Ministry for Pacific Peoples — Apply online for the Pacific Aotearoa Community Outreach Fund – Omicron Response Apply online for the Pacific Aotearoa Community Outreach Fund Skip to content

Apply online for the Pacific Aotearoa Community Outreach Fund – Omicron Response

Apply online for the Pacific Aotearoa Community Outreach Fund – Omicron Response

This application form is for the Pacific Aotearoa Community Outreach - Omicron Response Fund

The Pacific Aotearoa Community Outreach – Omicron Response Fund has been established to enable Pacific communities to prepare, respond, absorb, adapt and adjust to the impacts of the evolving nature of COVID-19, including during Omicron and the COVID-19 Protection Framework (CPF).

Applicants can apply by submitting a costed proposal up to $100,000. Before starting, we recommend you check our FAQs about the Fund.

If you cannot complete this form online, please download this MS Word version (or PDF version) and complete it in your own time, making sure you submit the completed form and supporting documents to [email protected] by the due date. 

IMPORTANT: Please note that you are NOT able to save and close this application form to complete later, so please have all your required documentation ready to upload before starting this form.

Organisation / group details
About your initiative
Funding
Primary applicant details
Secondary applicant details
Upload supporting documents

Following your submission, you may be asked to provide your bank verification in the name of the organisation or group applying, as well as a GST invoice from any third party suppliers.

Declaration

In digitally signing this Declaration, I:

  1. Confirm the information contained is true and accurate.
  2. Confirm I have read and understood my rights regarding the Privacy Act 2020.
  3. Confirm this initiative complies with the objectives of my organisation.
  4. Understand that there is no guarantee that my organisation will be successful in securing any funding from the Ministry for Pacific Peoples.
  5. Agree that the Ministry for Pacific Peoples may collect information about my organisation from any third party in respect of this application.
  6. Agree that, if the application is successful, the name of my organisation, purpose of investment and the amount of the Ministry for Pacific Peoples’ investment will be available as part of the Ministry for Pacific Peoples’ accountability for public funds.
  7. Agree that the information provided in this application can be used by the Ministry for Pacific Peoples for statistical purposes and/or policy development.
  8. Agree that, if successful, my organisation may be required, along with the targeted beneficiaries of the proposed project, to participate in an evaluation of the initiative.
  9. Accept full accountability and responsibility for all requirements associated with the completion of the initiative.
  10. Understand that the personal information I am being asked to provide is necessary to help determine how the Ministry for Pacific Peoples might be able to assist me with my funding aspirations, including eligibility for practical and financial assistance. It will be held by the Ministry for Pacific Peoples PO Box 833 Wellington 6140, the government agency that administers the funding grant. I understand I have the right to request access to MY personal information held by the Ministry for Pacific Peoples and, if appropriate, request that the information be corrected.
I agree

Once you press submit, the page should refresh and you should see a "Thanks, we've received your submission" message indicating that your application has been submitted successfully. You should also receive an email confirming receipt of your submission.

If you don't see the message or haven't received a confirmation email after 15 minutes, please re-submit this form.