TEST Community Fund Application Form

Application form for the WSF Community Fund (Operations)

"*" indicates required fields

SECTION 1: APPLICANT DETAILS

ORGANISATION POSTAL ADDRESS*
Is your Organisation / Group registered for GST?*

Do you have either of the following endorsements?

DGR (Deductible Gift Recipient)*
TCC (Tax Concession Charity)*

SECTION 2: PROJECT OVERVIEW

Please detail any additional funding contributed from other sources to this project, including in-kind arrangements
Please provide a breakdown of how funds will be spent (attach in a separate document if needed, along with two recent quotes)
Length of Project*
If multi-year, please provide annual milestones and funding breakdown in a separate document
Applications for capital works projects must be accompanied by an approved Development Consent from Council or written confirmation from Council that consent is not required

SECTION 3: ALIGNMENT WITH COMMUNITY FUND KEY AREAS

Please select all key areas that apply to your project*

SECTION 4: COMMUNITY IMPACT

For example: skills and knowledge building, infrastructure or long-term services, enduring environmental outcomes, benefits to community through tourism initiatives etc
For example: number of participants, events delivered, facilities improved, environmental outcomes etc

SECTION 5: PROJECT DELIVERY AND GOVERNANCE

For example: signage at event, logo placement on materials, media mentions, social media mentions, Wollar Solar Farm staff involvement with event
Does your Organisation/Event hold Public Liability Insurance?*
If yes, please attach proof of insurance held
Clear Signature