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2019 Courier Charity Fund Grant Application Form 


This form is to be completed to apply for funding from the following Ballarat Foundation Community Impact Grants Program (CIGP).

Applications for grants from the following Grant Programs are to use this form, specifying that the application is for one of the following grant programs:
  • Courier Charity Fund
  1. Before completing this form you will need to read the guidelines for the Courier Charity Fund. Guidelines are available here: https://ballaratfoundation.org/community-impact/community-grants/courier-charity-fund/
  2. A separate application needs to be completed for each project
  3. Applications can be saved and returned to at a later date:  please click on Save my progress and resume later if this is required
  4. Applications open on Monday 28 October and close at 5:00pm on Wednesday 20 November 2019.

If you require assistance at any stage, please call us on 03 5331 5555 during office hours.

Page 2: Applicant Information

Details of the person best to contact regarding this application:

e.g. Project Officer, Administrator, etc.

Page 3: Application Summary

The Name of the Organisation

What is the address of the legal entity (organisation) that will receive the funds?

Whereabouts is the project based?

Include family members/colleagues nearby community etc.
Project Summary
How is this project staffed?

Page 4: Project Goals

A brief overview focusing on the activities and programs you deliver (200 words Max)
The measures of success (max 150 words)

Page 5: Community impact and collaboration

Page 6: Funding Requested and Project Budget

If yes, please ensure your budget figures are provided exclusive of GST.

Please provide a copy of your Project Budget.

A Project Budget template is available to download for you to use if you wish. You will need to save it to your computer and enter your budget details. 

To upload a copy of the completed project budget please browse to the files on your computer and attach  to this application (Maximum of 4 files and up to a total of 20Mb can be attached).

Submission Deadline: 5:00pm Wednesday 20 November 2019

  • Please contact us if there are any difficulties on (03) 5331 5555 

FUNDING TERMS & CONDITIONS - Please refer to the Grant Program Guidelines & Funding Conditions located on the Courier Charity Fund page