter requires entering into an additional funding agreement, then these Funding Terms and Conditions will not apply upon execution of that agreement.

3. Payments will be paid by electronic transfer in accordance with the bank account details specified in the EFT Form in Schedule 1. Any changes to bank details is subject to the Organisation providing either a bank statement which details the Organisation’s account information or a letter from the financial institution with details of the Organisation’s account for the payment of the Approved Funding.

4. The Approved Project must be completed by 31 December 2015. 5. The Organisation agrees to:

a. spend the Approved Funding on the Approved Project, and for no other purpose;b. spend the Approved Funding by 31 December 2015, unless a written request for an extension of time is approved at

the absolute discretion of the Department;c. be responsible for providing any additional funds (in excess of the Approved Funding) required to complete the

Approved Project;d. obtain an Australian Business Number (ABN), where the Organisation does not already have an ABN;e. keep accurate records and accounts of expenditure of the Approved Funding;f. obtain the Department’s prior written approval for all variations to the Approved Project;g. provide the Department with all information the Department reasonably requires in relation to the Approved Project and

the acquittal of the Approved Funding;h. provide the following reports and acquittals by 31 January 2016 in the form required by the Department:

i. financial declaration stating that the Approved Funding has been spent in accordance with the Funding Agreement; and

ii. a project report on the outcomes for the Approved Project;i. acknowledge the Queensland Government’s funding contribution as specified at

http://www.nprsr.qld.gov.au/funding/acknowledgement/index.html; j. return to the Department any unspent Approved Funding determined by the Department as being uncommitted:

i. in accordance with the notice provided in clause 17, where the Funding Agreement is terminated by the Department; and

ii. immediately where the Organisation terminates the Funding Agreement pursuant to clause 16;k. return to the Department by 31 January 2016 any Approved Funding not expended;l. maintain public liability insurance for a sum of not less than $10 million for any one event and workers compensation

for a sum as required by law. Certificates of Currency must be provided at any time during upon the request of the Department;

m. keep all records relating to the Approved Project for a period of seven years, and permit the Department access to such records for audit for any reasonable time;

n. provide to the Department any additional information as requested by the Department, in relation to the Approved Project and Approved Funding;

o. comply with all relevant acts, subordinate legislation and lawful requirements in carrying out the Approved Project;p. keep secure and not disclose to a third party, any of the Department’s confidential information without first seeking the

Department’s consent; andq. comply with any Special Conditions specified in the Department’s letter of approval.

6. The Organisation agrees that if it spends the Approved Funding or any part of the Approved Funding for any other purposes other than those allowed by the Funding Agreement, or fails to return unspent money to the Department, that amount will be deemed to be a debt due and payable to Department.

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7. The Organisation agrees to release, discharge, indemnify, hold harmless and keep indemnified the State of Queensland, its employees and agents from and against any loss, damages, claims, legal costs, expenses and costs arising from:a. the Organisation’s non-compliance with the Funding Agreement; b. any negligent act or omission or wilful misconduct by the Organisation, its employees, contractors or agents;c. contravention by the Organisation of any legislative requirement;d. the death, injury, loss or damage to any person; ore. an actual or threatened breach of any third party’s intellectual property rights or moral rights.

8. The Organisation agrees that the Department may disclose to third parties:a. some or all of the information contained in the application form or Funding Agreement; andb. the Organisation’s general details and information concerning the Approved Project; to publicise funding arrangements and programs of the Department.

9. Ownership of all intellectual property rights in all material the Organisation creates pursuant to the Approved Project ("the Material") vests in the Organisation.

10. The Organisation grants the Department a perpetual, irrevocable, royalty-free, world wide and non-exclusive licence (including a right to sub-licence) to use, communicate, reproduce, publish, adapt, and modify, the Material for any purpose.

11. The Approved Funding is exclusive of Goods and Services Tax or similar tax, levy or impost imposed by the Commonwealth (‘GST’).

12. Where the Organisation is registered for GST:a. the Department will pay the Organisation the GST amount at the same time as paying the Approved Funding;b. the Organisation agrees to allow the Department to issue the Organisation with a Recipient Created Tax Invoice (RCTI)

in respect of GST applicable to advances of the Approved Funding. The following requirements will apply for the duration of the Funding Agreement:

i. the Department can issue the Organisation with an RCTI in respect of the supplies;ii. the Organisation will not issue tax invoices in respect of the supplies for which the Department issues RCTIs;iii. the Organisation acknowledges that it is registered for GST and agrees to notify the Department if the

Organisation ceases to be registered; iv. the Department acknowledges that it is registered for GST and agrees to notify the Organisation if the Department

ceases to be registered for GST;v. by fulfilling all these conditions the Department will issue a RCTI upon each payment made to the Organisation

under the Funding Agreement; andvi. both parties to this supply agree that they are parties to an RCTI agreement as outlined in GSTR2000/10.

c. The Organisation agreed to notify the Department if it does not wish to accept this arrangement.13. Where the Organisation is not registered for GST, the GST amount will not be added to the Approved Funding, and the

Department will issue an Advice of Payment for the Approved Funding.14. When providing the final acquittal for the Approved Funding under clause 5.h, the Organisation agrees that these amounts

will be the GST exclusive amounts, whether the Organisation is registered or not registered for GST.15. The Organisation will be in breach of the Funding Agreement and the Department may suspend or terminate the Funding

Agreement if:a. the Organisation does not comply with a notice to remedy a default of any provision in the Funding Agreement; orb. the Organisation becomes insolvent, enter into external administration, are wound up or in the Department’s opinion,

suffer financial distress which may have an adverse effect on the Organisation’s ability to complete the Approved Project.

