Whānau Voice GrantApplication Form 1ELIGIBILITY 2APPLICANT DETAILS3DESCRIPTION & ALIGNMENT4DESIGN & IMPACT5ETHICS & BUDGET6UPLOAD DOCUMENTS 7REVIEW8SUBMIT Application IDELIGIBILITYThis section helps us understand who is applying and provides a quick overview of your kaupapa. It also helps confirm that your project aligns with our regional eligibility requirements. Te Taura Ora o Waiariki receives funding to support the health and wellbeing of whānau within our rohe. Funding must be used for activities delivered within this region and for gathering whānau voice from Māori who access health services here. This ensures the funding directly benefits the communities it is intended to support. Click the image to zoom in (1.5×). Click again to return. Will your project take place within the Te Taura Ora o Waiariki region?(Required)Refer image above for the region boundaries Yes No Will your project engage whānau who live in the Te Taura Ora o Waiariki region?(Required)Refer image above for the region boundaries Yes, participants live in the region I don't have any participants yet but I plan to engage whānau from the region No, some (or all) live outside of the region What type of applicant are you?(Required) Whānau or individual (not a registered legal entity) Choose this if you are applying as a whānau or individual and do not have a registered organisation, trust, or company to receive or manage funding on your behalf. Whānau (supported by a legal entity) Choose this if you are applying as a whānau, but your funding will be received, administered, and reported on by a registered organisation, trust, or company that is supporting your kaupapa. Legal entity Choose this if you are applying as a registered organisation, trust, or company and will directly receive, manage, and report on the funding. Whānau or Individual Whānau or individual supported by a legal entity Legal Entity Is this application part of an existing programme that already receives funding, or aligned with your current paid employment?(Required) Yes No Funding cannot be used to support activities that are already funded through existing contracts or are considered part of an organisation’s Business As Usual (BAU) operations. Your application must support new, additional, or expanded kaupapa aligned with the purpose of the Whānau Voice Grant.Please provide more detail about the existing program that this funding will support(Required) Whānau Voice Grants are intended to support initiatives that take place and engage whānau living within the Te Taura Ora o Waiariki region. If you have selected “No” to either of the questions above, indicating that your project will not take place in this region or involve whānau from this region, your application does not meet the eligibility criteria for this funding round. Please review your responses carefully before continuing, or exit the application below. Save & Exit Exit Application APPLICANT INFORMATIONContact Person First Name(Required)Contact Person Last Name(Required)Contact Person Email Address(Required) Contact Person Phone Number(Required)Applicant Name (Whānau or Individual)(Required)What is your role at the legal entity?(Required)WHĀNAU OR INDIVIDUAL (NOT A REGISTERED LEGAL ENTITY)This section applies because you have selected to apply as a whānau or individual without a registered legal entity. Important Notice for Funding for Whānau or Individuals As you are applying as a whānau or individual without the support of an umbrella organisation, please note that grant funds cannot be paid directly into a personal bank account. In this situation, successful applicants will be required to forward supplier or service invoices to Te Taura Ora o Waiariki, who will arrange payment on your behalf. This process ensures accountability and proper administration of grant funding while still supporting whānau-led initiatives. WHĀNAU WITH LEGAL ENTITY SUPPORTYou have selected to apply as a whānau whose funding will be received and administered by a registered organisation, trust, or company. The nominated legal entity will act as the fund holder and will be responsible for financial management and accountability; however, all project reporting requirements and milestones associated with the grant will remain the responsibility of the whānau applicant/s. As your project is being supported by a legal entity, that organisation must provide the following documents: A letter of support (on official letterhead or an email) clearly stating their agreement to receive and administer the funding on behalf of your project. A copy of their legal entity registration certificate A bank account verification (e.g. deposit slip or bank confirmation) Their most recent annual financial report or performance report to verify their annual revenue is less than $140,000, and they must not have public accountability. Please upload these documents in the supporting documents section.LEGAL ENTITYThis section applies to applicants who are a registered organisation, trust, incorporated society, or company applying directly for funding.Legal entities are eligible to apply, provided their total annual revenue is less than $140,000. Please upload evidence of either an annual financial report or performance report in the supporting documents section.Legal Entity Name(Required)Registration Number(Required)Address(Required)Legal entity's physical address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is the legal entity GST registered?(Required) Yes No Please provide GST number(Required)Consent(Required) I confirm that I am authorised to apply for this grant on behalf of the legal entity. Save & Exit PROJECT DETAILS & WHĀNAU VOICE ALIGNMENT (30 POINTS)This section assesses the clarity of your kaupapa, alignment with health priorities, and how whānau voice is gathered and upheld.What is the title of your project?(Required)Kaupapa Description(Required)Please describe your kaupapa, the need or opportunity it responds to, and what you aim to achieve. 💡 Helpful guidance: Share the story or whakaaro behind your kaupapa Explain what inspired this project or what need or opportunity it responds to Describe what you want to achieve or change through this kaupapa Consider what success would look like for whānau involved Outcomes can include cultural, social, or wellbeing improvements — not just clinical health outcomes Whānau Voice Alignment(Required)How will your project gather, uplift, or share whānau voice in relation to health and wellbeing? 💡 Helpful guidance: Explain how whānau will share their experiences, knowledge, or aspirations You may use approaches such as hui, kōrero, interviews, surveys, or creative storytelling Consider how whānau voice will be recorded or shared Which health priority does your project align with?(Required)Please select the priority area your project most strongly supports. Rangatahi Mental Health Immunisations Cancer Journeys Oral Health Other Who is your intended audience?