Community Partnerships Program (CPP)

Outcome Report

Please submit this report to Council within four (4) weeks of completion of the funded activity (excluding rate rebates and charge remission support).

Please note: Organisations that have not successfully submitted a Community Partnerships Outcome Report for a previously supported activity may not be eligible for future support under the program.

Purpose

Mareeba Shire Council values the contributions of community groups and the positive impacts your event, project or activity brings to the Shire.

Your organisation has received support from Mareeba Shire Council through the Community Partnerships Program (CPP). We'd like to hear how this support has assisted your organisation.

This form helps Council:

- Understand the outcomes achieved with CPP assistance
- Assess the benefits delivered to the community
- Gather stories, photos and testimonials for promoting the CPP program within the community.

Section 1 – Organisation & Event Details

Personal information will not be used for promotional purposes.

Organisation name: *

Contact person name (For internal reporting use only): *

Position in organisation: *

Phone Number: *

Email Address: *

Type of CPP assistance received from Council: (select all that apply) *

Cash DonationIn-kind assistanceCommunity loanOther or don't know (please specify below)

Please specify:

Section 2 – Event Summary

Personal information may or may not be used for promotional advertising purposes.

Event / Project / Activity name

Dates of event / project / activity *

Location of event / project / activity *

Estimated attendance / participation numbers:

Total: *

Breakdown of attendance numbers (if possible):

Number of local residents:

Number of participants from outside the shire:

Was the activity open to the whole community? *

Yes No (explain)

If no, please explain:

Did the activity align with one or more of these areas? (tick all that apply)

If other or none, please explain:

Section 3 – Outcomes & Benefits

Personal information may or may not be used for promotional advertising purposes.

Main achievements of your event/project/activity *

List the benefits to the Mareeba Shire community: *

Were there any unexpected positive outcomes? *

How has Councils support through CPP made a difference to your organisation / event / activity? *

List other partners/supporters and their contributions to your event / project / activity:

Section 4 – Promotion & Recognition

Personal information may or may not be used for promotional advertising purposes.

Has your organisation acknowledged Mareeba Shire Council’s support? If so, how: *

Did the event receive media coverage? *

Yes (If yes, please specify below)No

If yes, please provide details of media coverage and/or links here:

Section 5 – Evidence & Stories

Personal information may or may not be used for promotional advertising purposes.

If your organisation approves council to use feedback from this form for the promotion of the Community Partnerships Program within the Community, please attach 2–6 high-quality photos from your event / project / activity / facility (with permission for Council use online and in advertising).

By uploading images, you declare that you either:

own the image or have permission from the copyright owner to provide it to Council; and
where individuals are the primary focus of the image and are readily identifiable, you have obtained their consent (or the consent of a parent/guardian where required) for Council to publish and use the image.

Council may publish and use submitted images in print and digital communications, including websites, social media, reports, and marketing materials related to the Community Partnerships Program (CPP).

Contributors are encouraged to submit images that depict community events and activities in public settings, particularly where individuals are not the primary focus of the image.

Support Material 1

Browse

Support Material 2

Browse

Support Material 3

Browse

Support Material 4

Browse

Support Material 5

Browse

Support Material 6

Browse

Short story or testimonials illustrating the impact: *(This can include quotes from participants or members of the community group)

Section 6 – Future Plans

Personal information may or may not be used for promotional advertising purposes.

Do you plan to run this event / project / activity again? *

Yes (If yes, please specify below)No

If yes, how will you work towards increasing self-sufficiency and reduce reliance on Council assistance into the future?

Section 7 – Declaration

PRIVACY NOTICE: Mareeba Shire Council is collecting your personal information for reporting purposes and the opinions, feedback and images provided may be used by Mareeba Shire Council for promotion of the Community Partnerships Program within the community (advertising). Your personal information is handled in accordance with the Information Privacy Act 2009 and will be accessed by persons who have been authorised to do so. Your personal information will not be used for any purpose other than as stated above, or disclosed to any other person or entity unless you have given us permission or we are required by law. Please refer to Council’s QPP Privacy Policy for further information on access or correction of personal information held by Council.

I confirm that the information provided on this form is accurate. *

YesNo

I consent Council to use the supplied details, stories and / or images for reporting and promotion of the Community Partnerships Program (advertising). *

YesNo

Applicant Signature *

Draw signature|Type signatureClear

Name in full *

Position in organisation (if applicable)

Date *

Save and Complete Later