Please help me fill this form knowing that Australian Post is requested $5000 and my community will contribute $ 5000 for this project.

Section5-Budget

*indicatesarequiredfield

1. FundingRequest TotalAmountRequested* $5,000.00

WhatisthetotalfinancialsupportyouarerequestingfromAustraliaPost?Mustbeadollaramount and no more than $10,000.

TotalProject Cost* $10,000.00

Whatisthetotalbudgetedcostofyourproject?Thismustmatchyourexpensesamountlistedin Section 5.3. Total project cost must not exceed $50,000.

1. ProjectIncome(sourcesoffunding)

Pleaseoutlineyourprojectbudgetintheincometablebelow,includingdetailsofother fundingthatyouhaveappliedfor,whetherconfirmedornot.Allamountsshouldbe GST inclusive.

Yourproject'sincomemayincludefundingfromsponsorships,contributionsfromproject partners, indirect cash contributions (i.e. donations from individuals), cash from other organisations(i.e.grants)andyourownorganisation'sfundingallocations.PleasedoNOT include in-kind support under this section, see Section 5.5.

Youcanaddmorerowstothistablebyselecting'+'fromtherighthandside.

Income Income amount $ Is this source of funding confirmed?

e.g.Sponsorshipfromlocalradio station.	e.g.3000(pleaseenterwhole numbersonly).	e.g.Appliedfor/pending.
AustraliaPostGrant(requested)	$5,000.00	Appliedfor/pending ConfirmedReceived

1. ProjectExpenses

Whatcosts(cash)willbeincurred foryourproject? Pleaseprovideadescriptionofall expected costs.

Yourprojectexpensesmayincludetheprintinganddesignofnewsletters,refreshments for events or venue hire. Reasonable administration support can be included (must be itemised). Please do NOT include in-kind support under this section, see Section 5.5.

Youcanaddmorerowstothistablebyselecting'+'fromtherighthandside.

Expense Expense amount $ Will the Australia Post grant fund this activity?

e.g.Website design.	e.g.1500(pleaseenterwhole numbersonly).	e.g.Yes.

DescribehowtheAustraliaPostfundswillbeusedandwhere*

Mustbenomorethan100words due to space.

1. ProjectBudgetTotals

Pleasenote,thesetotalsarecalculatedautomaticallyfromyourresponsesinSection5.

Yourincomeamountandyourexpensesamountmustmatch.

Incomeamount

Expensesamount

Income-Expenses*

Thisnumber/amountis

automaticallycalculated.

1. In-KindSupport

Thisnumber/amountis

automaticallycalculated.Please check this figure matches your Total Project Cost in 5.1

Thisnumber/amountis

calculated.

In-Kind supportincludesgoods orservicesthatyourorganisationreceives(notacash contribution).

Thiscouldbevenuehire,equipment,toolsorvolunteerlabour.

WillyoubereceivingIn-Kindsupport?*

• Yes
• No
  1. AlternativeFunding Opportunity

PleaselistallIn-Kindsupport yourprojectwillreceive,whether confirmedornot.This amount won't be included in your Total Project Cost.

Youcanaddmorerowstothistablebyselecting'+'fromtherighthandside.

Who Goods/Servicesto be provided Is this In-Kind Supportconfirmed? Estimatedcashequivalent $

e.g.LocalCommunity Hall.	e.g.Venuehire-6x $100	e.g.Confirmed	e.g.600(pleaseenter wholenumbersonly).

In-Kind SupportTotal

This number/amount isautomatically calculated.

Section6-AlternativeFundingOpportunity

*indicatesarequiredfield

Weanticipatethatwewillreceivemanymoregrant applicationsforworthy community projects than we're able to fund.

A small number of projects that are unsuccessful for a grant of up to $10,000 may be consideredforapartialgrantof$2,000wheretheproject(orprojectcomponent)isstill considered viable.

If your application is not successful for the full amount requested, would you like to be considered for a partial grant of $2,000? *

• Yes
• No

Pleasedescribeacomponentofyourprojectthatcouldbeimplementedfor

$2,000.*

Howwouldyouusethisamount?E.g.initialengagementtostartaproject,communityconsultation, etc. Projects must meet the same eligibility criteria. Must be no more than 100 words.

