Fillable OSCAR Funding application Part one Provider information (Ministry of Social Development New Zealand)

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OSCAR Funding application Part one Provider information (Ministry of Social Development New Zealand)

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Page 1 S35W –AUG 2020
If you (or your organisation) provide Out of School Care and Recreation (OSCAR) for 5 to 13 year olds before
school, after school or as holiday programmes, you may be eligible for OSCAR grant funding from the Ministry
of Social Development.
When we consider your application, priority will be given to:
• providers and/or programmes that haven’t received funding before
• providers operating in an area identified as being low socio-economic, seasonal or isolated
• programmes operating in an area where there’s an OSCAR service gap
• programmes that support Māori, Pasifika, immigrants, refugees or children with special needs and/or disabilities.
For more information about the OSCAR grant funding criteria, visit workandincome.co.nz
What you
need to do
To apply for OSCAR funding, there are two forms you must complete.
• Part one – Provider information (this form)
• Part two – Programme information
You need to complete Part one once and Part two for each venue you’re applying for
OSCAR funding for. Note that Part one and Part two must be returned together.
If you’re completing them electronically, we recommend you save each application
as you complete it, then attach the forms and email them all to us at:
OSCAR_Contracts@msd.govt.nz
You can also post your forms to:
National Contracts – OSCAR
Ministry of Social Development
PO Box 1556
Wellington 6140
When you apply for OSCAR grant funding, you’ll need to provide:
• this Part one application
• Part two applications for each venue you operate from
• a copy of your MSD approvals letter for each site or venue.
If you’ve never applied for OSCAR grant funding from Work and Income
before, you’ll also need to provide proof of your organisation’s:
• legal status, for example a copy of your organisation’s
IncorporationCertificate
• GST number, for example a letter from Inland Revenue
• bank account number and account holder details, such as a pre-printed
deposit slip or bank statement.
What you
need to
provide
OSCAR Funding application
Part one
Provider information
Page 2 S35W –AUG 2020
Type of
application
Is this the first time your organisation has applied for an OSCAR grant?
No Yes
Have you received OSCAR funding from the Ministry of Social Development
before?
No Yes
Your
organisation’s
details
INFORMATION FOR Q3
:
You can find your
providerreference
number on your
OSCAR Agreement.
What is your provider reference number?
N A T O
We haven’t had OSCAR funding before.
What is the legal name of your organisation?
HOW TO ANSWER Q5
:
For example your
tradingname
What is your organisation known as?
What is the street address?
Number Street name
Suburb Town/City
Is the mailing address different from the street address?
No Yes
Tell us your mailing address
What are the contact person’s details for this application?
Name
Position
Work phone number ( )
Mobile phone number ( )
Email address
What email address can we send accounts to?
The same email address as question 8
This email address
Is your organisation registered for GST?
No Yes
What is the GST number?
GST number:
1
2
13
14
15
6
37
38
39
10
Page 3S35W –AUG 2020
HOW TO ANSWER Q11
:
You get this number
when you register
with the Family
Services Directory.
What is your organisation’s Family Services Directory number?
F S D 0 0
Bank
details
ATTACHMENT FOR Q12
:
You must attach proof
from the bank of the
account number and
account holder details.
What is your organisation’s bank account that payments should be made to?
The account is in the name of:
The account number is:
Bank Branch Account number Suffix
Type of
organisation
What type of legal entity is your organisation?
Please tick the one that applies
Private Registered company Incorporated society
Māori trust board Government agency Contractor
Charitable trust Sole trader Crown entity
Territorial authority Education institution
Other
Please tell us what type of organisation
What is your New Zealand Business Number (NZBN)?
Every site or venue must have a separate Part two- Programme Information
form. How many forms are you submitting with this Part one application?
Declaration
By completing the OSCAR grant application you acknowledge that:
• your organisation’s programmes meet the OSCAR standards for approval, and that you have written
confirmation from MSD Approvals that your organisation is approved to provide these services
• your organisation is financially solvent and can verify this if requested
• the daily average actual attendance numbers provided are correct
• you have read and understood the terms and conditions of this application for OSCAR grant funding
• the information provided in Part one and Part two of this application is true and complete.
Name (print) Signature Date
Day Month Year
11
12
13
14
15
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OSCAR Funding application Part one Provider information (Ministry of Social Development New Zealand)

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Completed 21 November 2020

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