Empowering Eaglehawk

Apply

Application guidelines:

Apply via the application form below. Once you hit submit* you will not be able to make revisions.
Someone from the Empowering Eaglehawk Committee will contact you with the phone number provided.
Our grants are funded for up to $10,000 per project.
Funds for successful grant applications must be used within six months of receiving the grant.
Successful grant recipients will be expected to attend a presentation at your club upon receiving the grant.
Successful grant recipients may be featured on Empowering Eaglehawk’s website or social media channels. By applying for a grant you agree to media consent.

GRANT APPLICATION FORM

Please complete the Empowering Eaglehawk grant application form below.

Project category

If other - please specify

Name of organisation

Address

Australian Business Number (ABN)

Contact person full name

Position

Phone

Email address

Project name (In 10 words or less)

Anticipated project start date

Anticipated project completion date

Total funds applied for, please specify $

Describe the aim and nature of the program or the initiatives you will deliver (In 50 words or less)

Brief outline of your project proposal and expected outcomes? (In 100 words or less)

What specific group/s in Eaglehawk will benefit? How many people will benefit from your project? (In 100 words or less):

How will this project benefit the Eaglehawk community? And how will you promote it to the community? (In 100 words or less)

How will your organisation/club support Empowering Eaglehawk Inc? (Other than meeting the initial criteria)

What other funding sources have you sought?

Project budget. Please provide details of the income and expenditure for your project, including gst. (note that the total income should equal total expenditure) Expenditure (gst inclusive) Provide details & costs ($) for: staffing expenses (wages), hire of facilities, equipment, operating expenses, consumables (supplies etc.), other expenses (please specify)

Total project cost $

Income (gst inclusive) Provide detail & income ($) for: applicant contribution (income provided by applicants or other funding bodies), other income (please specify)

Total project income $

Total amount requested from Empowering Eaglehawk Inc. Income minus expenditure - (up to $5000) $

Please provide details of any in-kind contributions made by you, the organisation or partnership: (volunteers, use of facilities, use of equipment or supplies, transport, etc.) Please detail for each: 1) in-kind contribution/resource. 2) name of organisation providing donation, 3) equivalent worth ($)

Application checklist Application checklist I acknowledge that I am authorised to submit this application on behalf of the organisation. All relevant fields in the application have been completed and are correct. The proposed project produces positive outcomes for the eaglehawk community. Necessary number of referrals are complete to be submitted. - see checklist at the top of this page for details. I agree to complete all necessary grant evaluation processes when required. I state that the information in this application and attachments is to the best of my knowledge true and correct. I will notify eei of any changes to this information and any circumstances that may affect this application. I understand that this is an application only and may not necessarily result in funding approval. I confirm that if this application is approved I will agree to any audit process that empowering eaglehawk inc. May require. I agree to providing empowering eaglehawk inc. With an evaluation of this project by proposed date.

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