Towong Community Bushfire Disaster Relief FundGrant Application (Round 6

Towong Community Bushfire Disaster Relief Fund
Grant Application (Round 6 - November 2023)

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SECTION ONE

PROJECT

Project name:

ORGANISATION DETAILS

Organisation name:

Main activity of organisation (maximum 100 words):

LOCATION ADDRESS

Street:

City:

State:

Postcode:

MAIL ADDRESS

Street or PO Box:

City:

State:

Post Code:

Website:

ABN:

Please upload an electronic copy of your ABN, if applicable.

ATO Endorsements: Does your organisation have:

DGR (Deductible Gift Recipients) Item 1 Charitable Organisation Status?

ITEC (Income Tax Exempt) status?

ACNC (Australian Charities & Not for Profit Commission) registration?

Please provide a copy of endorsements if available.

Upload a copy of your ATO endorsements, using the Choose File button below. Click add another endorsement if you need to include more than one (maximum 3 files).

Note: if you click on 'add another endorsement' you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.

HEAD OF ORGANISATION (CEO or equivalent)

First name:

Last name:

Position title:

Telephone:

Email:

Mobile:

Is the Project Manager different to the Head of Organisation?

PROJECT MANAGER (if different to Head of Organisation)

First name:

Last name:

Position title:

Telephone:

Email:

Mobile:

AMOUNT REQUESTED

Amount requested:

Please enter without any symbols (eg. $)

Generally, grants of up to $50,000 will be considered. Applications for funding up to $100,000 may be considered but must be discussed with Border Trust before applying.

FINANCIAL INFORMATION

Is your organisation audited annually?

Please click on the Choose File button below to upload a copy of your most recent audited accounts and/or Year to Date Financials or a copy of Annual Report if it includes this information. If you need to upload more than one file, click on the Add another file link (maximum 2 files).

Note: if you click on 'add another file' you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.

Please click on the Choose File button below to upload your most recent financial statements and a yearly budget figures. If you need to upload more than one file, click on the Add another file link (maximum 2 files).

Note: if you click on 'add another file' you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.

Auditor or treasurer's details

Name:

Email:

Telephone:

COMMITTEE OR DEPARTMENT MANAGEMENT (Office Bearers Only)

President:

Secretary:

Treasurer:

LOCATION INFORMATION

Where within the Towong Shire will the beneficiaries of your project come from? ie. Nariel Valley, Corryong, etc. (maximum 50 words).

REFEREE

Please provide the name and contact details of an external referee who knows your organisation well and who would be prepared to act as a Referee for your organisation.

Please confirm with this referee that they are happy to act in this regard as they will be contacted for confirmation.

Referee's organisation:

Contact person:

Position:

Telephone:

Mobile:

Email:

FUNDING

Please provide funding details for this project, including previous funding and funding external to this application.
Click on the Add another funding source link to add additional funding bodies.

Funding body:

Year:

Current status:

Amount:

Please enter without any symbols (eg. $)

Please detail any previous 2019/2020 Bushfire Recovery funding received by your organisation from other sources. (insert not applicable as appropriate)

Does the funding received relate to the project referred to in this application?

Has work commenced?

Is this application for a further stage of an existing project?

What is the status of the project overall?

Has your organisation previously received funding from Border Trust?
Year/Project/Amount

SECTION TWO

PROJECT DETAILS

What does your organisation do? (maximum 350 words)

Project description (maximum 350 words)

Summary of project (maximum 100 words)

FOCUS AREAS

This grant round has specific focus areas as they relate to the 2019/2020 bushfires. Please tick which focus area/s your application meets:

Health and wellbeing initiatives for the long-term recovery of people affected by the 2019/2020 fires Programs, events and initiatives that support the development of emerging leaders in the bushfire affected areas Events and initiatives that promote social cohesion, reduce social isolation, build community resilience, and connect bushfire affected communities Projects addressing the relief, recovery and re-establishing of a community

Why does this work need to be done? (maximum 250 words)

PERMISSIONS & APPROVALS

Does your project involve work on a community asset such as a hall?

Do you have permission from the Committee of Management?

Do you have permission from the landowner for this project?

Are Council approval and permits required for this project?

Have you had an initial conversation with the Council?

LETTERS OF SUPPORT

Who have you consulted with? (maximum 100 words)

We strongly recommend letters of support are obtained & submitted with your application. We encourage letters of support that demonstrate partner and community support. Please use the Choose File button below to add your letters. If you need to add another letter, click on the add another letter of support link (a maximum of three files can be uploaded).

Note: if you click on 'add another letter of support' you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.

What will you do? (maximum 300 words)

Who will benefit? (maximum 200 words)

Time frame (maximum 100 words)

Expenditure (maximum 100 words)

Project Budget
A full budget and quote/s to support the amount requested are to be provided as part of your application. Any additional documentation can be emailed to : grants@bordertrust.org.au
Download the budget template to provide a project budget including
INCOME: details of other funding (confirmed and applied for) & include in kind contributions
EXPENDITURE: breakdown of individual line items (eg, equipment, travel, admin, etc).
Submit completed budget template as part of your application.

Upload your quotes and other relevant documents, using the Choose File button below - pdfs or Office documents only. Click add another document if you need to include more than one (maximum 5 files).

Note: if you click on 'add another document' you will either need to upload a document in this second section or click on the 'remove' link to remove the 'choose file' box.

What are the expected outcomes? (maximum 200 words)

How will you measure the program's success (maximum 200 words)

Project sustainability (maximum 100 words)

Recognition of grant (maximum 50 words)

Evaluation and acquittal of the project (maximum 200 words)
Note: You will be required to provide acquittal information and evaluation at project end.

SECTION THREE

DECLARATION

All details contained within this Application are a true reflection of the status of our organisation and the project undertaken.

The signatory below is the Head of the Organisation and has been authorised to acquit the project on its behalf.

DECLARED for and on behalf of:

Organisation name:

Head of Organisation:

CEO or equivalent.

Position:

Date:

Please enter below one email address that BorderTrust can use to email you a copy of your completed submission.

Please note that your application may take a while to submit, particularly if you have attached large files. Please do not navigate away from this page until you see the confirmation screen.

CHECKLIST FOR COMPLETION OF FULL APPLICATION

Read document 'General Information for Grant Applicants'.Submit any associated documentation, including:
- Australian Tax Office status document (DGR & TCC) if applicable
- ABN & ACNC Registration
- Financial reports (Border Trust Template and most recent balance sheet & income statements)

- References
- Letters of Support
- Budget including details of other funding (confirmed and applied for) for this project
- Quotes
All questions have been answeredDeclaration complete

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