Clone of Cafe Supply Partnership Expression of Interest Form

Thank you for your interest in applying for the White Whale Community Grant.

This form is designed to give us a better understanding of your project, initiative or idea, who it will benefit, and how a $2,500 grant could help bring it to life.

We appreciate you including as much detail as you can to help us understand the idea and the positive impact it could have within our Far North Queensland community.

Primary Contact

First NameLast Name

I am applying as a:

ABN (if applicable)

Email

example@example.com

Contact number

Home Address (Primary Contact)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Organisation Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your preferred method of contact?

Do you have a website or socials? Please include a URL below.

Is this a new or existing idea, project or initiative?

Have you received or applied for funding from elsewhere?

Give us an overview of your idea, project or initiative. What do you hope to achieve?

300 words or less

Who will it benefit? Tell us about the people or community your idea is intended to support, and the positive difference you hope it will make.

300 words or less

How would you use the $2500 grant? Give us an idea of how the money would be spent. This doesn't need to be a formal budget; a simple breakdown of the main costs is perfect!

300 words of less

Why is this important to you? Tell us a little about your personal connection to the idea.

300 words or less.

Please use this space to ask questions, or tell us anything else we should know.

Please include any supporting images or documents here.

I would like my Expression of Interest included in the next application round if I am unsuccessful

I confirm that I am based in Far North Queensland and that the proposed project or initiative will primarily benefit the Far North Queensland community

All applicants are required to read the Terms & Conditions of the White Whale Community grant via the link below.

https://cdn.shopify.com/s/files/1/0899/6498/files/White_Whale_Community_Grant_-_TC_s.pdf?v=1786401372

I have read the Terms & Conditions of the White Whale Community Grant

I confirm that the information provided in this application is accurate and that, if successful, the White Whale Community Grant will be used for the purpose outlined in this application.

Thank you for taking the time to express your interest in the White Whale Community Grant.

We will review your submission and a member of our team will be in touch shortly.