Small Business Grant 2025–2026

Name of applicant/s*

Are you 18 years or older?*

YesNo

Phone Number*

Email Address*

Residential Address*

Business Trading Name*

Business Name (if different to Trading Name)

Australian Business Number (ABN)*

Website and/or Social Media link/s (if applicable)

Business Owner Name/s*

Business Postal Address*

Business Street Address*

Number of Employees, excluding Directors*

Number of Directors additional to Employees*

Are you a permanent resident of the Shire of Ashburton?*

YesNo

How long have you resided in the Shire of Ashburton?*

Principle place of residence*

Type of Business (e.g. Cafe, Electrician, Hairdresser)*

Have you read and understood the Grant Objectives, Eligibility Criteria and Guidelines?*

YesNo

Have you prepared and/or attached a basic business plan and supplied as to support your application?

YesNo

Upload your Business Plan here

Max File Size: 10.00 MB
Allowed File Types: .doc, .docx, .pdf, .ppt, .pptx

What type of products/services/supplies does your business currently provide (if a new/start up business, please go to the next question)*

What type of products/services/supplies is intended to be given if grant funding approval is given.*

Are you currently a member of the Onslow Chamber of Commerce and Industry (OCCI) or Pilbara Inland Chamber of Commerce and Industry (PICCI)?*

YesNo

If you answered YES, which Chamber?

Tell us how the grant funding will enable your business to meet a service gap and/or demand for the community and visitors to the region.*

What is the amount of Grant Funding being applied for?*

What amount of funding is your businesses contributing (please itemise clearly excluding GST)?*

Provide an itemised financial list or expected costs to support your application*

Max File Size: 10.00 MB
Allowed File Types: .doc, .docx, .pdf, .ppt, .pptx, .xls, .xlsx

Supporting documentation: Public Liability Insurance

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Supporting documentation: Quotes/s

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Upload any other supporting documentation here

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Have you received any other grant funding in the 2024/2025 or 2025/2026 financial year?*

YesNo

If you answered YES, please answer ALL below questions: When was the grant funding received?

What was the amount?

Who provided the grant funding?

What was it used for?

Has the grant been acquitted?

YesNo

I declare that all information presented here is true to the best of my knowledge. Please provide your name as a signature.*

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