The Small Business Fund Program aims to support small businesses within the Shire. Eligible small businesses which employ up to 20 employees will be able to apply for a one-off maximum payment of up to $5,000. The money can be used on a wide range of business development purposes. Review the guidelines for more information.

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If you have any questions please email us at business@mpsc.nsw.gov.au.

Part A: Applicant Details

First Name *

Last Name *

Business Name *

Business Address *

Contact Number *

Email Address *

Are you registered for GST *

YesNo

ABN / ACN *

Does your business have less than 20 employees *

YesNo

If no, your business is not eligible for this funding.

Business activities undertaken by your group/organisation *500 characters max

Has your business traded for at least 6 months *

YesNo

If no, your business is not eligible for this funding.

When did your business start trading *

Part B: Project Details

Name of project *

Location of project *

Provide a brief description of the project. Tell us what you are going to do and who is involved. *1000 characters max

What expertise or capacity do you have to deliver this project within the timeframe? *1000 characters max

How will this project have a positive impact on business development? *1000 characters max

How will the project have a positive impact on town/village centres? *1000 characters max

Please enter the number of full-time equivalent (FTE) jobs that will be created by the project or if employment hours can be increased for existing staff. *250 characters max

Part C: Budget

Amount Requested *

Applicant requests full funding only (ie. activity would not happen with partial funding) *

YesNo

Cash or in-kind co-contribution (if applicable): *

Total Project Cost *

Breakdown of Expenditure *

Part D: Supporting Documentation

Attached a copy of verification of the organisation’s ABN from the ATO

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Attach quotes (if available)

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Attach any other information as noted in this application form

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Attach any supporting information you would like the panel to consider, such as photos, designs or plans for your project

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Part E: Certification

I certify, to the best of my knowledge, the statements in this application form are true. I have read and I understand the Moree Plains Shire Council Small Business Fund Program Guidelines. I acknowledge that Moree Plains Shire Council cannot guarantee funding for any application and cannot guarantee funding to the full amount requested by any applicant.

I have been authorised by this business / organisation to submit this application *

YesNo

Full Name *

Business / Organisation Name *

Signature *

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Date *

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