Cooper Communities Environment Grant Program - Expression of Interest
Please fill out the form below by 11pm, Sunday 22nd September to express interest in a Communities Environment grant.

For more information on the grants and eligibility please see:
https://www.business.gov.au/assistance/communities-environment-program

Enquiries can be directed to tom.mcintosh@aph.gov.au

Authorised by G Kearney, ALP, 159 High Street, Preston, VIC, 3072.
Your organisation
Organisation name *
Your answer
Organisation ABN *
Your answer
Address of organisation *
Your answer
Are you an incorporated and not for profit organisation? *
Your details
Name *
Your answer
Position in organisation *
Your answer
Phone number *
Your answer
Email address *
Your answer
Your project
Total cost of project *
Your answer
Address where the project will be carried out *
Your answer
Grant amount sought *
Your answer
Do you have dollar for dollar matched funding equal to the funding request? (this can be either cash or in-kind eg. labour or materials) *
Is the majority of the work funded by the grant going to be undertaken in the Federal Electorate of Cooper? *
Can you complete your project by 31 December 2020? *
Project description *
Your answer
How will your project: a) deliver positive environmental and social outcomes and; b) provide the community with the resources and knowledge to care for the environment *
Your answer
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