Accountability Form Waste Minimisation Grant for Schools, Early Childhood Education and Community Groups

Name of organisation:

Contact person:

Contact phone number:

Contact email address:

Please describe your waste minimisation project:

On a scale of 1 to 10, how successful was your waste minimisation project? (10 is the most successful)

Please explain your rating, including any lessons that you learned:

How many people were involved in the project?

Include all those involved with organising and delivering it, as well as everyone who participated in it.

How did the project benefit your community?

Approximately how much waste was avoided or diverted from landfill as a result of your project? (in kgs or tonnes)

If unsure, please include your best guess based on the number of rubbish bins or bags avoided because of your project. Council staff will contact you after receiving your form to help with gathering further information if required.

What types of waste were avoided or diverted from landfill through your project? Select all that apply.

Other:

Do you have any plans to build on this project in future? If so, please explain.

How much funding did you receive from Tasman District Council for this project?

How much of the funding received from Tasman District Council did you spend?

Please upload evidence of how the funding was spent (e.g. receipts, invoices):

Please upload any photos of the project that you have permission to share.

I consent to the use of these photos by the Council for the purposes of promoting waste minimisation activities and grants.

I confirm that I have the authority to complete this form and share the information within in on behalf of this organisation.

I confirm that the information supplied within this form is correct.

Any other comments?

Privacy Statement

In this form we collect personal information from you including your name, contact information and photos.

We collect your personal information in order to:

keep a record of grants that have been awarded, and report on use of grant funds; and
contact you in relation to your grant application and use of grant funds.

Besides our staff, we may share your name and contact information with the Ministry for the Environment for the purposes of reporting on expenditure of the waste levy, which provides the funds for this grant.

Providing photos is optional. If you choose to provide photos, these may be used by the Council for the purpose of promoting waste minimisation activities and grants. You are free to choose not to provide photos if you wish.

If you do not provide the other personal information requested in this form, Council may be unable to review the expenditure of your grant funds. In some cases this may result in your organisation being ineligible to apply for future grants from Tasman District Council.

You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us on 03 543 8400.