Your Name:*

Location Information
What state are you in?*
Queensland
New South Wales
Northern Territory
Australian Capital Territory
South Australia
Western Australia
Victoria
Tasmania

Organisational Information
What Type of Organisation are you representing? (you may select more then one)*
Local Government
Regional Government
Not for Profit
Private Business
Public service organisation (eg. Hospital)
Charity Organisation
Not Incorparated or Individual

Project Outline (100 Words):

What other planning has been completed?

Project Funding Information
What is the approximate total project cost?
$0 - $50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 > $1,000,000
Approximately how much funding do you need?
$0 - $50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 > $1,000,000 Not Applicable
What cash contribution can you or your organisation contribute to total project cost (approximately):

What other Contributions will there be?
Not Applicable Other organisations’ cash In-kind labour and know-how At cost labour, materials and know-how Land, infrastructure, materials etc Nothing

Type of Assistance Needed:
What type of help do you need?
Funding and Project Planning– Assistance in planning your project(s) and your funding strategies to improve your funding outcomes.
Funding Submissions and Project Briefing Notes – Assistance in developing funding submissions and briefings for your project(s).
Project and Funding Promotion– Assistance in developing promotional materials for your project(s).
Grant Funding Applications– Assistance in preparing grant funding applications for your project(s).
Funding Management & Reporting – Assistance in meeting the reporting and management requirements of funding received.
Not Sure

Responding to You:
How would you prefer we respond to you?
Email
Phone