Pt Chev RSA Form

Point Chevalier Veterans Their Families and Community Trust Grant Application Form

Use the form below to apply to the Point Chevalier Veterans Their Families and Community Trust Grant round.

Please make sure you have read our Guidance Notes and checked your eligibility before applying. If you are unsure, or have any questions about your application, please contact Auckland Foundation. You can save your progress, and come back to complete the form at any time, as long as you use the same computer/device.

If you or someone you know needs additional support, there are several services available to veterans in Aotearoa New Zealand. These include: Veterans’ Affairs New Zealand,....

If you need support filling out this application, please don’t hesitate to contact our friendly team at Auckland Foundation via email: info@aucklandfoundation.org.nz

General Information

First name of applicant *

Last name of applicant *

Address of applicant *

Applicant email address *

Applicant phone number *

Date of birth *

Is the applicant a veteran/service person or a partner / Dependent? *

If the applicant is a partner or family please provide the FULL NAME of the Veteran/Service person that they are related to:

Date of birth of the Veteran/Service person

What is the relationship of the applicant to the Veteran/Service Person

Military Service number of the Service Person / Veteran

Which Service do / did they belong to?

Is this person currently serving in the military?

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Your Application

How much ($ value, including GST) are you applying for? (If you want money for several purposes - please list them). *

Please supply quotes or invoices to support your application and, if the application relates to home improvements, please provide legal description and confirm who owns the property. (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)

What will you do with the money? (How will this grant help to you?) *

Please provide clear details of your personal financial situation and circumstances to show why you are unable to fund the goods or services which you are seeking from the grant. *

Attach files here for the above question if needed (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)

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Payment of Grants

All grants are paid by direct credit into a bank account. Please complete details bellow and provide evidence to verify the bank account details. (Applications for services/goods will be paid directly to the supplier.)

Name on bank account *

Name of Bank Branch *

Full Account Number *

Proof of Bank Account (please upload a screenshot or image) * (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)

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Evidence

Please supply any evidence to support this application. Evidence is: invoices, quotes, bank statements, medical documents, referral letters. You must provide invoices when the application is for services/goods

File upload here (jpeg, png, word doc, excel, csv, or pdf. 50MB Max)

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Declaration

I consent to Auckland Foundation sharing my information with other organisations or private persons for the purpose of determining whether they can help me with funding assistance. *

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Information Sharing

By signing this application form; you consent to the Auckland Foundation sharing information with, and gathering information from, other organisations or private persons, for the purpose of assessing the application.

I certify that to the best of my knowledge the information in this application is complete and correct. *

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Declaration

Please write your name in the field provided as confirmation of your application *

Please write the name of the person who filled out the form, if not the applicant

Please tick here to confirm that you have read the eligibility guidelines and your application meets all the criteria. *

Date *