Community Assistance Grants and Sponsorship Program Funding Application Form Applicant details Organisation name*This field is required. * Required Field. Postal address*This field is required. * Required Field. Is the organisation located within the Town of East Fremantle?*This field is required. YesNo * Required Field. Contact name*This field is required. * Required Field. Position*This field is required. * Required Field. Phone number*This field is required. * Required Field. Email address*This field is required. * Required Field. Please provide the following financial details of your organisation ABN*This field is required. * Required Field. No ABN Statement attached No No ABN? Please complete and upload a Statement by Supplier from the ATO https://www.ato.gov.au/ Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Is your organisation GST Registered?*This field is required. YesNo * Required Field. Is your organisation incorporated? Please attach a copy of your Certificate of Incorporation*This field is required. YesNo * Required Field. Is your organisation a Not-For-Profit?*This field is required. YesNo * Required Field. Project/Event Summary Project/Event name*This field is required. * Required Field. Total project value*This field is required. * Required Field. Funding amount requested*This field is required. * Required Field. Description (briefly describe your project or event up to 25 words*This field is required. * Required Field. Funding category What type of funding are you applying for?*This field is required. Community Assistance GrantEvent Sponsorship Project/Event Details Describe your project or event*This field is required. * Required Field. Expected start date*This field is required. * Required Field. Excepted completion date*This field is required. * Required Field. Does your project focus on a particular target group?*This field is required. YesNo What target group does your project focus on?*This field is required. Children (up to 12 years)Young people (12 to 25 years)Over 55sPeople with disabilitiesOther (please specify) If your project targets people in the 'other' category, please specify Are you working with any other community groups or businesses in the delivery of this project? If yes, please provide details Why should this project be a priority for the Town of East Fremantle?*This field is required. * Required Field. Additional funding information The Town of East Fremantle encourages community groups to apply for funding from alternative sources either prior to or simultaneously to their application for Town funding. Have you sought funding from any other organisations?*This field is required. YesNo Please tell us the organisation, status and outcome of your external funding sources If no, what are the reasons your organisation has not sought alternative funding? Project/Event Budget Please provide a detailed budget for the project or event for which you are requesting funds. All costs should be itemised in the space below. Quotes are required for costs over $500. Please note that your income and expenditure should match. Include cash expenditure item, supplier and cash cost in separate columns and total cost. * Required Field. Tell us about your cash contribution, the funder and cash income amount*This field is required. * Required Field. Please upload quotes for over $500 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Tell us about the in-kind item or activity volunteers play, by whom and in-kind value in dollars*This field is required. * Required Field. What is the project/event value *total cash cost + total in-kind value*This field is required. * Required Field. Type the code from the image: Do not fill this textbox.