Bike Week 2019 Grant Application Form - Workplace Events
Are you keen to host a Bike Week event for your workplace?

Workplace Grants are open to workplaces wanting to run a Bike Week event for their staff.

Events must actively encourage staff to cycle and support new or novice riders.

Grants of between $150 and $250 are available from the Department of Transport to host Bike Week 2018 events, from a total funding pot of $38,000.

The closing date for Bike Week 2018 grant applications is 5pm Friday 2 November 2018.

Please read the Bike Week 2018 Grant Guidelines before completing this form. The guidelines are available on the www.bikeweek.com.au website.

Email address *
Name of Organisation or Group *
Your answer
Contact Details
Name *
Your answer
Position title *
Your answer
Phone *
Your answer
Postal Address *
Your answer
Are you the person responsible for administering the funds? *
If no, please advise who will be administering the funds (i.e. organisation/group, contact person, position title, postal address, phone and email)
Your answer
Is the organisation/group administering the funds registered for GST? *
Please provide an Australian Business Number (ABN) (if applicable)
Your answer
Please note
Organisations/groups without an ABN must provide a Statement by Supplier form. More information can be found here: https://www.ato.gov.au/forms/statement-by-a-supplier-not-quoting-an-abn/
Does your organisation have current event public liability insurance? *
If yes, how much is your cover?
Your answer
Event Details
Event name *
Your answer
Event Date(s) *
Your answer
Event Time(s) *
Your answer
Event location *
Your answer
Event Description *
max 200 words
Your answer
Bike Week Objectives
How will your event seek to achieve the following Bike Week Objectives?

Please note: Your event does not have to achieve all of the objectives.

1. Promote and encourage bike riding for transport, fun and/or for a healthier lifestyle.
Your answer
2. Encourage people of all ages and abilities to ride a bike to school, work, the train station, shops, park, community centre and local areas of interest etc.
Your answer
3. Reach beyond the established bike riding community, introduce new riders to bike riding and improve the skills and confidence of novice riders.
Your answer
4. Encourage bike riding among groups with low participation levels (e.g. women, young people, seniors and culturally and linguistically diverse communities etc.).
Your answer
5. Raise awareness of existing bike infrastructure and bike routes.
Your answer
6. Collaborate with other stakeholders to grow the event and seek additional support, funding, or donations from local bike groups, bike shops, councils, schools, local businesses and community organisations.
Your answer
7. Support inclusion by engaging with and providing an accessible environment for people with disabilities.
Your answer
8. Plan your event to ensure it is successful and is value for money.
Your answer
Collaboration
Bike Week 2019 event organisers are encouraged to work collaboratively to seek additional funding, donations and/or in-kind support from local community groups, bike shops, councils, schools, local businesses and other stakeholders
Do you plan to collaborate with others for your Bike Week event? *
If Yes, who do you plan to collaborate with?
max 100 words
Your answer
How will you promote your event to your workplace community? *
max 150 words
Your answer
Promotion
Mandatory Requirements for School Grant
All workplaces applying for a Bike Week grant are required to sign up to the Your Move Program at https://yourmove.org.au/workplaces/ The process should take no more than 10 minutes.

Through the Your Move website, you will be able to access a range of resources and complete your grant acquittal by posting a story. All stories posted on the website earn your workplace points that can then be spent on bike skills sessions, merchandise, bike storage facilities and more.

Have you signed up to Your Move Workplaces? *
Financial Details & Funding Request
How much Bike Week grant funding are you applying for? *
Amount to exclude GST
Required
If successful, what services/items will you purchase with the Bike Week grant funds? Please list details and costs of services and/or items. *
All amounts to exclude GST.
Your answer
Please provide the amount of funds that will be provided by the applicant and list details and costs of services and/or items that these funds will be allocated to. *
All amounts to exclude GST. Please clearly mark those services and items that will be provided in-kind (staff wages, volunteers, in-house printing etc.)
Your answer
Please provide details of any other external funding source (sponsorship, grants etc) and list details and costs of services and/or items that these funds will be allocated to. *
All amounts to exclude GST. Please clearly mark those services and items that will be provided in-kind (staff wages, volunteers, in-house printing etc.)
Your answer
Submit
Thank you for applying for a Bike Week 2019 grant.

Successful applicants will be notified January 2019.

Please contact WestCycle's Bike Week team on (08) 6336 9688 or bikeweek@westcycle.org.au for any queries relating to Bike Week 2019

A copy of your responses will be emailed to the address you provided.
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