2022/23 Grant Program

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Grant Application Form: Part A

Name and Details of Requesting Organisation

Organisation Name

Maximum 60 characters.

Address

Street

Suburb

State

Postcode

Country

Website

Facebook Page

ABN

Contact Person

First Name

Last Name

Phone

Position Held

About Your Organisation

Please give a brief description of your organisation, its history, aims and details of the services or activities (maximum 350 words).

Check all that apply. Is your organisation...

Endorsed DGR 1?

A Tax Concession Charity?

Part of a wider body which also operates outside Geelong?

Additional Information Required

Please include a copy of your accounts for the last financial year (even if not audited).

Grant Application Form: Part B

The Project/Program

Title of the Project/Program

Maximum 250 characters.

Amount of Funding Requested

Please enter as a number, without a $.

Note:
Grants are available from $1,000 up to $50,000.
There are also two grants available between $50,000 and $100,000 which can be delivered over multiple years. Discussion is required with the CEO prior to submitting a large grant or multi-year application.
Organisations can submit only one application.

Provide 2-3 short sentences summarising the project, including specifically what the funds will be used for (for marketing purposes if your application is successful - maximum 50 words).

Clearly identify the need in the community that this project/program is addressing? (maximum 100 words).

How will this project/program address the need that will make a difference? (maximum 200 words)

Who will your project/program benefit? Will it benefit any specific group defined by religion, ethnicity, gender, age, etc. and how many people will it benefit? (maximum 100 words)

What are the activities that you will undertake including a description of exactly what the grant will be spent on i.e. salaries, consultants, equipment, etc.? (maximum 250 words)

What are the outcomes/changes and impact you are expecting to achieve from this project/program, both now and with some indication of the future where possible? (maximum 400 words).

Provide additional project/program information - is there anything else you would like to tell us? (maximum 400 words)

Is this a multi-year grant application?

If yes, over what timeframe is your request?

Please describe the timeline of your proposed project/program?

Grant Application Form: Part B (continued)

Project Details

Please complete the Project Plan in the Excel spreadsheet provided.

Which Geelong Community Foundation Impact Area does your project best fit within?

Where will the project take place (what LGA)?

Has your organisation explored opportunities to partner with other community organisations to deliver this program/project?

If YES, give details (maximum 200 words).

Has alternative funding been applied for?

If YES, give details (maximum 200 words).

Grant Application Form: Part D

Project Budget

Please complete the Excel spreadsheet budget and narrative worksheets including all potential and actual funding sources and all costs. Please ensure your budget balances. The narrative worksheet provides the opportunity to detail/justify any aspects of your budget.

Please upload your project plan and budget Excel spreadsheet here.

Grant Application Form: Part E

Recognition of Grant

Detail how you will acknowledge the Geelong Community Foundation's contribution to your project, eg. organisation's newsletter, annual report, website, social media, newspaper article, radio interviews, etc. (maximum 200 words).

Reporting and Grant Acquittal

The Geelong Community Foundation will require a Grant Acquittal including photographs as appropriate on completion of the project. An audit covering budget and actual costs may be requested for certain projects. It should be noted that in some cases, the Foundation Board may request an on-site review of a funded program.

If you received a grant in 2021/22, you must complete an online Grant Progress Report.

Did you receive a grant in 2021/22?

Have you completed a Grant Progress Report?

Have you received funding from the Geelong Community Foundation prior to 2021/22?

Grant Application Form: Part F

Certification and Privacy

The Geelong Community Foundation is committed to protecting your privacy and ensuring that all information provided in relation to this grant application is kept confidential. During the assessment process however, the Foundation may need to collect, use and disclose information about your organisation and the project to third parties. This information could be passed on to the Board of the Foundation, its officers and agents or external people to assist in assessing the grant application.

Permission to forward this application to other funding organisations for consideration.

Permission to forward this application to individuals and experts for assessment.

Check this box if you want to opt out of the Geelong Community Foundation's email mailing list.

Declaration

I confirm that the CEO/Manager/Chairperson has certified that the information in this application is true and correct.

Name and role of CEO/Manager/Chair

I am authorised by my organisation named in this application to make this application on its behalf. I confirm that my organisation agrees to the terms and conditions relating to grants of the Geelong Community Foundation detailed in the Grant Agreement. The application acknowledges that the Foundation is under no obligation to make a grant even though the application meets all guidelines and eligibility requirements.

Enter your name below to agree to these conditions

Attach one other relevant file here (if required, in word, excel or pdf format only).

Submission checklist

I have completed all three pages of the Excel Spreadsheet - Budget, Narrative and Project Plan worksheetsMy application is for more than $50,000 or a multi-year grant and I have had a conversation with Gail Rodgers regarding our projectI have applied under the correct ABN which relates to the organisation with DGR or TCC status (the applicant)I have attached last year's financial statementsI have only submitted attachments that are in 'pdf', 'excel' and 'word' formats

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