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Community Support Fund Application

Community Support Fund Application

    Group/Organisation details

    Name of organisation (required)

    Is the organisation incorporated (required)

    If yes, what is the incorporation number?

    If not incorporated, your organisation must be able to be auspiced by another body.
    Please upload your agreement.
    (Acceptable file types: pdf, doc, docx, png, jpg, jpeg, gif. Upload limit: 2MB)

    Contact details

    Committee representative (required)

    Postal address (required)

    Contact Phone (required)

    Contact Mobile

    Contact Email (required)

    Grant details

    Amount requested (required)
    (Maximum amount funded is $200)

    Please provide a brief description of your project (required)

    When will your project take place? (required)

    Who will benefit from your project? (required)

    Declaration

    I the undersigned, certify that the information contained in this application is a true and accurate record of our intentions.

    Name of applicant (required)

    Position within organisation (required)