Border Trust Community Grant ProgramApplication Form 2024

Border Trust Community Grant Program
Application Form 2024

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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:

Email address:

ABN:

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

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 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. $)

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

Organisation's Location:

If your organisation is in multiple regions, please hold down the Ctrl or Cmd key to select from the list below.

Which region(s) will the beneficiaries of your project come from?

If your beneficiaries will come from multiple regions, please hold down the Ctrl or Cmd key to select from the list below.

REFEREE

Please proved the name and contact details of an external referee who knows your organisation well and who would be prepared to support your application. Letters of support from this person and others you have consulted with can be uploaded in Section 2.

Referee's organisation:

Contact person:

Position:

Telephone:

Mobile:

Email:

FUNDING

Please provide details of any other funding for this project. 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. $)

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

SECTION TWO

PROJECT DETAILS

Which area of impact does your application address? (See General Information for Grant Seekers document).

What does your organisation do? (maximum 350 words)

Project description (maximum 350 words)

Project summary (maximum 100 words)

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

Who have you consulted with? (maximum 100 words)

We strongly recommend Letters of Support are obtained & submitted with your application. 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. Download the budget template to provide a project budget including:

INCOME: details of other funding (confirmed and applied for) and 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. 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

The signatory below is HEAD OF THE ORGANISATION (CEO or equivalent) and has been authorised to seek funding on its behalf.

I HEREBY CONFIRM THAT all details contained in this Application (Section 1 and Section 2) are a true reflection of the status of our organisation and the project that we wish to undertake.

Organisation name:

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'.Submitted application and associated documentation by the closing date.Submitted 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) and quotes for this projectAll questions have been answeredDeclaration complete

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