Community Partnerships Program Application

Community Partnerships Program Application Form

(New Requests)

The Community Partnerships Program is designed to support the volunteer efforts of community groups and contribute to community-led events, projects and activities that deliver social, economic, environmental and cultural benefits to the local community.

The Community Partnership Program Policy and Procedure provides details about how requests for Council assistance are managed, including eligibility criteria and conditions of approval.

Applicant Details

Name of organisation *

Is the organisation a not-for-profit? *

YesNo

Contact person *

Email address *

Contact number *

Postal address *

Event/Activity Details

Event/activity name *

Event/activity description *

Date of event/activity *

Location of event/activity *

Are there plans to make this an annual event? *

YesNo

Will attendees be charged an entry fee? *

YesNo

Is the event/activity funded by either the State or Federal Government? *

YesNo

Type of Assistance

(a) Loan of equipment and other in-kind assistance

(Please indicate the number of equipment items requested and provide more detail where required)

Tables

Bollards

Chairs

Bunting (flags)

Traffic cones

Rubbish binsWaste disposal and costs are the responsibility of the applicant.

Other equipment: (please specify items and number required)

Other in-kind assistance: (please specify type of assistance)

Please indicate what date you will collect and return equipment items

(Note: Council does not offer delivery and collection of equipment. Applicants must be able to collect and return equipment to/from Mareeba Council Depot during business hours)

Collection Date

Return Date

(b) Cash Donation

How much cash assistance is required?

Why is the donation required? (Include expenses to be paid) (Note: A Council Officer will contact you if further documents are required to support your application)

(c) Rate Rebates and Remissions and Water Consumption Donation

Please use Application for Remission for Not for Profit Organisations.

(d) Interest-free Loan

Please refer to the Community Loans Policy and contact the Community Services Team on 1300 308 461 to discuss this option with a Council Officer.

Community Benefit

How will the event/activity benefit the local community? (eg: social, cultural and economic benefits) *

Who else is supporting this event/activity and what is their contribution? *

Is Council’s support critical to the success of the event/activity? Please explain why? *

Priority is provided to applications that demonstrate that the contribution by Council cannot be provided by any other partner and is crucial to the success of the event, project or activity.

Have you applied for any other funding for this event or activity? *

YesNo

If yes, please provide proof of any unsuccessful applications here (if applicable)

Browse

Further Information for Event/Activity Organisers

If the event is to be held in a Council Park or Hall please complete an Application for Park Hire or Application for Facility Hire Form.
If the event will impact traffic conditions, MSC and DTMR Road Permits may be required.
A MSC Temporary Entertainment Event Permit may be required for public events with more than 100 attendees.

Application Instructions

Please submit your application at least SIX weeks prior to the date assistance is required by:

Email: communitywellbeing@msc.qld.gov.au

Post: Mareeba Shire Council, PO Box 154, QLD 4880

In Person: 65 Rankin St, Mareeba QLD 4880

For further information or assistance completing the form contact MSC Community Services Team on 1300 308 461 or via email at communitywellbeing@msc.qld.gov.au

Declaration

I declare that the information provided by me in this application is true and correct and I consent to Mareeba Shire Council making additional enquiries with any Local, State or Commonwealth authority regarding any matters relevant to this application.

I have reviewed Mareeba Shire Council's event requirements and procedures and have determined whether any additional permits, approvals, or bookings are required for this event. Where applicable, I will obtain and comply with all relevant requirements and processes.

I understand that successful applicants are required to provide Council with a completed Community Partnerships Program Outcome Report within four (4) weeks of completion of the funded activity (excluding rate rebates and charge remission support). Organisations that have not successfully submitted a Community Partnerships Program Outcome Report for a previously supported activity may not be eligible for future support under the program.

Applicant signature *

Draw signature|Type signatureClear

Date *

Collection Notice: Mareeba Shire Council is collecting your personal information in order to process your request. Your personal information will not be used for any other purpose and will not be disclosed to any other entity or person without your express consent or we are required by law. Your personal information will be handled in accordance with the provisions contained within the Information Privacy Act 2009 (Qld). Please refer to Council’s QPP Privacy Policy for further information on access or correction of personal information held by Council.