Claremont Community Funding Application Form

Included on this page

Applicant Details

Name *

Email *

Is your group/organisation not-for-profit? *

Yes

Group or Organisation *

Phone number *

Project Details

Project Start Date *

Project End Date *

Please describe your project *

Which of the Town's Corporate Business Plan Objectives does your project support? *

Leadership and Governance

People

Liveability

Environmental Sustainability

Prosperity

What are your project outcomes and how do they benefit the Town/community? *

Why would your project not proceed without funding? *

Describe any ongoing benefits to the Town *

How many people will the project impact? *

Does the proposed project duplicate other existing services within the Town of Claremont? *

Budget

Is your organisation/group registered for GST? *

Total requested amount *

ABN (If applicable) *

Total project cost *

Please attach quotes for items or services over $500

Authorisation

Signature *

Position *

Date *

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