Community Grant Application

We recognise community groups, clubs, schools and not-for-profit organisations are the heart and soul of regional communities.

Please complete the form below in full when submitting your application to the Stanmore Resources Community Grant Program.

Funding is decided on merit, based on your response to the criteria outlined in the Stanmore Resources Community Grant Program Guidelines. Please make sure you have read the Guidelines before submitting your application. You may upload further information in support of your application if you wish (e.g. brochure, media clips etc.) in PDF format.

*Mandatory field

Name of organisation*

ABN/ACN*

Name of person submitting this form*

Role*

Organisation status (e.g. registered charity, association etc.)*

Organisation’s purpose/mission*

Name (key contact)*

Position (key contact)*

Phone number (key contact)*

Email (key contact)*

Business address (Street or PO Box)*

Funding Area (select one)

Tier 1 - Moranbah, Nebo, Coppabella, Valkyrie Tier 2 - Mackay, Clermont, Dysart (surrounding communities in Isaac Regional Council jurisdiction) Tier 3 - Queensland wide

How many members does your organisation have?*

How long has the organisation been operating?*

Our organisation is seeking a grant/funding for:*

Social Investment Priority Category (select one)

The timing/dates of the event/program is:*

The people who usually attend/get involved are:*

Our event/program benefits the community by:*

Grant funding amount requested:*

The grant money/funding will be used for – additional info:*

Document upload. Please select all PDF files at once for upload (max size 10MB total).

I confirm that if the applicant organisation is approved for a grant, it accepts the terms and conditions in the Stanmore Resources Community Grant Program Guidelines.*

Yes

I confirm that if the applicant organisation is approved for a grant, it accepts the terms and conditions in the Stanmore Resources Community Grant Program Guidelines.*

Yes

Name of authorised applicant:*

On behalf of:*

Date: