compact partnership projects 2020-21

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COMPACT PARTNERSHIP PROJECTS 2020-21 Form Preview Eligibility Check * indicates a required field PLEASE REMEMEMBER TO SAVE YOUR APPLICATION EVERY 20 MINUTES TO AVOID LOSING DATA Is the Host Organisation a non profit sharing organisation * ○ Yes ○ No Have the partners agreed in writing to be a partner in the project. * ○ Yes ○ No Is the project based in NSW * ○ Yes ○ No Can the applicant demonstrate how the project will address one or more of the objectives nominated by Multicultural NSW; * ○ Yes ○ No Can the applicant demonstrate how the project will engage one or more of the youth engagement methods: * ○ Yes ○ No Can the applicant demonstrate how the project will collect data and measure clearly defined outcomes * ○ Yes ○ No Is the project cost effective and viable with an accurate budget * ○ Yes ○ No EXCLUDED ACTIVITIES party political activities; celebration of national or independence days with the exception of key Australian days including ANZAC DAY, Australia Day, Clean Up Australia Day and NAIDOC day; religious festivals, rituals, events or promotions, except multi-faith events which involve people from more than one religion; projects funded under other State or Commonwealth grant programs; building works (including maintenance) and equipment purchases; events and festivals charging admission; media productions that have not been endorsed by Multicultural NSW prior to publication or broadcast; commercial or fundraising activities; Is the project an excluded activity? * ○ Yes ○ No Page 1 of 26

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

Eligibility Check* indicates a required field

PLEASE REMEMEMBER TO SAVE YOUR APPLICATION EVERY 20MINUTES TO AVOID LOSING DATA

Is the Host Organisation a non profit sharing organisation *○  Yes ○  No

Have the partners agreed in writing to be a partner in the project. *○  Yes ○  No

Is the project based in NSW *○  Yes ○  No

Can the applicant demonstrate how the project will address one or more of theobjectives nominated by Multicultural NSW; *○  Yes ○  No

Can the applicant demonstrate how the project will engage one or more of theyouth engagement methods: *○  Yes ○  No

Can the applicant demonstrate how the project will collect data and measureclearly defined outcomes *○  Yes ○  No

Is the project cost effective and viable with an accurate budget *○  Yes ○  No

EXCLUDED ACTIVITIES

•  party political activities;• celebration of national or independence days with the exception of key Australian daysincluding ANZAC DAY, Australia Day, Clean Up Australia Day and NAIDOC day;

• religious festivals, rituals, events or promotions, except multi-faith events which involvepeople from more than one religion;

• projects funded under other State or Commonwealth grant programs;• building works (including maintenance) and equipment purchases;• events and festivals charging admission;• media productions that have not been endorsed by Multicultural NSW prior topublication or broadcast;

• commercial or fundraising activities;

Is the project an excluded activity? *○  Yes ○  No

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

If any of these eligiblity criteria are not met you will not be able to proceed with theapplication.

 PART A: APPLICANT (HOST**) ORGANISATION* indicates a required field

**Note: Host Organisation is the primary applicant and will be accountable for the grant.

QUESTION A1

WHAT IS THE NAME OF THE HOST ORGANISATION?

Name of Organisation * Organisation Name 

Street Address * Address  Suburb   State   Postcode         

Postal Address * Address  Suburb   State   Postcode         

QUESTION A2

WHO ARE THE PRINCIPAL OFFICE-BEARERS OR MEMBERS OF THE MANAGEMENTCOMMITTEE?

OFFICE BEARER 1

Name Title   First Name   Last Name         OFFICE BEARER 1

Position Title  

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Telephone BH  Must be an Australian phone number

Mobile  Must be an Australian phone number

Telephone AH  Must be an Australian phone number

Email  Must be an email address

Facsimile  OFFICE BEARER 2

Name Title   First Name   Last Name         OFFICE BEARER 2

Position Title  Telephone BH  

Must be an Australian phone number

Mobile  Must be an Australian phone number

Telephone AH  Must be an Australian phone number

Email  Must be an email address

Facsimile  OFFICE BEARER 3

Name Title   First Name   Last Name         OFFICE BEARER 3

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

Position Title  Telephone BH  

Must be an Australian phone number

Mobile  Must be an Australian phone number

Telephone AH  Must be an Australian phone number

Email  Must be an email address

Facsimile  

QUESTION A3

WHO IS THE HOST ORGANISATION'S PROJECT OR SERVICE COORDINATOR?

