Stronger Communities Programme Round 6
Expression of Interest for Gellibrand
Name of Organisation *
What type of entity are you? *
ABN *
Are you a trustee on behalf of a trust? *
Required
If yes, please provide both the Trust and the Trustee's ABN.
Are you charity registered with the Australian Charities and Not-for-profits Commission (ACNC)? *
Are you registered for GST? *
Are you applying as a sponsor on behalf of an unincorporated organisation? *
Contact Name *
Position in organisation *
Email address *
Contact number *
Organisation street address *
Organisation Postal Address *
Organisation Website
Tell us about your organisation *
Project Title *
Project site address - This must be a street address. Do not provide a postal address, institution or building name. *
Type of project *
Can you complete the project by 31 December 2021? *
Description of project - What are your key project activities and outcomes? *
Project benefits - Explain how your project supports and encourages local community participation and delivers social benefits to the local community? For example, how many people do you estimate your project will impact? *
Estimated Project Cost *
Have you received a quote for your project? *
Grant Request Amount (up to $20,000) *
If you are a local governing body do you have $ for $ matched funding to pay for your share of the project not covered by the grant?
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