Foundation Barossa Rapid Response Community Grants Application Form 2020
Date
-
Month
-
Day
Year
Date
Contact Name
*
Organisation Name (if applicable)
ABN (if applicable)
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal Code
For existing organisations please provide a brief overview of your organisation's main purpose and activities (Max 100 words)
0/100
Name of Project
*
Select Area of Application
*
Building Community Resilience
Service Delivery in a New Environment
Fostering Community Connection & Belonging
Project Outline (Max 300 words)
*
0/300
Who will benefit from your project? Please indicate esitamted number of people that will benefit
*
Why is this project needed?
*
Are there any similar services provided by another organisation in the region? If answered yes, please provide details
*
Are there any other organisations or partners involved in this project? If yes, please outline their involvement
*
How will you determine if the project has been successful and what process or method will you use to evaluate the project?
*
Will this project funded by these grants have longevity post the pandemic period (please outline)
Grant Amount requested for Project (maximum $1,500 per project)
*
$
Please attach a copy of your project budget
*
Browse Files
Excel spreadsheet or word document only
Cancel
of
Are you currently receiving or have you previously received a grant or funding for this project from Foundation Barossa?
Yes
No
Are you currently receiving or have you previously received a grant or funding for this project from anyone other than Foundation Barossa?
Yes
No
If you do not receive a grant from Foundation Barossa will this project go ahead?
Yes
No
I declare that I am authorised to seek funding on behalf of the organisation and that any information given on this form is complete and correct and that no relevant information has been withheld
*
Yes
Please correct any errors before submitting this form
Submit Application
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