Community Support Grants Form - Viva Energy Australia - 雷电竞,雷电竞到哪下载,雷竞技好吗

Applicant Details

Organisation (registered name):

Community Support Grants are available for ACNC organisations only. Please entre your ACNC number:*- required

Key Contact Name

Title of Key Contacts

Location your project is closest to

Phone

Email:

邮政地址ss:

Mission of your organisation (as stated in your documentation)

Not for profit organisation:

Yes No

Project details:

Project name:

Requested dollar amount ($5,000 max) :

Which significant community challenge does this project best fit?

Project description: aim, need, outcome?

What is the project’s objectives?

What do you propose to do, why and how?

Who will directly benefit and how many?

How are positive role models central to this project?

Impact, what would success look like at the end of this project? Specifically what would we be celebrating at the end of the project?

Critical dates/milestones for the project (note: projects are expected to be completed within 12 months of the grants being awarded.)

What are the benefits to Viva Energy in supporting this project?

Provide details for how the project will be promoted including recognition of Viva Energy.

Expenses

Attachments max size = 5MB each

Project budget :

Have you read theguidelines?*

Have you read the guidelines?*- required

Yes No

Applications will only be considered with the following information

Latest audited financial statements (for requests of $1000 or more):

List of Board of Directors or governing body

Attachment to most recent annual report:

Link to the most recent annual report

Is an elected official of any type(or immediate family member of an elected official)is a director, manager, trustee or person with governance or financial responsibility with

yes No

the applicant organisation?

Any additional information

Signature:

Date: