Sports Development Fund Application Form

URL

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Organisation Details

Organisation Full Legal Name(Required)

Your First Name(Required)

Your Last Name(Required)

Does your organisation trade under any other name

Yes

Trading Name

Address of organisation’s primary training and/or competition facility(Required)

Street Address Suburb Postcode

Email(Required)

Phone(Required)

Website

Social Media Page/s

Bank Account Details

(must be an organisational account not an individual person’s account)

BSB (must be 6 digits with no spaces or dashes)

Account Number

Account Name

Bank

Is your organisation incorporated(Required)

Yes

Please Provide Incorporation Number

Is your organisation not for profit(Required)

Yes

Please Attach Evidence

Max. file size: 1,000 MB.

Is your organisation registered for GST(Required)

Yes

Does your organisation have an ABN(Required)

Yes

Please Provide ABN

Accountable Officer

The Accountable Officer is the person from your organisation responsible for submitting the grant application and for managing all aspects of the grant if you are successful.

Accountable Officer

The Accountable Officer is the person from your organisation responsible for submitting the grant application and for managing all aspects of the grant if you are successful.

Name of Accountable Officer(Required)

Position within the Organisation(Required)

Email (if different from above)

Phone (if different from above)

Organisational Overview

What sport do you play?(Required)

What year was your organisation established?(Required)

Do you own your training / competition facilities?(Required)

Yes

If you do not own your facility, please upload evidence of your right to use or occupy (eg Lease, Field Permit, MoU, Hire Agreement etc)

Max. file size: 1,000 MB.

Do you have any paid staff?(Required)

Yes

List the roles for which you have paid staff(Required)

Affiliated bod/ies(Required)

Which competition/s does your organisation participate in?(Required)

What are your season dates?(Required)

What are your current priorities and goals (please list the top 3 – 5)(Required)

If you have a Strategic Plan, please attach it

Max. file size: 1,000 MB.

Does your organisation receive support from other organisations, including:(Required)

City of Moreton Bay

Queensland State Government

Australian Federal Government

Sponsor/s

Please List Sponsors(Required)

Have you or are you applying for any other grants or sponsorships for this particular initiative or equipment purchase?(Required)

Yes

Please List(Required)

Have you been successful in receiving other funding support?(Required)

Yes

Have not yet heard an outcome

Funding / Donation Request(Required)

Financial Support

Gift Voucher/s

Financial Support

For multi item initiatives, please attach a full project or event budget, indicating which specific items any CSC Grant funds will be used towards.

How much financial support are you requesting from the Sports Development Fund.(Required)

Please attach quotes to verify the costs of the initiative or equipment.(Required)

Max. file size: 1,000 MB.

Provide Details(Required)

In under 300 words, detail the initiative or equipment your organisation will use this grant for, including how it will address the needs of the local community and/or increase participation in sport; the expected timeframe for delivery; how it will be effectively delivered and represent good value for money.

If your initiative relates to infrastructure, do you own the facility(Required)

Yes

If you do not own the facility, please attached evidence from the facility owner that you have permission to undertake the project

Max. file size: 1,000 MB.

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Gift Voucher/s

Gift Vouchers(Required)

In under 200 words, detail the fundraising activities that the Gift Vouchers will be used for, what project or equipment you are fundraising towards, what value and number of Gift Vouchers you are requesting.

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Recognition of Support

Recognition of Support(Required)

The CSC Group Sport and Community Staff will work with you to agree on the required recognition, however, please provide information on any particular ways your organisation can recognise our support if you are successful in receiving a grant.

Logo on signage at venue and/or on apparel

Organsiation’s function/s to be held at a CSC venues

Acknowledgement on your: Social Media, Website, Newsletters, Email footers

Other

Recognition of Support

Authorisation

By submitting this application, the applicant confirms that:

all of the information supplied is true and correct and can be verified if required
all required documents have been attached (incomplete applications will not be assessed)
the Accountable Officer listed is authorized to act on behalf of the club in regards to this grant program
they have read and agree to all of the eligibility criteria, terms and conditions of the Community Chest Program.

How did you hear about the CSC Group’s Sport Development Grant Program?(Required)

CSC Club website

Word of mouth

We are a previous applicant / recipient

CSC Social media

CSC staff member

Other

Please List