Grant Application - P2E 2018 Header Image

Pathways to Employment

2018 Grant Application Form

Notes on application form:

· We will consider one application per organisation only.

· Word limits are provided for reference.

· If you need more space, please attach extra pages to your application

· Please see the 2018 Grant Guidelines document for further detail.

· For further information contact Ben Rodgers, Executive Officer of the Foundation on 03 8689 1967


Applicant details

Is your organisation endorsed as a Charitable Institution?
Is your organisation endorsed as a Deductible Gift Recipient?
Is your organisation endorsed as a Public Benevolent Institute?
Is your organisation endorsed as a Health Promotion Charity?
Does your organisation have public liability insurance?

Project details

What is your organisation’s purpose, background, number of staff etc? Which staff members will deliver this project? Have you implemented a similar project before? If so, tell us about it: when was it, where did it take place and what did it achieve? How do you manage risk?
Start date
$
End date
$
Does the project run for longer than one year?
What activities will you implement? How will you go about executing the plans?
What are the barriers to employment experienced by the project participants involved in this project? What evidence exists to demonstrate this need?
Please tell us how many people you anticipate will benefit, their anticipated age range, gender and which suburbs in our region you expect they will live?
How does this program support people on their pathway to employment? What will the next step towards employment be for people who are involved? How will you know if you are successful?
Where will the project take place? (what LGA)
If applicable, please list the suburb where the majority of participants will come from.
Is your annual report available on your website? (If not, please attach a copy)
Annual report
No File Chosen
File uploads may not work on some mobile devices.
If you received a grant from us last year, have you sent in your final report and acquittal?
Is this a continuation of an existing project?

Project budget

Please ensure your budget balances, and explain calculations where appropriate. Equipment purchases should reflect online estimates or quotes. Please feel free to leave this section blank and upload a different budget template at the bottom of the form to reflect your project.


Note: please enter numbers only

INCOME

$
Please enter numbers only
Other funding organisations
$
Please enter numbers only
$
please give details of any volunteer or other contributions, and estimate an equivalent value. Please use a standard rate of $31.36 per standard volunteer hour
$
(e.g. fees charged to participants, government subsidy) Please enter numbers only
$
Please enter numbers only

EXPENDITURE

$
$
$
$
$
$

Other funding requested or confirmed

We are keen to understand the funding patterns of our grant recipients. Your answer to this question will not influence your application in any way.

Will any other organisations contribute funding to this project?
$

Partner organisations

Will any other organisations be involved in implementing this project?
For example – an accredited RTO

Referees

Please provide contact details for two (2) referees who can speak about this project and your organisation.

Referee 1

Referee 2

CERTIFICATION & PRIVACY

The Inner North Community Foundation is committed to protecting your privacy and ensuring that all information provided in relation to this grant application is kept confidential. During the assessment process however, the Inner North Community Foundation may need to collect, use and disclose information about your organisation and the project in this application to third parties. This information could be passed on to the board of the Inner North Community Foundation, its officers and agents or external people to assist in assessing the grant application.

Permission to forward this application to other funding organisations for consideration
Permission to add contact details to Inner North Community Foundation mailing list
Permission to add referee contact details to Inner North Community Foundation mailing list
Permission to forward this application to individuals and experts for assessment
I confirm that the CEO/Manager/Chairperson has certified that the information in this application is true and accurate
Date/Time

DOCUMENTATION CHECKLIST

Signatures upload if required
No File Chosen
File uploads may not work on some mobile devices.
A complete application form approved by the CEO/Manager/Chairperson including a budget.
Contact name and telephone number of your project partner organisation (if any)
One copy of your annual report if it is not available on your website
Attach annual report here
No File Chosen
File uploads may not work on some mobile devices.
Please include your organisation name at the beginning of the file name
Copy of ACNC notice of charitable status
Attach ACNC notice here
No File Chosen
File uploads may not work on some mobile devices.
Please include your organisation name at the beginning of the file name
Attach any other relevant files here
No File Chosen
File uploads may not work on some mobile devices.
Please scan as one document. Please also include your organisation name at the beginning of the file name

Closing Date: Friday 18 May 2018

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