Grant Application Form 2024

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SECTION ONE

PROJECT
ORGANISATION DETAILS
LOCATION ADDRESS
MAIL ADDRESS
Does your organisation have:


Please provide evidence of: DGR (Deductible Gift Recipients)  Item 1 Charitable Organisation Status  /  ITEC  (Income Tax Exempt)  Status  / ACNC Registration (Australian Charities & Not For Profit Commission)
Upload a copy of your endorsements, using the Choose File button below. Click add another endorsement if you need to include more than one (maximum 3 files).

Note: if you click on 'add another endorsement'  you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.
HEAD OF ORGANISATION (CEO or equivalent)
PROJECT MANAGER (if different to Head of Organisation)
FINANCIAL INFORMATION



Auditor or treasurer's details
COMMITTEE OR DEPARTMENT MANAGEMENT (Office Bearers Only)
LOCATION INFORMATION


Previous Funding

SECTION TWO

AMOUNT REQUESTED & TIMELINE

Please enter without any symbols (eg. $)
PROJECT DETAILS





 Project Budget : A full budget and quote/s to support the amount requested are to be provided as part of your application.   Download the budget template to provide a project budget including:

INCOME: details of other funding (confirmed and applied for) and include in kind contributions. 
EXPENDITURE: breakdown of individual line items (eg: equipment, travel, admin, etc).  Submit completed budget template as part of your application.
Upload your quotes and other relevant documents, using the Choose File button below. Click add another document if you need to include more than one (maximum 5 files).

Note: if you click on 'add another document'  you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.
Recognition of the Grant
All successful grant applicants will be asked to recognise the contribution from Border Trust and the Hume Bank Safer Communities Grant by acknowledging it in newsletters, social media posts and on your organisation’s website etc.  We will provide an appropriate script and logo/s for this purpose.
Evaluation & Acquittal of the Project
All successful applicants will be required to provide an acquittal report.  This will include a written report, photos and stories resulting from your project.  We will provide a link to the online acquittal form in due course.

SECTION THREE

DECLARATION
The signatory below is HEAD OF THE ORGANISATION (CEO or equivalent) and has been authorised to seek funding on its behalf.

I HEREBY CONFIRM THAT all details contained in this Application (Section 1 and Section 2) are a true reflection of the status of our organisation and the project that we wish to undertake.
Head of organisation - CEO or equivalent.
Please note that your application may take a while to submit, particularly if you have attached large files. Please do not navigate away from this page until you see the confirmation screen.
CHECKLIST FOR COMPLETION OF FULL APPLICATION