Name Title   First Name   Last Name         

Position Title  Telephone  

Must be an Australian phone number

Mobile  Must be an Australian phone number

Email  Must be an email address

Facsimile  

QUESTION A4

WHAT TYPE OF ORGANISATION IS THE HOST ORGANISATION?

Type of Organisation ○   Incorporated under the NSW AssociationsIncorporations Act 2009

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

○   Company limited by guarantee under the CorporationsAct 2001○   Cooperative registered under Co-operatives Act 1992○   Incorporated by an Act of Parliament○   Corporate trustee of a trust that has deductible giftrecipient status under the Commonwealth Taxation laws○   Local Government

Registration Number  Registration number or other identifying number

ABN Number  The ABN provided will be used to look up the followinginformation. Click Lookup above to check that you haveentered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

 Entity type

 Goods & Services Tax (GST)

 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

If applicable

QUESTION A5

WHAT ARE THE MAIN ROLES AND FUNCTIONS OF THE HOST ORGANISATION?

 QUESTION A6

WHO ARE THE USUAL BENEFICIARIES OR TARGET GROUP(S) OF THE HOSTORGANISATION?

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

 QUESTION A7

WHAT LOCALITIES DOES THE HOST ORGANISATION USUALLY SERVICE?

 Example: Statewide, Hunter region

QUESTION A8

IS THERE A PARTNER ORGANISATION INVOLVED IN THIS PROJECT?

○   YES then proceed to Part B○   NO then proceed to Part C

This question is only applicable if there is a partner organisation/s involved in the projecti.e.QUESTION A8 is YES

HOW MANY PARTNERS ARE INVOLVED IN THIS PROJECT? * 

 PART B: PARTNER ORGANISATION(S)QUESTION B1

WHAT IS THE NAME OF THE PARTNER ORGANISATION(S) AND THEIR USUAL ROLESOR FUNCTIONS?

Number Name of PartnerOrganisation

Role or Functions

1) Enter the response in B2 below -Partner 1

Enter the response in B2 below -Partner 1

2) Enter the response in B2 below -Partner 2

Enter the response in B2 below -Partner 2

3) Enter the response in B2 below -Partner 3

Enter the response in B2 below -Partner 3

QUESTION B2

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WHAT ARE THEIR KEY CONTACT DETAILS FOR THEIR MAIN ROLE IN THE PROJECTPARTNERSHIP?

PARTNER 1

Name of Organisation Organisation Name 

PARTNER 1

Role or Functions  Enter the response from Question B1 for Partner 1 here

Contact Person First Name   Last Name     

Telephone  Must be an Australian phone number

Mobile  Must be an Australian phone number

Email  Must be an email address

Role in ProjectPartnership  

PARTNER 2

Name of Organisation Organisation Name 

PARTNER 2

Role or Functions  Enter the response from Question B1 for Partner 2 here

Contact Person First Name   Last Name     

Telephone  Must be an Australian phone number

Mobile  

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

Must be an Australian phone number

Email  Must be an email address

Role in ProjectPartnership  

PARTNER 3

Name of Organisation Organisation Name 

PARTNER 3

Role or Functions  Enter the response from Question B1 for Partner 3 here

Contact Person First Name   Last Name     

Telephone  Must be an Australian phone number

Mobile  Must be an Australian phone number

Email  Must be an email address

Role in ProjectPartnership  

QUESTION B3

WHAT TYPE OF ORGANISATION IS THE PARTNER ORGANISATION?

