Community Grant Form

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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 ensure 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 fields

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)*

How many members does your organisation have?*

How long has the organisation been operating?*

Which grant type are you applying for:*

General grant of up to $5,000 Larger project or initiative grant of up to $10,000

Which of the following categories best describes your project or initiative (select all that apply):

Benefits young people in the region Highlights community health and wellbeing Provides opportunities for the Indigenous community Has an environmental focus

Our organisation is seeking a grant/funding for:*

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

Name of authorised applicant:*

On behalf of:*

Date:

How did you hear about the Stanmore Resources Community Grant?*

If other, please provide more information

Thank you for submitting your application for the Stanmore Resources Community Grant Program.

Please check your inbox for your application confirmation. If you have not received a confirmation, please email community@stanmore.net.au

Community Grant Program

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