Sports Grant Application Form

Hauraki Māori Trust Board
(as trustee of the Pare Hauraki Fishing Trust)

Sports Grant 2021

Purpose

Sports Grants shall be provided throughout the year on the basis that applications are made at least 12 weeks prior to the event.
You may only make one application per financial year.
To be eligible to apply for a sports grant you must whakapapa to one or more of the Hauraki iwi and be registered with the Hauraki Māori Trust Board.
In the case of teams, where a significant majority of its players can whakapapa to one or more iwi of Hauraki, those players should be registered with the Hauraki Māori Trust Board; and a total grant applied. Where less than one half of its members whakapapa to Hauraki then only a portion of the total grant shall apply.
Applicants must have gone through a regional or national selection process and have been chosen to represent Hauraki, the region or new Zealand in their chosen sport.
A full report of the event or purpose for which the grant was given is to be provided to the Board within 8 weeks after the event has occurred. If this is not provided, you may not be eligible for future grants.
The Hauraki Māori Trust Board may require successful applicants to participate in iwi activities as a condition of the grant. Notification of any requirements will be provided to the successful applicants.
The Hauraki Māori Trust Board reserves the right to use your names, photo and other details for publicity and promotional purposes.
The Hauraki Māori Trust Board has the sole discretion to accept or decline an application that does not meet the criteria. Its decision is final and not correspondence will be entered into.

Sports Grant Application Form

APPLICATIONS WILL ONLY BE ACCEPTED FROM REGISTERED IWI MEMBERS. TO CHECK IF YOU ARE REGISTERED, FREEPHONE 0508 468 288

Application Status
This application is made on behalf of:*
- An Individual
- A Team
Please provide names and affiliations of group members.
Name*
First Last
Iwi*
Name*
First Last
Iwi*
Name
First Last
Iwi
Name
First Last
Iwi
Name
First Last
Iwi
Name
First Last
Iwi
Name
First Last
Iwi
Name
First Last
Iwi
Name
First Last
Iwi
Name
First Last
Iwi
APPLICANT DETAILS
Name*
First Middle Last
Previous name
First Last
Gender*
- Male
- Female
Group
Date of birth*
Are you under 18 years of age?*
- Yes
- No
Name of Parent / Guardian*
First Last
Address of Parent / Guardian*
Street Address Address Line 2 Town Post code
Contact Details
Address*
Street Address Address Line 2 Town Post code
Home Phone*
Mobile*
Email*
Marae*
Iwi*
Payment Details
Name of bank*
Name of account holder*
First Last
Please attach a verified bank deposit slip*
(if you need to upload more than one document please add them at the bottom of this form under the "other supporting documents" section)
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Sporting Grant Details
Give details of the sporting activity you are requesting funding for – including the sport, level, selection and what the grant is required for:*
Upload a breakdown of the costs associated with the sporting event. (verified by sport governing body if applicable)*
(if you need to upload more than one document please add them at the bottom of this form under the "other supporting documents" section)
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Upload confirmation from your sporting governing body of selection into sporting event
(if you need to upload more than one document please add them at the bottom of this form under the "other supporting documents" section)
Max. file size: 256 MB.
Attach a photo of yourself or your team*
(if you need to upload more than one document please add them at the bottom of this form under the "other supporting documents" section)
Accepted file types: jpg, png, pdf, Max. file size: 256 MB.
Previous grant*
Have you previously received a grant from the Hauraki Māori Trust Board (as Trustee of the Pare Hauraki Fishing Trust)
- Yes
- No
Grant received*
Other supporting documents
If you have any other supporting documents for your application, upload here:
Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 256 MB.
Declaration*
I declare that the information given in this application is true and correct and if my application is successful, I will comply with all the terms and conditions of the grant.

Pursuant to the Privacy Act 1993, I hereby give consent to the Hauraki Māori Trust Board (as trustee of the PHFT) to collect information about myself from any third party in relation to this application.

If the application is successful, the applicants name and the funding amount will be made available as part of the Trust’s financial accountability.
I agree
Name of applicant*
First Last
Date*
Signature*
Name of Parent / Guardian*
First Last
Date*
Signature of Parent / Guardian*

Email: general@hauraki.iwi.nz

Phone: 07 862 7521

Freephone: 0508 4682 88

41 Belmont Rd

Paeroa, 3600

Hauraki Māori Trust Board (as trustee of the Pare Hauraki Fishing Trust)

Sports Grant 2021

Sports Grant Application Form

Application Status

APPLICANT DETAILS

Contact Details

Payment Details

Sporting Grant Details

Hauraki Māori Trust Board
(as trustee of the Pare Hauraki Fishing Trust)