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Please submitthe completed application form by email or post to:
The Centenary of ANZAC Grants Program 2017-18
Communities, Sport and Recreation
Department of Premier and Cabinet
GPO Box 123
HOBART TAS 7001
Applications must be received by 5.00 pm on 24 January 2018.Late or incomplete applications will not be accepted.Please call 1800 204 224 if you have any questions or require any assistance with the application process.
Region / North / North-west / South / Statewide Amount requested (Maximum $5,000) / $
Organisation
ABN
Name of Initiative
Initiative Start Date
Initiative anticipated end date
Name of INCORPORATED body where funds will be lodged (if Applicable)
ABN of INCORPORATED body (if applicable)
Does the applicant organisation have public liability insurance for the purpose of the proposal? A copy of your current policy coverage must be attached to this application. / Yes / No
Authorised officer (at incorporated organisation) to sign the grant agreement
The authorised officer is the office bearer, who has the organisation’s authority to submit the application and to enter into funding arrangements on behalf of the organisation. This is the person who will receive all correspondence.
TITLEName
POSITION
Address
Postcode
PHONE
Applicant contact officer
Contact person for any queries relating to the application.
TITLEName
POSITION
Address
Postcode
PHONE
Please address the following criteria, against which your application will be assessed:
Provide details of the project for which you are seeking funds.
Criterion 1: Community benefit and consultation. The application should demonstrate the benefit to the serving and ex-serving community, local community and relevant stakeholders, and how they have been involved in the planning and development of the project proposal.
Criterion 2: Commemorate the service and sacrifice of Tasmanians. The application should clearly outline how the service and sacrifice of Tasmanians will be commemorated and acknowledged.
Criterion 3: Explain how your project will encourage and promote the ongoing remembrance of our ANZAC for years to come, even after the conclusion of the Centenary of ANZAC commemorations. All battles that Australians have been involved in have undoubtedly shaped our nation. However, as more time passes since these events stories stop being told and legacies are being lost. It is important that the military history that has shaped our nation continues to be educated.
Criterion 4: Value for Money. The application should include a realistic budget that enables the delivery of objectives within the proposed timelines. All sources of funding for the project must be included in the application.
Please outline how you intend to spend the requested grant funding. A separate budget may be attached as an alternative to completing the table below. The total budget, including other funding sources, in-kind support and the funds requested from the Centenary of ANZAC Grants Program, must be clearly shown.
Please list how you intend to spend the requested grant funding: / Amount$
$
$
$
$
Total amount requested from this Grant / $
Please list other funding sources, including in-kind support, for your project: / Amount
$
$
$
$
$
Total amount from alternative funding / $
Total Project Budget / $
Goods and Services Tax (GST) Information:
Is your organisation (or your sponsoring organisation)registered for GST? / Yes / No
Checklist
Have you read the Centenary of ANZAC Grants Program Guidelines? /Yes/No
Have you answered all the questions in the application form? /Yes/No
Does the application have a description for the purpose of the funding? /Yes/No
Have you double checked your budget? /Yes/No
Where possible have you included current quotations for each item in your budget /Yes/No
Have you provided correct budget information for GST purposes /Yes/No
Have you attached a copy of your organisations current Public Liability Insurance? /Yes/No
Do you have relevant written consent and approvals from all relevant stakeholders associated with your proposal? /Yes/No