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Partnership Commitment Form This form is to be completed by each partner organisation and attached to your online application. Partner Organisation Name: .......................................................................................................................... Partner Contact person: ................................................................................................................................ Telephone:......................................................... Email:.................................................................................. 1. Roles and Responsibilities In this section outline your organisation’s key roles and responsibilities in the project, including a summary of the people who will be involved 2. What is your organisation contributing? In this section outline both the skills and experience your organisation brings to the partnership as well as any financial and/or in-kind contribution your organisation will make. 3. Details of financial and in-kind support Financial Contribution Expenditure item Value $ Identify what your financial contribution is to be spent on Total Inkind Contribution See Attachment One for guidance on calculating in kind-support Goods/service to be provided Number of Hours Organisation/Supplier Rate per hour Total Value $ Total Signature*: .................................................................... Date ........................................... Print Name: .......................................................……… Position ........................................... *To be signed by the authorised officer (Chief Executive Officer or their equivalent) of the organisation who is providing the in-kind support. Page 1 of 2 Attachment One Information on co-contributions and in-kind support Financial Contributions You should outline what your financial contribution is to be spent on as well as the value. How to calculate voluntary labour and in-kind support In-kind contributions must relate to real project expenses that are for project activities which would otherwise need to be purchased. This could include: venue hire, event promotion, advertising or project management. You need to explain the nature of the in-kind contribution being provided and how you have calculated the value, based on what it would have cost if the applicant had to pay for it. The following caps must be applied when calculating the value of in-kind support: Type of work Hourly rates must not exceed basic labouring work $20 specialist contributions $50 IN-KIND CONTRIBUTION EXAMPLE: Financial Contribution Expenditure item Value $ Identify what your financial contribution is to be spent on Promotion & Advertising - Bobs Advertising Company $2,500.00 Resources, printing & stationery – Anne’s Stationery Emporium $500.00 Total $3,000 Inkind Contribution See Attachment One for guidance on calculating in kind-support Goods/service to be provided Organisation/Supplier Number of Hours Rate per hour Total Value $ Venue hire for 4x community meetings/events ABC Council 8 $250 $2,000 Project management coordination ABC Council 50 $30 $1,500 Total $3,500 Page 2 of 2