Before proceeding with this application, please read and acknowledge the following statements: 

Acknowledgements

I understand this project must be completed within two (2) years to be eligible for this grant. *

I have included all funding courses in my budget, including money from other grants, donations and contributions from our own organisation. *

I understand that GST does not apply to this grant, so I have not included GST in my budget calculations.  *

Your project information

Let's begin with some basic information about your project.

Name of organisation *

Project title *

Main geographical area of impact in Tasmania: *Southern (Hobart region)Northern (Launceston region)North EastNorth WestWest CoastEast CoastMultiple regions

Please indicate the key community group this project will support *

Marginalised and vulnerable groupsChildren and adolescents (0-18)Young adults (18-30)The elderlyOther

Please specify:

Brief description of your project: *

Budget details

Please provide a breakdown of how this grant will be applied to your project. 

NOTE: 

• Please enter all monetary amounts as numerical values only (without $ symbol).

• The project total must not exceed Maximum Grant limit of $5,000.
  

Budget category 1 *Describe the specific items or services in this category (max 500 characters).

Amount required *Enter amount without $ symbol.

Budget category 2Describe the specific items or services in this category (max 500 characters).

Amount required Enter amount without $ symbol.

Budget category 3Describe the specific items or services in this category (max 500 characters).

Amount required Enter amount without $ symbol.

Budget category 4Describe the specific items or services in this category (max 500 characters).

Amount required Enter amount without $ symbol.

Budget category 5Describe the specific items or services in this category (max 500 characters).

Amount required Enter amount without $ symbol.

Total value of grant required ($):

Your contact details

Last name *

First name *

Your role/position within the organisation

Preferred phone number *Please enter a valid mobile number only.

Preferred email address *

Organisation's address *

Street address *Street address line 2

City *

State *Please selectACTNSWNTQLDSATASVICWA

Postcode *

CountryPlease selectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

For record purposes only, we will always communicate with you via email.

ABN (if applicable)

Is your organisation an incorporated not-for-profit (NFP) body? *

YesNo

Funding partner

If your organisation is not an incorporated not-for-profit body, a partnership organisation (funding partner) is required. Your funding partner is required to provide a formal letter in your application, stating their willingness to work with you on the project. This can be uploaded in the Documentation section, found at the end of this application.

Name of funding partner organisation

Contact person at organisation

First name

Last name

Funding partner's address

Street addressStreet address line 2

City

StatePlease selectACTNSWNTQLDSATASVICWA

Postcode

CountryPlease selectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

ABN of funding partner

Please confirm this organisation has agreed to be your funding partner and you hold a letter of support. You will be required to upload this in the Documentation section of this application. 

I confirm and will provide required supporting documentation. *

Further project details

How will your project help our community? *

Why is this project important right now? *

Where are you in bringing this project to life? *� Tip: It's okay if you're just getting started! We're keen to understand your progress so far.

What inspired this project idea? *� Tip: We value community voices and real experiences as much as formal research.

Why is your organisation the right fit for this work? *

Please outline the main steps that need to be undertaken for this project. *

Who will be involved with this project? Introduce us to your team and contractors. *

Tell us about the location for your project. *

What's the realistic timeline for this project? *

How will this project keep helping people beyond the grant? *

Documentation

Evidence of incorporation as a not-for-profit body: *

Browse

(Max 5MB. Accepted file types: jpg, jpeg, png, pdf).

Evidence of Australian Business Number (ABN): *

Browse

(Max 5MB. Accepted file types: jpg, jpeg, png, pdf).

Funding partner's letter of support *

Browse

(Max 10MB. Accepted file types: jpeg, jpg, png, pdf)

Budget - supporting documentation *

Browse

(Max 10MB. Accepted file types: jpeg, jpg, png, pdf)

Any further relevant documentation or relevant material to support this application. *

Browse

(Max 10MB. Accepted file types: jpeg, jpg, png, pdf)

Final consent and submit

To assess your grant application, the Calvary Community Council may need to:

• collect personal information about the contact person or other releveant people in this grant application from other sources; and

• obtain the contact person's agreement in relation to handling this personal information.

I, the applicant give consent to the Calvary Community Council disclosing any of my personal information contained in the grant application to a third party, so that the third party is able to assist the Calvary Community Council in assessing the quality, accuracy, validity, and worth of the grant application. *

First name *

Last name *

Date: *

Signature: *

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