Business Enhancement Program Grants

Applicant Details

Name of person filling in this form*

First Last

Postal address*

Street Address Address Line 2 City State Postal Code

Email*

Phone*

Trading name*

Legal entity type*

Please attach your Certificate of Registration or Incorporation or equivalent documentation*

Drop files here or

inc. evidence that you are currently applying for an ABN

Size of business*

Type of industry*

Other - please define*

Provide a brief overview of your business*

Do you currently have any outstanding debts with the Yorke Peninsula Council?*

Grant Funding

Provide the detailed information about your proposed project (project title, key activities, duration, location, outcomes, etc.)*

Type of grant or support*

What kind of assistance are you applying for?*

Cash Funding Details

What is the quick response funding for?*

Quick response funding other - please describe*

What is the start up funding for?*

Start up funding other - please describe*

What is the expansion funding for?*

Expansion funding other - please describe*

Value of funds requested*

Budget Breakdown

Please fill out the following budget breakdown sheet for the activity, listing all anticipated income and expenses.

Income description

Income amount

Total Income

Expense description*

Expense amount*

Total Expenses

Income less Expenses (this should be $0.00)

Please attach any quotes, costings or similar documentation*

Non-Cash Support

What are you seeking support with?

Seeking support Other - please describe

Additional Details

Is this request contingent on any funding from other sources (e.g. Federal or State Government grants)?

Please provide funding details in this table*

Funding body	Name of grant	Amount requested

Why do you need Council’s support for this project?*

What are the expected outcomes of this request for your business?*

How will this funding / support benefit the broader Yorke Peninsula?*

How will you mitigate the risks associated with the project?

Please complete an entry for each risk you have identified

Risk Description	Level of Risk	Treatment / Controls	Responsible person
				Edit Delete
There are no Entries.

Maximum number of entries reached.

How do you demonstrate the project’s commitment to sound environmental principles?*

Supporting Documentation

Please attach your insurance Certificate of Currency*

Drop files here or

Please attach your Certificate of Registration or Incorporation or equivalent documentation

(or evidence that you are in the process of applying for an ABN)

Drop files here or

Business plan, feasibility studies and risk assessment plan (if any)*

Drop files here or

Recent End of financial year statements (preferable audited)*

Drop files here or

Other financial information such as draft budgets, cash flow projections

Drop files here or

Please attach any other documents that will support your application

Drop files here or

Sign-off

Privacy
We will treat your information with sensitivity and where required, will treat your information as commercial-in-confidence. However, please be aware that Council is subject to certain legislative requirements, including public disclosure in accordance with the Local Government Act 1999.

I have read and agree to the terms of this program as contained with the Business Enhancement Program Guide*

The Business Enhancement Program Guide can be found here