Grant Aquital

Geelong Connected Communities grant acquittal form

Thank you for the contribution you have made to the Geelong community.

Please complete the questions, considering the following:

We request that all fields are completed in full
This form must be completed by the due date advised by GCC upon receipt of your grant.
Completion of this acquittal will be a consideration for future grants

Group Information

Name of Successful Applicant Organisation(Required)

Name of person completing form(Required)

Position of person completing form(Required)

Contact Email(Required)

Contact phone number(Required)

Grant Overview

What type of organisation is your group?(Required)

Please indicate what type of organisation your group is.(Required)

What type of grant did you receive?(Required)

When did you receive the funding for this grant?

Please provide the month and year.

What level of funding did you receive?(Required)

What was the Geelong Connected Communities grant spent on?(Required)

Select all that apply

Equipment

Education

Infrastructure

Activities

Human resources

Equipment hire

Other – if other, please list

Please indicate other(Required)

Where was your activity/location of grant expenditure?(Required)

Geelong CBD

Geelong West

Corio

Highton

Belmont

Waurn Ponds

Newcomb

Was your activity a one-off event or held over a period of time?(Required)

About Your Project

How many people actively participated in your activity?(Required)

Please indicate other amount(Required)

What types of people participated in your activity?(Required)

Select all that apply

Children

Youth

Adults

Mature-aged adults

Elderly

People with a disability

Indigenous

Multicultural

Refugee / asylum seekers

Socio-economically disadvantaged

Were volunteers involved in your activity?(Required)

Yes

How many hours did all volunteers contribute collectively to the activity?(Required)

How many organisations/community groups were involved in your activity (including your group)?(Required)

Did the GCC funding help your organisation to:

Help my organisation grow(Required)

Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Help improve/add services(Required)

Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Help offer something new(Required)

Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Help the oraganisation to keep going(Required)

Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Did the GCC funding help your organisation take on/spend more time with clients/volunteers?(Required)

Yes

Did the GCC funding help to increase your organisation’s profile/cause?(Required)

Yes

Did your organisation provide a GCC an opportunity to speak to the executive of your organisation, its staff and the membership base?(Required)

Yes

Promotion

Has your organisation liked and shared the GCC Facebook Page?(Required)

Yes

Has your organisation requested your membership base to Like and Share the GCC Facebook Page?(Required)

Yes

Has your organisation signed up to receive the GCC monthly Video Newsletter?(Required)

Visit our website

Yes

Did your organisation provide GCC with all available signage opportunities?(Required)

Yes

Did your organisation promote GCC’s Grant to your membership base through social media and newsletters?(Required)

Yes

Recognition – how was the support of GCC promoted?(Required)

Newspaper

Social media

Signage

At events – verbally

Clothing

Website

eDM / newsletter

Other – please describe

Please specify how GCC support was promoted.(Required)

Have you provided GCC with all available media coverage?(Required)

Yes

Attachments: Please upload any of the following items related to your activity(Required)

• Photos / videos. • Media clippings. • Links to social posts. Maximum file size 8MB. If video files are larger than 8MB please provide YouTube or Vimeo link below.

Drop files here or

Accepted file types: jpg, jpeg, gif, png, mov, mpeg, mpg, avi, pdf, doc, mp4, Max. file size: 128 MB.

Your organisation website(Required)

Please provide a link to your website.

Facebook(Required)

Please provide a link to your Facebook page.

Instagram

Please provide a link to your Instagram page.

Please provide a link to your LinkedIn page.

Video URL's

Please provide YouTube or Vimeo links if available. Add a new line(+) for each link.

Social Media Links

Please provide links to any social media posts related to your activity.

Commentary

Describe in 150 words or less what the GCC grant enabled you to achieve(Required)

What was the highlight of your project?(Required)

Please add any other comments

Budget

Please provide an account of how the funds were spent(Required)

Were there any variations to the budget? If so, please detail(Required)

Yes

Please indicate what the budget variations were(Required)

Authorisation

By ticking the boxes and typing your name below you acknowledge the following:

(Required)

I am authorised by my Organisation to provide this assessment of our GCC Grant

(Required)

I confirm that all information provided in this assessment is true and complete

Your signature(Required)

Please type your name

Number