Application for Mildura Workers Countdown Club Grants Program

Mildura Workers Countdown Club Grants Program

Directly supporting Juniors in the Community.
Countdown Grants Application

Appy to receive funding through the Workers Countdown Grants Program. Every Countdown Club memberhip recieved will go directly back into the community to support youth projects..
1. NAME OF ORGANISATION:
ABN:
2. ORGANISATION CATEGORY & NOT-FOR-PROFIT STATUS
(e.g. School, Sports Club, Charity, Health Promotion, Medical Research, Community Festival, Community Care)
3. PRIMARY CONTACT DETAILS
NAME
POSITION
POSTAL ADDRESS:
MOBILE:
Format: (000) 000-0000.
EMAIL:
example@example.com
4. REACH OF FUNDING RECEIVED
(List the number of members in your organisation that funding would impact)
5. What is the age group of the project ?

6. REASON AND PURPOSE OF YOUR FUNDING?
(Please explain the purpose of the funding. If insufficient space, please attach additional pages)
File Upload

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7. WHAT RECOGNITION OR RECIPROCAL BENEFITS CAN YOUR ORGANISATION PROVIDE TO THE MILDURA WORKING MAN'S CLUB?
8. If your application is successful, do you permit a testimonial or photo to be provided for the use on the Mildura Workers website?
Conditions apply for the supply of images that contain minors.
9. ORGANISATION BANKING DETAILS
If your application is successful, the Mildura Workers accounts team will contact you regarding providing secure means of deposit of funding.
10. VERIFICATION AND AUTHORISATION I verify that I am authorised by the applicant to submit this application.
Print Name
Position Held
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
11. SUBMISSION OF APPLICATIONS
- Your application will be sent to the Mildura Wokers team via email.
- All applications must be submitted by the 15^th of each month to be reviewed in that month's board meeting. Applications received after the 15^th will be submitted to the directors for review at the following month's board meeting.
- A response will be provided as soon as possible after the meeting, notifying you of the outcome of your request.
12. CLUB MEMBERSHIP POLICY
- all countdown club members must be signed up by a parent/legal guardian that is a financial member.
13. ALLOCATION OF GRANT FUNDING
- Countdown Club grant funding will be allocated in to the approved organisations in June and December each year.
Should be Empty:

Mildura Workers Countdown Club Grants Program

Countdown Grants Application

3. PRIMARY CONTACT DETAILS