Organisation Name (If relevant):
Email *
ABN (If relevant):
Phone Number: *
Website (if relevant)
Project Title: *
Project Start Date: *
Project End Date: *
Amount Requested (Up to $10,000): *
Please provide a detailed budget breakdown for your project. For example, if you are requesting $5,000 - list the items you will use this funding. *
Please provide any other funding you have for this project. This can include: Confirmed funding - names of funders or your own money; Unconfirmed funding - other funding you have applied for in-kind contributions - non-cash contributions including assets, services, time, materials.
Brief Project Description (Short summary of your project, maximum 500 words) *
Who will benefit? (Consider the number of people, age, gender, region and other demographics, 100 words) *
How will this project or initiative promote inclusivity and independence for people with disability or people who are ageing? What are the expected outcomes? (Maximum 200 words) *
How will you know if these outcomes have been achieved? How will you measure the success of your project (150 words) *
Describe the steps/actions you will take to reach your project outcome (200 words) *
Provide details of any stakeholders/additional people involved or impacting in the delivery of this grant (e.g Council), and how they may impact this timeline. *
How will you promote your project to the community for maximum impact? How many people do you expect your project to reach? (200 words) *
Please upload any supplementary documents, media, imagery to support your application. (If you are submitting your application via mail, please include all documents in your application) *
