Sporting, Recreation and Development Donations

Sporting, Recreation and Development Donations
Team Name
Application Form
Individuals who have been selected to represent the State or Nation in an interstate or overseas competition in a sporting, recreational, educational or arts activity are eligible for one donation per financial year provided supporting documentation is included in the application. This application must be for an activity in the future, and that no retrospective funding will be granted.
Name of Applicant*
Age*
Name of Parent / Guardian (if under 18)
Residential Address*
Phone Number*
Email Address*
example@example.com
Date of Activity*

DayMonthYear
Location of Activity*
Type of Activity*
Championship / Performance Event*
Name of Organisation / Sporting Body applicant is representing*
Has the applicant applied for a donation with Armadale within the last 12 months?*

YesNo
Grant Amount*

$150 (local)$250 (interstate)$350 (international)
Costs
Please provide the costs involved in attending this activity with proof of costs.
Airfare*
Accommodation*
Uniform*
Other Travel Expenses
Total Costs*
Support Material
(Please provide copies of all of these documents with each application)*

Letter of invitation from the represented organisation or the relevant governing association of the activityEvidence of proof of address within the City of Armadale utility bill, rates notice etcProof of payment of travel expenses (receipts)
File Upload*

Please provide club selection letter, proof of address, proof of payments.
Cancelof
Declaration
I declare that the information that I have provided in this application is true and correct. I acknowledge that this application is for an activity in the future, and that no retrospective funding will be granted.
Name*
Signature*

Clear
Date*

DayMonthYear
Electronic Funds Transfer Form (EFT)
Electronic Fund Transfer (EFT) is the City's preferred method of payment. Funds will be deposited directly to your nominated bank account. A description will appear in on your bank statement to identify the payment . If there any changes to your banking details please let City- Finance department know immediately.

The City of Armadale will not be held responsible for any delays or errors in payment due to the factors out of the City’s control (including but not limited to those resulting from banking industry systems
Name*

Given Names(Surname)
Address*
Contact Number*
Email for remittance advices*
example@example.com
BSB*
Account number*
Bank name and branch*
Account name*
Declaration: I/We hereby acknowledge and accept the conditions of EFT as stated in this application
Signature*

Clear
Date*

DayMonthYear
Should be Empty:

Sporting, Recreation and Development Donations

Application Form

Costs

Support Material

Declaration

Electronic Funds Transfer Form (EFT)