You can either use the application form provided on this web site, or you can use your own format, provided all the questions set out below are answered fully.
Please provide 6 copies of all application material (photocopies acceptable). Alternatively you may submit your application by email to: Road.Safetytrust@roadsafety.govt.nz
Receipt of your application will be confirmed by letter. Applications that do not provide all the necessary information, or are received after the close off date, will be returned to the applicant. Please contact the Trust Executive Officer if you have any questions about how to apply.
You will be informed of the Trust’s decision approximately two months after the close off date for applications. The Trust’s decision will be final and no correspondence will be entered into.
1. Details of applicant
Name of applicant/organisation/body
State the name of the community organisation applying for funding. (This is the name of the organisation that will invoice the Trust for project costs if the application is successful).
Legal status of organisation
State the type of organisation eg charitable trust/other. Please provide also a copy of your organisation’s certificate of incorporation and the names of all office holders and trustees.
State the amount you are seeking from the Trust (GST exclusive).
If your project does not have a name, please give a very brief description.
Position held by applicant
State your position within the community organisation – (eg Chair, Director, Trustee).
State the qualifications, accredited or otherwise, and experience relevant to the delivery of this project.
State the address to which you want all Trust information sent.
Contact details and signature
2. Project details
Where will the project be set up?
Provide details of where the activities of the project are to take place e.g. region, city, and town. If applicable, indicate if the location is changing from past years.
State the aims of the project
Outline the relationship between your organization and the wider community targeted in the project
Describe what the project is, what it intends to achieve and what the outcomes/goals will be.
Benefits to road safety
State the measurable benefit/s to road safety from the project referring to the Government's road safety priorities as outlined in the Safer Journeys Strategy.
3. Achieving outcomes/goals
Management of the project
Give us information that will enable the Trust to assess that the project and its budget will be efficiently and responsibly managed. Provide a detailed work or action plan for the project that clearly shows the project stages together with the project start and completion dates.
The level of detail required will depend on the size of the project and the amount of funding requested
State how the project will be monitored, indicating target dates by which specific outcomes/goals will be achieved.
State how the project will be evaluated after completion in terms of achieving its outcomes/goals and its measurable contribution to road safety.
Note: If you claim funding for a formal evaluation of the project you will need to show how this is built into the project plan and provide the name of the evaluator and their accredited qualification. It is important to consider how you will evaluate the project before you begin to implement it.
State how often you intend to report on progress to the Trust.
4. Financial details
Tell us what money you already have for the project and how the rest of the money will be obtained. Include a breakdown of how the money will be used and state projected income if applicable.
Note: To assist funding decisions, a detailed breakdown of costs must be provided.
Please provide the following financial information:
- audited balance sheet and income and expenditure statements from your latest annual accounts.
- a copy of your Annual Report.
- a copy of your latest bank statement.
- the full name of each Trust from which the project/company/organisation already receives funds and the amounts of each of these.
If this is an ongoing project state the previous sources of funding for the project.
Please provide the name and contact details of organisations or individuals from whom you have received funding recently as we may wish to ask them for a reference.
5. Police check
If your application is successful, it may be necessary to check the Ministry of Justice records of members of your organisation who will be responsible for handling the funds.