PARTNER 1

Type of Organisation ○   Incorporated under the NSW AssociationsIncorporations Act 2009○   Company limited by guarantee under the CorporationsAct 2001○   Cooperative registered under Co-operatives Act 1992○   Incorporated by an Act of Parliament

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○   Corporate trustee of a trust that has deductible giftrecipient status under the Commonwealth Taxation Laws○   State Government Agency○   Federal Government Agency○   Local Government

Registration Number  PARTNER 1 Registration number or other identifying number ifapplicable

ABN Number  The ABN provided will be used to look up the followinginformation. Click Lookup above to check that you haveentered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

 Entity type

 Goods & Services Tax (GST)

 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

PARTNER 1 ABN if applicable

PARTNER 2

Type of Organisation ○   Incorporated under the NSW AssociationsIncorporations Act 2009○   Company limited by guarantee under the CorporationsAct 2001○   Cooperative registered under Co-operatives Act 1992○   Incorporated by an Act of Parliament○   Corporate trustee of a trust that has deductible giftrecipient status under the Commonwealth Taxation Laws○   State Government Agency○   Federal Government Agency○   Local Government

Registration Number  PARTNER 2 Registration number or other identifying number ifapplicable

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

ABN Number  The ABN provided will be used to look up the followinginformation. Click Lookup above to check that you haveentered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

 Entity type

 Goods & Services Tax (GST)

 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

PARTNER 2 ABN if applicable

PARTNER 3

Type of Organisation ○   Incorporated under the NSW AssociationsIncorporations Act 2009○   Company limited by guarantee under the CorporationsAct 2001○   Cooperative registered under Co-operatives Act 1992○   Incorporated by an Act of Parliament○   Corporate trustee of a trust that has deductible giftrecipient status under the Commonwealth Taxation Laws○   State Government Agency○   Federal Government Agency○   Local Government

Registration Number  PARTNER 3 Registration number or other identifying number ifapplicable

ABN Number  The ABN provided will be used to look up the followinginformation. Click Lookup above to check that you haveentered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

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COMPACT PARTNERSHIP PROJECTS 2020-21Form Preview

  

 Entity type

 Goods & Services Tax (GST)

 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

PARTNER 3 ABN if applicable

QUESTION B4

WHO ARE THE USUAL BENEFICIARIES OR TARGET GROUP(S) OF THE PARTNERORGANISATION(S)?

Partner 1: Usual Beneficiaries or Target Groups

 Partner 2: Usual Beneficiaries or Target Groups

 Partner 3: Usual Beneficiaries or Target Groups

 QUESTION B5

WHAT LOCALITIES DOES THE PARTNER ORGANISATION(S) USUALLY SERVICE(Example: Statewide, Hunter region)

Partner 1: Localities Serviced

 Partner 2: Localities Serviced

 Partner 3: Localities Serviced

 QUESTION B6

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HAS THE HOST ORGANISATION AND PARTNER ORGANISATION BEEN INVOLVED INPREVIOUS PROJECTS OR JOINT ACTIVITIES TOGETHER?

○  Yes ○  No

If yes, specify previous involvement or joint activities

Partner 1: Previous Involvement/Joint Activities with Host Organisation

 Partner 2: Previous Involvement/Joint Activities with Host Organisation

 Partner 3: Previous Involvement/Joint Activities with Host Organisation

  PART C: THE PROJECTQUESTION C1

WHAT IS THE TITLE OF THE PROJECT?

 

QUESTION C2

WHAT IS THE PROJECT DESCRIPTION?

 QUESTION C3

HAS THIS PROJECT OR A SIMILAR PROJECT BEEN CARRIED OUT PREVIOUSLY BYTHE HOST ORGANISATION OR PARTNER ORGANISATION?

○  Yes ○  No ○  Don't know

If yes, when?  

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Previous Start Date  Previous Finish Date  

QUESTION C4

Can the applicant demonstrate how the project will address one or more of thenominated COMPACT project level objectives?

OBJECTIVE 1. The initiative aligns with the aim of the Multicultural NSW COMPACTProgram to inspire and empower young people to stand up and stand unitedagainst extremist hate, fear, violence and division as champions for communityharmony

 Enter ''No response'' if there was no response to this objective

OBJECTIVE 2. The initiative aligns with the aim of the Multicultural NSW COMPACTProgram to support communities and build resilience to threats to communityharmony in NSW arising from local or global issues

 Enter ''No response'' if there was no response to this objective

OBJECTIVE 3. To build robust, sustainable networks, relationships andpartnerships across communities

 Enter "No response'' if there was no response to this objective

OBJECTIVE 4: To promote community understanding of the value and benefit ofcultural diversity

