Online Form - Friendly Neighbourhood Grant Application

Have you previously spoken to a Shire Officer regarding your grant application?*

Bank Account Details

Should your application be successful, the Shire will require relevant bank account details for the electronic transfer of your grant funding.

Declaration Agreement

I submit this application for the Friendly Neighbourhood Grant as:*

I hereby certify that the information contained herein to the best of my knowledge is true and correct*
I understand that any decision by the Shire of Serpentine Jarrahdale is final and is not subject to an appeal process*
I agree that if this application is successful, the financial contribution will be utilised according to the details given*
I acknowledge that an acquittal will be required at the end of the project to the satisfaction of the Shire. Any unspent funds are to be returned to the Shire.*
Where an acquittal is not received, or the activity does not proceed, I agree the Shire will invoice me/my organisation for the return of the funds.*