Online Form - Community Assistance Program Application

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Having the following documents on hand will assist with the completion of this application.

Required Documents

  • Certificate of Incorporation 
  • Certificate of Current Public Liability Insurance 
  • Copies of Quotations (for each item in project budget) 

    Required Documents (Revitalisation Grant Only)

    • Site Plans / Building Plan 
    • Development Application 
    • Building Licence 

    Suggested Supporting Documents

    • Organisation Strategic Plan 
    • Evidence of landowner’s consent

     

    Save Your Progress

    You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

    Note: Incomplete forms are kept for a period of 14 day(s) , after this time the system will automatically delete your response.

    Before proceeding with your application

    I/we have *
    I/we have *
    I/we have *

    Type of Grant

    Please select the grant you are applying for *



    Applicant Details

    Maximum size of ALL attachments is 976.56 MB
    Is your organisation registered for GST? *
    Does your organisation have an ABN? *
    Organisation classification *

    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB

    Application Contact Person

    Who will be the main point of contact during the application process?


    Project Details

    Location of project
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB

    Project Budget

    Example: 20 Hours at $35, Total = $700

    Maximum size of ALL attachments is 976.56 MB

    Total Cost of Project  

    (Excluding GST)

    $4,000

    Project Cost Breakdown 

    (List each item of project and cost) 

    Item 

    Cost (exc. GST)

    Item 1 Painting 

    $ 1,000

    Item 2 Roof repair

    $ 2,000

    Item 3 Purchase of printer

    $ 1,000

    TOTAL:

    *Must equal total cost of project 

    $4,000

    Can the project proceed if only partial funding is granted? *

    Quotations

    It is a requirement of this application that each item referenced in the 'Project Cost Breakdown' have (2) quotes sourced and submitted with the application.

    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB

    Rationale

    Maximum size of ALL attachments is 976.56 MB
    What community sectors does the project primarily target? (Select all that apply) *

    Coordination

    Have you consulted with these other organisations in regard to this application? *
    Maximum size of ALL attachments is 976.56 MB

    Sustainability

    Will there be any ongoing costs of the project? *

    Upload supporting Documents

    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB

    Revitalisation Grant

    Have all approvals been obtained by the land/building owner?
    Is a Development Application required?
    Is a Building Permit required?
    Does the project meet the relevant guidelines (facility, safety, other) relevant to the project?
    Are the technical specifications of any equipment installed to the required standard and have approvals been obtained for their installation?
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB
    Maximum size of ALL attachments is 976.56 MB

     
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