Foundation Barossa Rapid Response Community Grants Application Form 2020

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 *
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
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Foundation Barossa Rapid Response Community Grants Application Form 2020

Please correct any errors before submitting this form