Whatdoyouexpecttoachievewiththisamountoffunding?*

Whatchangedoyouexpecttooccurforyourprogramparticipantsasaresultofyourproject?Mustbe no more than 100 words.

Please complete the below table and tell us how you would allocate the partial grant of $2,000.

Youcanaddmorerowstothistablebyselecting'+'fromtherighthandside.

Expense Expenseamount$

	Mustbeadollaramount.
	$
	$
	$

Section7-Communication

*indicatesarequiredfield

1. Communications

HowdidyouhearabouttheAustraliaPostCommunityGrantsprogram?*

• PostOffice
• AustraliaPostCommunityMailingList(eDM)
• Website
• Localnewspaper
• Localradio
• Outdooradvertising
• Socialmedia
• Professionalnetworks
• Industrynewsletter
• Other:

PleasespecifywhichPostOfficereferredyoutothe2024AustraliaPostCommunityGrants.

PostOffice

Pleasespecifywhichwebsite(s)referredyoutothe2024AustraliaPostCommunityGrants.

Website/URL

Pleaseseparate with a comma.

Pleasespecifywhichsocialmediaplatform(s)referredyoutothe2024AustraliaPost Community Grants.

Socialmediaplatform(s)

Pleaseseparate with a comma.

Pleasespecifywhichindustrynewsletterreferredyoutothe2024AustraliaPostCommunity Grants.

Industrynewsletter

Pleaseseparate with a comma.

1. AustraliaPostCommunityMailingList

WouldthePrimaryContact liketosubscribetoourcommunitymailinglist?*

• Yes
• No

By ticking 'Yes', the Primary Contact may receive updates on community initiatives, funding opportunitiesandotherresourcestosupportcommunitiesandacknowledgethatthey'vereadand understood Australia Post'sprivacy statement.

WouldtheAuthorisedOfficerliketosubscribetoourcommunitymailinglist? *

• Yes
• No

By ticking 'Yes', the Primary Contact may receive updates on community initiatives, funding opportunitiesandotherresourcestosupportcommunitiesandacknowledgethatthey'vereadand understood Australia Post'sprivacy statement.

Section8-Authorisation

*indicatesarequiredfield

Note:ThissectionmustbecompletedbytheAuthorisedOfficer,asidentifiedinSection2.2.

Declaration*

• IconfirmthatIhavereviewedthisapplicationtoensurethatitisagoodrepresentation of the project and its outcomes and there are no inconsistencies.

Authorisation*

• I confirm that I have read, understood and accepted the Terms and Conditions as statedinthe2024AustraliaPostCommunityGrantsGuidelinesavailableonlineathttps:// auspost.com.au/grants; and the below terms are agreed to.

1.Iamthepersonnamedinthisformastheperson(theAuthorisedOfficer)responsible for submitting the Application.

2.IhavebeenauthorisedbytheOrganisationnamedinthisformtosubmitthis Application.

3.Iacknowledgetheinformationprovidedtobetrueandcorrect.

1. I acknowledge Australia Post may rely on the completion of the authority below as conclusiveevidenceofthatperson'sauthoritytoexecutethisagreementonbehalfof the Organisation. AuthorisedOfficere-signature*

Pleasestateyournameasyoure-signature.

Dateofauthorisation*

PrivacyStatement

Australia Post is collecting personal information in order to facilitate the Program. This personal information may be shared with other organisations and external industry experts to assist in assessing the Applications. If you're giving us personal information about another person, we're relying on you to tell them that you're giving us their details and to let them know about our Privacy Statement. Personal information is handled in accordance withtheAustraliaPostGroupPrivacyStatementwhichoutlineshowtoaccessand/orcorrect personal information or to make a privacy related complaint. For more information, please visitwww.auspost.com.au/privacy.

Tosubmitthis2024Australia PostCommunityGrantapplication, please select from the bottom and follow the instructions.