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Community Environment Program EOI
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* Indicates required question
Your Organisation
I am applying as:
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The applicant
The lead applicant for a joint application
Sponsor of an organisation
Organisation Name:
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Your answer
ABN:
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Your answer
Address of Organisation:
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Your answer
Are you incorporated and a not for profit?
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Yes
No
Required
Are you applying as a project sponsor on behalf of another organisation, if so please provide details of the organisation?
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Yes
No
Required
Your Details:
Your name
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Your answer
Position in the Organistion:
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Your answer
Phone Number:
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Your answer
Email Address:
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Your answer
Your Project
Project title: (max 70 characters)
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Your answer
Project description suitable for public use (max. 750 characters):
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Your answer
Explain how your project will: Deliver positive environmental and social outcomes
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Your answer
Explain how your project will: Provide communities with the rescources, skills and knowledge to care for the environment
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Your answer
The total cost of your project:
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Your answer
Requested grant funding amount:
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Your answer
Is the majority of grant funding sought being directed to on-ground activities?
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Yes
No
Is the majority of your project being undertaken in your MP's electorate
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Yes
No
Will any activites occur in another electorate?
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Yes
No
Identify the address(es) where the project will be carried out (provide further details if multiple sites):
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Your answer
Can you finish your project by 31 December 2020?
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Yes
No
Planned start date?
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MM
/
DD
/
YYYY
Planned end date?
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MM
/
DD
/
YYYY
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