(Required)This is the group of people you aim to engage. Open to all whānau within the region Kaumātua Rangatahi Hapū Whānau Other How many people are expected to participate?(Required)Participant numbers can be an estimate. This helps us understand the scale of your kaupapa 0-10 11-20 21-30 31+ WHĀNAU LEADERSHIP & CULTURAL INTEGRITY (20 POINTS)This section helps us understand who is leading the kaupapa and how tikanga, mātauranga Māori, and whānau values guide the design and delivery of your project.Project LeadershipWho is leading and supporting this kaupapa, and what roles will they hold? (For example, coordinator, facilitator, video editor) You may add more than one person by selecting the “+” button. Add RemoveKaupapa Māori Design(Required)How is your project guided by kaupapa Māori, tikanga, or mātauranga Māori? 💡 Helpful guidance: Describe how cultural values or practices shape how your kaupapa is delivered You may include examples of tikanga or cultural approaches used during engagement Save & Exit DESIGN AND FEASIBILITY (20 POINTS)Explain how your project will operate in practice. We are looking for clear planning, achievable timelines, defined responsibilities, and realistic delivery methods. Important Information Projects must be completed within the approved funding period (1 May - 10 September 2026). Project Start Date(Required)Provide your planned start date. This can be an estimate. DD slash MM slash YYYY Project End Date(Required)Provide your expected completion date. Consider time needed to finalise deliverables. DD slash MM slash YYYY Activities & Timeline(Required)Please outline the key activities, milestones, and timeframe for your project. 💡 Helpful guidance: Break your kaupapa into clear steps or stages Include when key activities will happen Consider preparation, delivery, and follow-up activities Project Methods(Required)How will your project be delivered in practice? Describe the methods you will use to gather whānau voice and carry out your activities. 💡 Helpful guidance: Explain how activities will take place. For example hui, marae-based wānanga, one-on-one interviews, online hui, storytelling, surveys, workshops Describe how participants will be engaged INNOVATION & IMPACT (10 POINTS)This section considers the potential difference your kaupapa may make for whānau, communities, and future health planning. We welcome creative and innovative approaches that strengthen whānau voice and support positive change in health and wellbeing.What difference do you hope this kaupapa will make for whānau, communities, or future health planning? 💡 Helpful guidance: Think about both short-term and long-term benefits for whānau or communities Describe how whānau may feel supported, empowered, or better connected Consider how your kaupapa could improve health and wellbeing experiences You may also describe how the learnings from your project could help improve services or influence future health planning What is innovative or unique about your approach, if anything? 💡 Helpful guidance: Think about what makes your kaupapa different or special This could include creative, cultural, or community-led approaches Innovation does not have to involve technology — it may include new ways of engaging whānau or sharing stories You can also describe if your kaupapa builds on existing work in a new or improved way Save & Exit ETHICS & DATA (10 POINTS)This section assesses how you will protect whānau voice through respectful engagement, cultural safety, informed consent, and responsible management of information gathered through your kaupapa.Ethics & Data SafetyHow will you ensure whānau voice is gathered, stored, and shared safely and respectfully? 💡 Helpful guidance: Outline how information will be stored, used, shared, or returned to whānau or communities Consider how information will be stored, shared, or returned to whānau or communities Formal systems are not required - simple, clear, and respectful processes are appropriate Consider how you will ensure participants feel safe and supported when sharing their experiences BUDGET (10 POINTS)This section assesses whether your budget is realistic, clearly explained, and directly aligned with your project activities. You may request up to $5,000 through the Whānau Voice Grant. Budget Guidance Requested Amount – The amount you are requesting from the Whānau Voice Grant. The maximum request is $5,000. Other Funding Amount – Any support for your kaupapa that is not from the Whānau Voice Grant, for example, your own money, donations, and sponsorship. Important Information Budget entries are only saved when you click “Save Entry” within the budget table. If you do not click “Save Entry,” your entry will not be stored. Koha Whānau Voice Grant is unable to pay or reimburse cash koha. However, we are happy to support koha through pre-purchased vouchers or goods where appropriate. If your kaupapa includes koha, please include this in your budget and we can work with you to arrange a suitable option. This approach helps ensure transparency and allows us to meet financial reporting and audit requirements. Proposed Budget Why type of cost is this? Other Description Cost Description Requested Amount Other Funding (If any) Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Totals Total RequestedCannot exceed $5,000Total Other Funding Save & Exit SUPPORTING DOCUMENTSLegal Entity Documents(Required)Please upload legal entity certificate, bank verification slip and letter of support Drop files here or Select files Max. file size: 2 GB. Additional Supporting Documents (Optional)You may also include additional supporting documents such as letters of support, project plans, quotes, or images. These additional documents are not compulsory but can help strengthen your application. Drop files here or Select files Max. file size: 2 GB. Optional SupportTe Taura Ora o Waiariki can provide additional support if required. Please indicate which forms of support you would like to access: Guidance for developing interview questions or activity design Consent or waiver forms Final Report and budget template Promotion of your kaupapa once content is available None Save & Exit {all_fields} CONSENTS AND DECLARATIONSMedia and Content Use(Required) I acknowledge that content created through this kaupapa may be used by Te Taura Ora o Waiariki (Te Arawa IMPB) for communications, social media, and reporting purposes, subject to signed media consent or waiver forms. Application Accuracy and Reporting(Required) I confirm that the information provided in this application is true and correct. If successful, I agree to provide a final report, including receipts and evidence of activities undertaken. Original Content(Required) I confirm that all content, stories, and materials submitted through this kaupapa will be original or used with appropriate permission and will not infringe on the rights of others. Overall, how easy or difficult was this application form to complete?(Required)Very easy 1 → Very difficult 5 1 2 3 4 5
