Application for supported Kiwi Conservation Club | Hakuturi Toa (KCC) organisational membership
This form is for schools and community groups to apply for a supported organisational membership to the Kiwi Conservation Club | Hakuturi Toa (KCC). Successful groups will receive a complimentary year-long membership to the Club which includes receiving 30 copies of Wild Things magazine per quarter.
This fund is designed to support groups for whom the $100 annual cost of membership is not affordable and would not be available without the generous support of Cornerstone OnDemand
What is the name of the organisation applying for funding? *
Your answer
Address line 1: *
Your answer
Address line 2:
Your answer
Suburb:
Your answer
Town/City *
Your answer
Postcode *
Your answer
What is the contact person for the organisation? *
Your answer
Please provide a contact email for the organisation to which KCC can send send relevant information: *
Your answer
If you are a school, what is your decile? *
Your answer
Which of these statements are true for your organisation? Please tick all that apply *
Required
Which of the following KCC benefits is most important to your organisation? *
Can you please confirm that your organisation would be unable to become a member of KCC without this funding? ie there are critical things that you need to spend your funds on that mean you are unable to justify the cost of KCC membership *
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