 Enter "No response'' if there was no response to this objective

BRIEFLY INDICATE HOW, AS PART OF THE COMPACT ALLIANCE, THE PROJECT CONTRIBUTESTO COMPACT'S PROGRAM-LEVEL COMMUNITY RESILIENCE-BUILDING OBJECTIVES:

Preparedness: Proactively build and support committed, collaborative, responsivecommunity networks

 Prevention: Break the cycle of hate: the community champions cultural diversityand community harmony

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 Response: Community networks and relationships mobilise to stand up and standunited in the face of threats to community harmony

 Recovery: Community networks and relationships mobilise to support each otherand maintain or restore social cohesion in the wake of an incident or crisis

 BRIEFLY INDICATE WHICH OF THE PREFERENCES THE PROJECT SPECIFICALLYADDRESSES AND DESCRIBE HOW

PREFERENCE 1. The initiative is coordinated by an appropriate host organisationcapable of overseeing and implementing the initiative, in collaboration withrelevant partner organisations:

 Enter "No response" if there was no response to this preference

PREFERENCE 2. The host organisation and partners will collaborate with otherCOMPACT Alliance, participate in and contribute to the work of the COMPACTAlliance, COMPACT Summit and program review and evaluation over the life ofthe grant:

 Enter "No response" if there was no response to this preference

PREFERENCE 3. The initiative includes appropriate consultation, mentoringand/or engagement strategies to ensure community members, young peopleand relevant organisations or groups are actively involved in the development,implementation and where appropriate management of the initiative:

 Enter "No response" if there was no response to this preference

PREFERENCE 4. The proposed approach is evidence-based and well designed; willprimarily if not exclusively benefit individuals and groups living in NSW; and willdeliver a clear set of outcomes for the target group and the people of NSW:

 Enter "No response" if there was no response to this preference

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PREFERENCE 5. The initiative is designed to build community relationships,networks and structures that will be sustainable after the conclusion of thegrant. As such succession planning on how the momentum will be maintained isessential and must be demonstrated:

 Enter "No response" if there was no response to this preference

PREFERENCE 6. The initiative includes measures for maximising engagementwith the target group, including if appropriate less engaged or harder to reachmembers of the community:

 Enter "No response" if there was no response to this preference

PREFERENCE 7. The initiative recognises, values and maximises linkages to othercommunity initiatives and resources:

 Enter "No response" if there was no response to this preference

PREFERENCE 8. The initiative is innovative and pioneering and does not have anyknown precedent:

 Enter "No response" if there was no response to this preference

PREFERENCE 9. The initiative engages young people in regional New South Wales

 Enter "No response" if there was no response to this preference

PREFERENCE 10. The initiative engages female young people

 Enter "No response" if there was no response to this preference

PREFERENCE 11. Other (give details):

 Enter "No response" if there was no response to this preference

 YOUTH ENGAGEMENTQUESTION C5

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Can the applicant demonstrate how the project will employ one or more of theCOMPACT youth engagement methods?RESPONSES MUST CLEARLY DEMONSTRATE CAPACITY AND COMPETENCYTO ENGAGE FEMALE AND MALE YOUNG PEOPLE FROM A DIVERSE RANGE OFCULTURAL AND RELIGIOUS BACKGROUNDS

METHOD 1. Volunteers & humanitarians: includes methods to engage youngpeople in volunteering, community service, charity and local and/or internationalhumanitarian work with a clear benefit to local communities.

 Enter ''Not relevant'' if there was no response to this category

METHOD 2. Creative communicators: includes creative methods to amplifythe voices of young people and tackle tough issues like hate and polarisationthrough art, music, writing, traditional and digital/social media, public speakingor performance.

 Enter ''Not relevant'' if there was no response to this category

METHOD 3. Community connectors: includes methods of cross-cultural andinterfaith engagement that bring communities together and foster strongercollaboration and cohesion.

 Enter ''Not relevant'' if there was no response to this category

METHOD 4. Skills & enterprise: includes innovative methods to harness theentrepreneurial spirit and social conscience of young people through engagementwith business, social enterprise and start-up savvy.

 Enter ''Not relevant'' if there was no response to this category

METHOD 5. Critical thinkers & problem solvers: includes methods to educate,raise awareness, facilitate dialogue, enhance critical thinking, identify andresolve community conflict, tension, racism and hate.

