2022 Sub-Fund Application Form - Victorian Women's Trust

Organisation Details

Name of Organisation*

Australian Business Number (ABN):*

Organisation Address*

Organisation Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Website*

At the start of the URL you must have: https://

Head of Organisation Name**

Head of Organisation

First Name* Last Name*

Contact Person for Application Name**

Contact Person for Application

First Name* Last Name*

Position*

Email*

Phone*

Does your organisation have an ATO endorsement as Item 1 Deductible Gift Recipient?*

Yes
No

Note: Your organisation is not eligible if it does not have both DGR 1 and TCC endorsement.

Please attach copy of organisation DGR 1 endorsement notice*

Accepted file types: pdf, Max. file size: 100 MB.

Must be PDF

Does your organisation have an ATO endorsement as Tax Concession Charity?

Yes
No

Please attach copy of organisation's Tax Concession Charity endorsement notice*

Or provide written proof that the organisation would be charitable but for their connection with government. Must be PDF.

Accepted file types: pdf, Max. file size: 100 MB.

Project Details

Project Name*

Project Start Date*

DAY/MONTH/YEAR

Project End Date*

DAY/MONTH/YEAR

Grant Amount Requested*

Please enter a number less than or equal to 10000.

eg. $3,000

Total Project Cost*

eg. $17,000

Which Sub-Fund are you applying to?*

Organisations may only submit an application to one Sub-Fund, so please choose the most appropriate Sub-Fund for your project.

Provide a description of your project (maximum 500 words)*

Please be sure to include: the need, your aims, the timeline, expected impact and outcomes, and how you believe your project addresses the relevant purpose of the Sub-Fund you are applying to.

Provide a brief description of your organisation and any collaborating partners (maximum 300 words)*

What does your organisation do? Why is it best placed to conduct this project? Who are you working with?

What are any risks that may prevent the achievement of your intended impact and outcomes, and what is being done to mitigate these risks? (maximum 200 words)*

Please include any potential COVID-19 related impacts and mitigation strategies

Project Budget

Please provide a budget for your project. Include details of other funding sources and any partners for the project (confirmed or unconfirmed, or in-kind contributions). Please note that the budget must balance (total income = total expenditure). Download the template directly here: https://bit.ly/2W9gE3Z or from our FAQs: https://www.vwt.org.au/faqs/

Please attach your project budget*

Please attach as a PDF file.

Accepted file types: pdf, Max. file size: 100 MB.

Referees

Please provide two referees external to your organisation who can speak about the project and your organisation.

Name of Referee 1**

Name of Referee 1

First Name* Last Name*

Description*

Please include their organisation and position.

Phone*

Email*

Name of Referee 2**

Name of Referee 2

First Name* Last Name*

Description*

Please include their organisation and position.

Phone*

Email*

Application Submission

Please note decisions about successful applications are made by the Trustees by November 2021.

How did you hear about the VWBT Sub-Fund Grants program?*

If other please specify