Waru Path Funding – Grant Application Intake Form

Waru Path Funding – Grant Application Intake Form
Organisation Details
Organisation Name*
Please ensure you enter the exact organisation name as it appears on your Incorporation Certificate.
Is your organisation an Incorporated Association?*
ABN / ACN (if applicable)
GST Status*
Incorporation Type
Please Specify
What is your organisations structure
Date Organisation Established*
Organisation Number (if applicable)

Organisation Overview
Briefly What does your organisation do?*

Bullet points are fine. Waru Path will turn your notes into a complete project summary.0/900
Type of Organisation - (Select all that apply)*

Sport and RecreationArts and CultureYouth DevelopmentFirst Nations / IndigenousEducation and TrainingCommunity DevelopmentOther ( please specify)
Please specify what organisation you are ?
Geographical Area Covered*
Paying Members*
Approx
Annual Users / Participant*
Approx

Financial Position
Date of Last Audited Financials

MonthDayYear
Date
Annual Income*
Annual Expenditure*
Assets
Liabilities
Cash at Bank*
Investments (if any)
Bank Details
Bank Name *
Account Name*
Must be the same as your organisations certified name
BSB*
Account Number*
Upload Bank Verification Form

Attach the bank-stamped form confirming your organisation’s bank account details.
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Download this form and take it to your bank so they can confirm your account name, BSB and account number.

Community Benefit
How will the application benefit your organisation and the community?*

Bullet points are fine. Waru Path will turn your notes into a complete project summary.0/500
Will this application provide benefit to more than one not-for-profit organisation, if successful?*
Applications with items that support multiple organisations are more likely to receive funding.
Explain How
Bullet points are fine. Waru Path will turn your notes into a complete project summary.
Will this application provide an opportunity for your organisation to generate income if successful? (Income-generating or cost-saving projects are usually viewed more favourably by funding bodies.)*
Bullet points are fine. Waru Path will turn your notes into a complete project summary.
Explain How
Bullet points are fine. Waru Path will turn your notes into a complete project summary.
Is this application being submitted as a result of your organisation being affected by a natural disaster within the last two years? *
Members - How many paying members does your organisation currently have? *
Users How many people access your organisations facilities or services annually? *
What geographical area does your organisation cover?*
Tell us where you operate — local area, multiple regions, your state, or nationally.
Referees - 3 Referees

All 3 referees listed may be contacted. Referees cannot be management committee members or accountable officer.
Referee # 1*
Referee # 2*
Referee # 3*

Supporting Docs
The more supporting documents you provide, the stronger your application will be. Please attach anything that helps explain or justify your project.
- Quotes
- Financial Statements
- Constitution
- Council Support Letters
- Additional Supporting Documents
Attach as many documents as possible — these play a major role in strengthening and validating your application.

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NEARLY THERE !! 1 SECTION TO GO !

AUTHORISATION SECTION

Authorisation to Act on Behalf of the Organisation
I, as an authorised representative of my organisation, grant Waru Path Funding permission to prepare, complete, lodge and communicate regarding grant applications on our behalf. This includes providing supporting documentation, answering enquiries from funding bodies, and assisting with acquittals where required. I acknowledge that my organisation remains legally responsible for all information provided and that funding decisions are made solely by the grant provider.*

YES
Authorising Officer Details*
I confirm that I am authorised by my organisation’s management committee or governing body to give Waru Path Funding this authority.*

YES
Digital Signature (Required) You can sign using your mouse, your finger (on mobile/tablet), or a stylus pen*

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Additional Information
Anything else you’d like us to know?
Should be Empty:

Organisation Details