Community grant form

2021 community grant program application form

Part A - Applicant details

Which grant are you applying for?

Name of the organisation

Australian Business Number (ABN)

Address of the organisation

Name of the key contact

Contact's email address

Contact's phone number

Organisation's website (optional)

Part B - If the organisation is a charity

Is the organisation registered with the Australian Charities and Not-for-Profits Commission (ACNC)?

Yes
No

If no, your charity does not meet the eligibility criteria for this application. If you are not applying for a grant on behalf of a charity, please move to Part C.

Part C - If the organisation is not a charity

Is the organisation a community organisation and exempt entity for the purposes of the Income Tax Assessment Act 1997 (Cth)?

Yes
No

If no, your organisation does not meet the eligibility criteria for this application.

Has the organisation self-assessed in accordance with the Income Tax Assessment Act 1997 (Cth) to be exempt from paying income tax?

Yes*
No

If yes, the applicant guarantees that it:

is a society, association or club established for community service purposes;
does not operate for the purpose of profit or gain of its individual members;
has a physical presence in Australia and pursues its objectives and incurs its expenses principally in Australia;
complies with all the substantive requirements in its governing rules (i.e. the rules of core importance to its operation and not-for-profit status); and
applies its income and assets solely for the purpose for which it was established.

If no, your organisation does not meet the eligibility criteria for this application.

* Hydro Tasmania reserves its right to request supporting material from the Applicant regarding it's self assessment.

Part D - Details of the work or project

What amount of funding are you seeking?

What is the total cost of the work or project?

Have you secured other sources of funding? If yes, please list the amount and source.

What is the proposed commencement date and time frame for the work/project?

Please describe where in Tasmania your organisation operates and the services your organisation provides:

Please describe the positive outcomes this work/project will achieve:

Please describe the benefit this project will have on the community:

Please give a brief description and detail the milestones of the work/project for which you are seeking this grant:

Please give a brief description on how the funds will be used, including quotes or other supporting documentation if available:

Supporting documentation (optional, PDF only)

Please provide a brief description of key staff, total number of staff to be involved with the proposed work, level of experience in conducting similar work and connection with the affected community:

Will this grant cover all of the costs? If not, describe how the additional funding will be obtained (and if a third party is involved, information regarding their involvement and funding):

Supporting documentation (optional, PDF only)

Are approvals required for this work/project? If yes, please list these (including the time frame):

Is the work self-sustaining? If no, how will the ongoing support be obtained?

Other information to support your application (optional):

Supporting documentation (optional, PDF only)

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Home> Community> Community grants> Community grant form

2021 community grant program application form

Part A - Applicant details

Part B - If the organisation is a charity

Part C - If the organisation is not a charity

Part D - Details of the work or project

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Community grant form