16. Either party may terminate the Funding Agreement for any reason, on the provision of one month’s written notice to the other party.

17. If the Funding Agreement is terminated by the Department under clause 15 or 16, the Organisation agrees to comply with the requirements specified in any notice given by the Department, including any directions regarding the return of any unspent part of the Approved Funding.

18. Generala. The Organisation agrees that it will not assign or subcontract its rights and obligations in relation to the Approved

Project, without the Department’s prior written consent. b. No rights under the Funding Agreement will be waived except by notice in writing signed by each party.c. The Approved Project is governed by the laws of the State of Queensland. d. All notices under the Funding Agreement must be in writing and may be delivered by hand, pre-paid post, or fax to the

other party, unless a specific mode of delivery is specified by either party. In the case of the Organisation, notices are to be provided to the Accountable Officer in Question 1 of the application form.

e. If any provision of the Funding Agreement is held to be illegal or unenforceable, the provision will be severed from the Funding Agreement and the remaining provisions will govern the relationship of the parties.

f. Clauses 5,6,7,8 and 10 will survive expiration or termination of the Funding Agreement. 19. If there is any ambiguity in or inconsistency between the various parts of the Funding Agreement, the following order of

precedence applies to resolve the ambiguity or inconsistency:a. the Department’s notification letter;b. these Funding Terms and Conditions;c. the application form (excluding the Funding Terms and Condition); andd. the Get Going Guidelines.

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Application checklistPlease ensure you complete the following checklist

Have you completed the Organisational details?

Have you completed the Project details?

Have you provided information in the Need section relating to membership numbers, project need and your consultation process?

Have you clearly outlined the specific project/items you are seeking funding for?

Have you confirmed that the individual/organisation who will provide the activities/equipment will be available to deliver during the funding period?

Have you considered the timeframes and who will be responsible for ensuring the project will be delivered, should it be funded?

Have you confirmed your sources of funding (if required) to cover your contribution for the project?

Has a member of your organisation’s management committee signed the Declaration?

Feedback How long did it take you to complete the application form (not including preparation time for the project)? mins.

How simple was it to complete the application form?

Extremely complex Complex Neutral Simple Extremely simple

How easy did you find the application process for your project (including planning)?

Extremely difficult Difficult Neutral Easy Extremely easy

DeclarationPlease have one member of your organisation’s management committee complete the details below and sign for and on behalf of your organisation.

I declare that I have been authorised by the applicant organisation to submit this application for funding under Get Going.

I declare that all information relating to the organisation and the project is true and correct.

Full name

Position

Organisation name

Signature

Date

Organisation contact details will be included in a database for future mailouts and emails. If you do not wish to receive this information, please tick the box below:

I would not like to be included in a mailing list for further mail outs and emails about the department's services and initiatives in my local area.

PRIVACY NOTICEThe Department of National Parks, Recreation, Sport and Racing is collecting the information on this form to assess applications for funding under Get Going. Information will also be used to help the department monitor and evaluate programs and resources. This information will only be accessed by authorised employees within the department. The department will disclose details of approved funding and details of accountable officers (such as name, position in the organisation, and telephone number) to local Members of Parliament. Information on approved organisations and details of approved projects, such as funding approved and location of the project will also be made available on the department’s website and may be provided to local governments and relevant sport and recreation organisations for the purpose of advice on approved project information. Your information will not be disclosed to any other parties unless authorised or required by law.

If you have any further questions regarding privacy, please contact the department’s Privacy Contact Officer at [email protected].

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mailto:[email protected]

Schedule 1Payment by Electronic Funds TransferThis form must be completed as it is used to arrange payment of the funding, should your organisation be successful in receiving funding from the department.

The Department of National Parks, Recreation, Sport and Racing (the Department), can provide prompt payment by Electronic Funds Transfer (EFT). Payment by this method is faster, more convenient and more secure. Please note the following: you will receive a remittance advice giving details of the invoices/items paid. If you do not nominate an email address or a fax

number, the advice will be posted on the day the transfer is made. all sections of the form must be completed. If you do not know the BSB number, please obtain this information from your

financial institution. please advise the Department if you change any details of your bank account, or the email address/fax number to which the

remittance advice should be sent. If there is a change in bank account details then you will need to also provide a bank statement or letter provided by the bank

confirming the new bank details. the Department is under no obligation to verify the bank account details provided. payment will be deemed to have been made when the Department has instructed its bank to credit your nominated account. the Department will not be responsible for delays in payment or errors due to factors outside reasonable control of the

Department. These may include, but are not limited to, delays or errors in the banking system or errors in the account details provided below.

the Organisation agrees to repay the Department on demand any payments credited to the Organisation in error, and the Department reserves the right to offset the amount of any overpayment credited to the Organisation in error against any future debt or liability owing by the Department to the organisation.

Organisation details

Legal name

ABN

Postal address

Telephone

Fax

Email

Bank details

Account name

BSB number -

Account numberFull name of bank or institution

The Department of National Parks, Recreation, Sport and Racing (the Department), is collecting the information on this form to create/update your details on our Financial Management System. This is authorised by the Public Service Act 2008 and the Financial Accountability Act 2009. The Department may give some or all of this information to your Financial Institution and the Queensland Audit Office. Unless otherwise stated, any personal information collected on this form will be used only for the purpose for which it was obtained and will be disclosed only for that purpose, or as required by law. Information collected on this form will be retained as requested by the Public Records Act 2002 and other relevant Acts and Regulations and is subject to Freedom of Information regime, established by the Right to Information Act 2009. For more information on the Department’s privacy policy, please phone the Privacy Contact Officer on (07) 3237 0098.

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