Community Partnership Program Application Level 4

Community Partnership Program

Level 4: $4001 - $5000 Application Form

Contact Details

Organisation Name *

Contact Name *

Phone Number *

Email *

Address *

Organisation ABN *

FSC Membership Number *

Project/Event/Program Description

Title *

Duration *

Start date and end date.

Description *

Please provide a brief description of the project/event/program and its objectives.

Total Budget *

Please provide separate budget sheet with breakdown of all costs.

Amount Requested *

Please attach evidence of the above: *

Criteria Questions

Scope and Impact *

5000 characters left

Describe the wide-ranging community benefit of this project/event/program. What long-term positive effects do you expect, and how will you ensure these outcomes are achieved?

Need and Use of Funds *

5000 characters left

Explain why this funding is essential for your project/event/program. How will the funds be utilised, and what substantial additional funding or in-kind contributions have you secured?

Acknowledgement of Frenchville Sports Club *

5000 characters left

How will your organisation acknowledge Frenchville Sports Club’s funding if you are successful

Have you met and/or completed the following:

Conditions

- A representative from our organisation can attend the presentation ceremony
- Our organisation can provide bank details if successful
- We have included a budget to show a breakdown of all expenses including how the grant funding will be used/allocated.
- We have included our ABN
- We have provided a current FSC membership number from someone in our organisation

Community Partnership Program Application Level 4