NOMINATION FOR SHCF 2024 HIGHLANDS HEROES
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Please read the
Selection Criteria
before completing this application
Application date
*
-
Day
-
Month
Year
Date
Name of the Organisation
*
Website/Facebook URL
https://XXXX.com.au
ABN
*
Name of Nominator
First Name
Last Name
Name of Volunteer
First Name
Last Name
INFORMATION ON YOUR ORGANISATION
Summary of your organisation
*
Please provide the purpose, mission and key activities of your organisation (no more than 50 words).
Please upload relevant community organisation documentation
Upload Files
Drag and drop files here
Choose a file
ABN Listing, registered entity details, Relevant ACNC registration, last annual report
Cancel
of
The volunteers role in your Organisation
*
Please outline the role of the Volunteer in your organisation
0/100
How long has the Volunteer been supporting your organisation?
*
Please give approximate time in years and months.
If involved in fundraising, please indicate the approx. value of funds raised by the Volunteer
Please give approximate amount.
What impact has Volunteer had on your organisation and its services?
*
No more than 200 words.
0/200
How has the Volunteer energised and engaged others at your organisation?
*
No more than 200 words.
0/200
Please provide any further examples to show why this Volunteer should be recognised as a Highlands Hero?
*
No more than 100 words.
If your nominated Volunteer is successful, how will the organisation utilise the $5,000 award money?
*
No more than 100 words.
Please upload letters to support your application.
*
Upload Files
Drag and drop files here
Choose a file
Please upload 2 statements of support for this nomination from 2 other members of your organisation. Any further documentation to support the nomination may also be uploaded here.
Cancel
of
The organisation and nominated volunteer agree to be available for media and other promotional activities.
Yes
No
If your nomination is not successful in the round applied for, are you agreeable to this nomination being considered in the next round?
Yes
No
Have you previously received funding from the SHCF?
*
Please Select
Yes
No
Details
Date, Amount, Project
Contact Details
Contact Person in the Organisation
*
First Name
Last Name
Position in Organisation
*
Phone Number
*
Email
*
example@example.com
Authorized Signature
*
I have read and agree to the application terms and conditions.
*
Yes
Please verify that you are human
*
Print
Save
Submit
Organisation Check
Details
Verified
Contacted
Comments
Nomination rolled over
Yes
No
ABN
Fairtrading
ACNC
Yes
Yes
Yes
Constitution Supports Community
Yes
No
ABN
Fairtrading
ACNC
Yes
Yes
Yes
Financial Stability
Yes
No
ABN
Fairtrading
ACNC
Yes
Yes
Yes
Letters of Support
Yes
No
ABN
Fairtrading
ACNC
Yes
Yes
Yes
Contacted Nominator
Yes
No
ABN
Fairtrading
ACNC
Yes
Yes
Yes
Confirmed registration
Yes
No
ABN
Fairtrading
ACNC
Yes
Yes
Yes
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