2016 Community Foundations Forum

Scholarship Expression of Interest

In 2016FRRRcontinues to support networking and professional development for the Community Foundation sector.

One way that FRRR delivers on this isthrough the provision of Scholarships that assist with travel and registration costs to the National Community Foundation Forum.In 2016FRRR is offering a limited number of partial and full scholarships. Priority will be given to Community Foundations who have greater travel costs. FRRR’s preference is to support only one representative from a Community Foundation, in order to share support across a larger number of Community Foundations.

Eligibility:

· Be an employee or Board member of a rural, regional or remote based Community Foundation in Australia.

· Participate in the entire forum.

Criteria:

· Applicants must demonstrate financial need – provision of audited financials and a currentfinancial year-to-date profit and loss statement and balance sheet is required.

· Applicants must demonstrate ability and their plans to share the learnings with their Boardand leadership team.

Scholarship requests must be submitted on this form or online by the due date: Monday 1 August 2016.

Late requests will not be considered.This form may also be completed online at Please only submit via one format.

  1. Yes I am from a Community Foundation in regional, rural or remote Australia and will attend the 2016 Forum in full.
  2. Which Community Foundation is this application to support? (FRRR's preference is to consider only one scholarship per Foundation). Please indicate if you are a VBAF Community Foundation - more than one applicant can nominate.
  1. Which State/s is the Community Foundation servicing?
  2. Who would utilise the Scholarship?

Applicant’s Full Name:

Position at Foundation:

Email address of applicant:

Telephone Number/s of applicant - including area code:

Postal Address of Applicant:

  1. Who within the Community Foundation is a referee for the applicant? NB Must be Chair or Secretary or Treasurer

Referee’s Full Name:

Position at Foundation:

Email address of referee:

Telephone Number/s of referee - including area code:

Postal Address of Community Foundation:

  1. Insert text/quote from referee outlining their support for the nominated applicant.
  1. How much in total do you estimate it will cost to travel to and from the 2016 National Community Foundations Forum? Please list itemised expenditure and cost each –indicate with a * if it is an item you request funds to cover.
  1. What amount is being requested from FRRR in total to cover travel and /or forum registration? (Answer in whole $ only)
  1. As the applicant, please outline the anticipated learning and professional development outcomes and how this will benefit you and your Foundation.
  1. Outline how you plan to share learnings from the 2016 National Community Foundations Forum with the wider Board and leadership team.
  1. Any other comments or information? OPTIONAL QUESTIONHow many other delegates from your Foundation will attend the Forum? Any other notes regarding your Foundation's financial situation?

12. I agree to

Yes provide FRRR with a report back if successful in receiving a scholarship.

Yes provide FRRR with evidence of financial need - I have attached a copy of our Foundation's most recent Audited Financials and a Current Year to Date Profit and Loss statement and balance sheet to Sophie Burke at FRRR by the program's closing dateMonday 1 August 2016.

THANK YOU FOR applying to receive a 2016 National Community Foundations Forum Scholarship.

PLEASE EMAIL THIS FORM AND ALL ATTACHMENTS TO

An outcome will be communicated by the end of August 2016,
if all supporting materials are submitted and no follow up is required.

Contact: Sophie Burke at FRRR for more information: freecall 1800 170 020 or

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