EVERYONE DESERVES MUSIC
FUNDING APPLICATION FORM
To submit this application, please email to by 5pm on Friday, 17th November, 2017. Ensure you have an accompanying letter of support from a Registered Music Therapist (as outlined in our Funding Guidelines) and attach any additional information ie. Photos, videos, testimonials, etc.
1 General Information
1.1 Name of organisation1.2 Australian Business Number (ABN)
1.3 Postal Address
1.4 Contact name of person lodging application
1.5 Position within organisation of contact person
1.6 Direct phone number or mobile number
1.7 Email address of contact person
1.8 Website addressof organisation
1.9 Provide the correct name and bank account details in case your application is successful
2 Project Details
2.1 The name/title of your project2.2 What amount of monetary assistance (excluding GST) you are requesting
2.3 Under which of the age groups does your project fit:
Early Intervention (0-5 years)
Prep – Year 2
Year 3 – Year 6
Year 7 – Year 9
Year 10 – Year 12
2.4 In 300 words or less, succinctly describe the ‘project’ for which you are seeking funding. Please include specific reference to the number of anticipated participants in the program and how many sessions will be provided.
2.5 What is the expected time frame of the project that this funding would cover
2.6 Define, broadly, the areas of need your project is trying to address and the target group affected
2.7 Specify what your project is going to do to address this problem
2.8 List 3 to 5 measurable indicators your project will hope to change and can be evaluated on
2.9 List how your project will gauge if anyone is better off specifically as a result of this project
2.10 Which geographical area will be affected if the funding application is successful?
3. Budget
Please outline your project budget summary. Please attach detailed budget for the whole project.
Income
Confirmed funding sources
Unconfirmed funding sources
Other sources (including in-kind)
Amount requested fromEveryone Deserves Music
Total income
Expenditure / Total
General breakdown
Staff Costs
Other (including in-kind)
Total expenditure
4Previous Funding
4.1List any previous funding received from Everyone Deserves Music (Project title & Amount funded). If you are unsure, please contact our office. Please note that all previous grants must be fully acquitted for this application to be considered. ______
______
5Declaration
(Please include the following statement at the end of your application and have it signed by your organisation’s Executive Officer/President/Chair).
“I confirm that this project is a priority of this organisation, and all information supplied in this application, including recognition opportunities offered, is true and correct at the date of signing.
I have noted the information contained in the Charity’s Guidelines and understand that applications are considered and determined by The Board of Everyone Deserves Music and that their decision is final.
If successful, I confirm that funds will be allocated specifically to this project and that I will be required to provide proof of same.
Signature ………………………………………
Name ………………………………………
Title ………………………………………
Date ………./…………../…………….
To submit this application, please email to by 5pm on Friday, 17th November, 2017. Ensure you have an accompanying letter of support from a Registered Music Therapist (as outlined in our Funding Guidelines) and attach any additional information ie. Photos, videos, testimonials, etc.
1
FAF#225/9/17