2023 ONEFORTYONE COMMUNITY GRANTS

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PART A

Organisation Details

Organisation name:

Postal/street address:

Suburb:

State:

Postcode:

Website:

Facebook page:

ABN

Contact Person

First name:

Last name:

Phone:

Email:

Email Opt-Out

Check this box if you wish to opt-out of future emails from the Stand Like Stone Foundation. Please note that the email entered here will still be used for communications relating to this grant application.

Position held:

About Your Organisation

Please give a brief description of your organisation, its history, aims and details of the services or activities. (Maximum 350 words).

Is your organisation...

Endorsed Deductible Gift Recipient Status (DGR)?

Tax Concession Charity?

Registered for GST?

Please upload a copy of your accounts for the last financial year (even if not audited).

PART B

The Project

Project title:

Amount requested:

Please enter without dollar ($) symbol.

Total project cost:

Please enter without dollar ($) symbol.

Please check that your total project cost matches the proposed budget.

Project start date:

Project end date:

Provide 2-3 short sentences summarising the project, including specifically what the funds will be used for (for marketing purposes if your application is successful - maximum 50 words).

If volunteers are involved in implementing the program, indicate the total volunteer hours and any special skills or training they will be required to undertake. (Maximum 200 words).

If this is an ongoing project, how do you proposed to keep it operating after completion of the Stand Like Stone Foundation grant? (Maximum 250 words).

PART C

Project Details

Who will your project benefit? (The specific group that will participate in and/or benefit from this project, including number of people, age, gender, region, etc. Maximum 200 words).

What needs/issues will be addressed by your project? (Maximum 300 words).

Which charitable area does your project best fit within? Hold down the CTRL or COMMAND key to select all that apply.

Where will the project take place (what LGA)? Hold down the CTRL or COMMAND key to select all that apply.

As you have selected 'Other' above, please specify the location where the project will take place.

What are the expected outcomes and how do you propose to measure them? (What you want to achieve with the project - outcomes are the effects on participants/beneficiaries arising from the project. Maximum 400 words).

Who has been consulted in the development of this project and who supports this proposal. (Maximum 150 words. Letters of support can be uploaded at the end of this application).

If you do not receive the entire amount applied for, will this project proceed and if so, how? (Maximum 200 words).

PART D

Budget

Please upload your completed budget using the budget template found on our website (download here).

Are the funds to be phased over 3 years?

Year 1 amount:

Please enter without dollar ($) symbol.

Year 2 amount:

Please enter without dollar ($) symbol.

Year 3 amount:

Please enter without dollar ($) symbol.

Does your organisation have reserves and if so, is there any reason why they cannot be used in supporting this project? (Maximum 250 words).

PART E

Recognition of Grant

Detail how you will acknowledge Stand Like Stone Foundation and OneFortyOne's contribution to your project, eg. organisation's newsletter, annual report, website, social media, newspaper article, radio interviews, etc. (Maximum 200 words).

Reporting and Grant Acquittal

The Stand Like Stone Foundation will require a Grant Acquittal including photographs as appropriate on completion of the project. It should be noted that, in some cases, the Stand Like Stone Foundation Board may request an on-site review of a funded program.

Have you previously received a grant from the OneFortyOne Community Grants?

Please give brief details of your previous grant (Year, project title etc. Maximum 50 words).

Have you submitted your grant acquittal report? Please note only organisations that have acquitted previous grants are eligible for funding.

PART F

Certification and Privacy

The Stand Like Stone Foundation is committed to protection your privacy and ensuring that all information provided in relation to this grant application is kept confidential. During the assessment process however, the Stand Like Stone Foundation may need to collect, use and disclose information about your organisation and the project to third parties. This information could be passed on to the Board of the Stand Like Stone Foundation, its officers and agents or external people to assist in assessing the grant application.

Do you give Stand Like Stone permission to forward this application to other funding organisations for consideration?

Do you give Stand Like Stone permission to forward this application to individuals and experts for assessment?

Do you give Stand Like Stone permission to use your photos for promotional purposes?

Declaration

By checking this box, I confirm that the CEO/Manager/Authorised person has confirmed that the information in this application is true and correct.

Name and role of CEO/Manager/Authorised person:

I am authorised by my organisation named in this application to make this application on its behalf.

I confirm that my organisation agrees to the terms and conditions relating to grants of the Stand Like Stone Foundation detailed in the Grant Agreement.

The application acknowledges that the Stand Like Stand Foundation is under no obligation to make a grant even though the application meets all guidelines and eligibility requirements.

Please enter your name below to sign this declaration:

File Uploads

Please use the 'Choose file' button below to upload any relevant files here, eg. letters of support, quotes, etc. (Maximum 3 files. Word, Excel or PDF format only).

Upload related attachment here

Checklist

I have completed the Budget Excel Spreadsheet (total income and expenditure must be equal).

I have applied under the correct ABN which relates to the organisation with DGR or TCC status (the applicant).

I have attached last year's financial statements.

I have only submitted attachments that are in 'pdf', 'excel' and 'word' formats.

PART G

Application Process Feedback

Now that you have completed the application form, what was the experience like? Please rate its ease/difficulty below.

Please provide a reason for your answer (Maximum 100 words).

Please provide any further feedback (Maximum 100 words).

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