Grant Applications - Colac Connected Communities

Applicant Name*

Organisation/Group Head & Title (if applicable)*

Postal Address*

Postcode*

Suburb*

Contact Person Name*

Position Held*

Daytime Phone No.*

Mobile No.*

Email*

ABN*

Are you partnering with an intermediary organisation for this application?

Yes

No

Please provide their name, address and ABN details

Is this organisation or group registered for GST?

Yes

No

Is your organisation or group registered for GST?

Yes

No

Is your organisation or group incorporated?

Yes

No

Complete where Applicable

Project/Venture Title*

Grant Amount Requested*

Does the amount requested cover the full project cost?

Yes

No

How are these funds to be raised?

What does your organisation/group do?

(Please provide mission, founding date, major problems and distinctive organisational attributes, number of members)

What would you like the grant for?

(Please describe the project in general and the need it aims to meet and who it will benefit)

How much will it cost?

Please provide a detailed project budget.

(Is it part of a bigger project? Who else have you sought funds from?)

Is there funding available from other organisations support your project?

(Eg. Local Council, State Government, Federal Government programs, other)

Do you intend to apply elsewhere & have you received grant funding from other sources in the last 12 months?

When will the project happen?

How will your group promote your project/event/activity and your sponsorship from the enterprise within the community?

Supporting Documentation

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