Contact details Organisation Contact Name Email address Position ABN Postal address Phone number Mobile Phone number Website Property details Please provide the details of the property for which you are applying for a rates subsidy Property address Lot/DP number Assessment Number (as shown on rate notice) Strategic alignment Please indicate alignment of your group to one or more of the following strategies from Maitland +10, our community strategic plan Please select Strengthened relationships with our Aboriginal and Torres Strait Islander people, their history and culture Making sure that all of Maitland’s citizens feel safe, valued, skilled and connected Recreation, sporting and leisure facilities keeping pace with community needs Cultural expression embraced and supported, growing and sustaining creative and connected communities Health, education and community services meeting our identified and anticipated needs Working together to end homelessness across the city Maintaining a focus on lifelong learning and collaborating to deliver a range of innovative programs and services. Briefly explain how the activities of your group contribute toward the above: Additional questions Does your group hold a liquor licence? Yes No Do you have gaming machines at your facility? Yes No Documentation Mission statement Organisation Mission Statement or Charter (upload)One file only.2 MB limit.Allowed types: pdf, doc, docx. Financial statements Financial Statements/Annual Report 2019/20 or 2020/21 (if available)One file only.2 MB limit.Allowed types: txt, rtf, pdf, doc, docx, xlsx, xml. Declaration I/we confirm that this application has been submitted with the full knowledge, support and approval of the responsible ratepaying organisation Yes I/we declare that all of the information contained in the application form and attachments is, to the best of my/our knowledge, accurate and correct Yes I/we apply for the rate subsidy for 2023/24 financial year Yes I/we understand that our application will be publicly reported to Council and the community Yes I/we understand that if approved by Council, the subsidy will be applied directly to the rate assessment Yes Verification Applicant name I verify that I am authorised to make this application on behalf of the above named organisation Yes Office Bearer name (if different from applicant) I verify that I am authorised to make this application on behalf of the above named organisation Yes The answer you entered for the CAPTCHA was not correct. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