 Enter ''Not relevant'' if there was no response to this category

METHOD 6. Families & intergenerational engagement: includes methods toengage and support young people, parents and families, address issues ofintergenerational trauma and conflict, build resilience at the family level, andpromote the value of diversity across generations.

 Enter ''Not relevant'' if there was no response to this category

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METHOD 7. Sports for social cohesion: includes methods to engage young people,break down barriers, reinforce positive messages, and create support networks,mentoring opportunities and positive role models.

 Enter ''Not relevant'' if there was no response to this category

QUESTION C6

WHAT OUTCOMES OR BENEFITS WILL THE PROJECT DELIVER TO THE MAIN TARGETGROUP(S)?

 QUESTION C7

HOW WILL THE MEMBERS OF THE TARGET GROUP(S) BE INVOLVED IN THEMANAGEMENT OF THE PROJECT?

 QUESTION C8

DOES THE PROJECT HAVE CLEARLY DEFINED OUTCOMES, ALIGNED WITH THECOMPACT EVALUATION FRAMEWORK, A DATA COLLECTION PLAN AND A TANGIBLEMEASUREMENT FOR OUTCOME EVALUATION?

 QUESTION C9

WHAT IS THE LOCATION OF THE PROJECT AND WHAT TYPE OF PREMISES WILL ITOPERATE FROM? I.E. BUSINESS, HOUSE, COMMUNITY CENTRE OR OTHER.

Address Address  Suburb   State   Postcode         Must be an Australian post code

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Type  

QUESTION C10

IF COMPACT FUNDING WERE TO BECOME AVAILABLE AFTER 2020-21, IS THEPROPOSAL TO DELIVER A TWO, THREE OR FOUR YEAR PROJECT? IF YES, PROVIDEA BUDGET FOR EACH YEAR AND BRIEFLY EXPLAIN HOW THE PROJECT WILLCONTINUE OR EXPAND AFTER THE FIRST YEAR:

○  Yes ○  No (2020-2021 only)

Year Amount $ Activity Description2021-2022    2022-2023    2023-2024    

QUESTION C11

PLEASE PROVIDE INFORMATION ON PAST AND CURRENT GRANTS.

Year Description Amount $ Funded by Acquitted                                             

 PART D: PROJECT BUDGET AND MANAGEMENT* indicates a required field

QUESTION D1

IN ONE PAGE OR LESS, SUMMARISE THE KEY STAGES OF THE PROJECT FOR2020-2021, THE MAJOR TASKS OR ACTIONS TO BE UNDERTAKEN IN EACH STAGE,THE ORGANISATION RESPONSIBLE, THE TIMEFRAME, AND WHAT OUTCOMES AREEXPECTED FOR THAT STAGE, INCLUDING MEASURES IF KNOWN.

Project Start Date  Project Finish Date  

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Start Date List the KeyTasks or Actions

Responsibility Timeframe What OutcomesAre Expected

                                                      

Host, partner, other Milestones

QUESTION D2

HOW WILL THE PROJECT BE OVERSEEN AND MANAGED?What are the key roles and responsibilities of each partner in developing or implementingthe Project?

Host Organisation  Description ofHost Roles andResponsibilities  Partner 1 Organisation  Description ofPartner 1 Roles andResponsibilities  Partner 2 Organisation  Description ofPartner 2 Roles andResponsibilities  Partner 3 Organisation  Description ofPartner 3 Roles andResponsibilities  

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QUESTION D3

WHAT IS THE PROJECT FUNDING AMOUNT SOUGHT FROM MULTICULTURAL NSWFOR 2020-2021?

Total grant sought fromMulticultural NSW for2020-2021 *

 

QUESTION D4

WHAT IS THE TOTAL PROJECT BUDGET? ITEMISE ALL CONFIRMED CONTRIBUTIONSFROM THE HOST ORGANISATION, PARTNER ORGANISATIONS, PLUS OTHER INCOMEOR FUNDING SOURCES, INCLUDING FUNDRAISING AND CLIENT CONTRIBUTIONS

Source Specify AmountHost Organisation Contribution   $Partner Organisation Contribution    A) Other Contribution or Income    B) Other Contribution or Income    C) Other Contribution or Income    Other In-Kind Contributions    Do not overwrite text in thiscolumn

If no response, enter NONE in thiscolumn

and enter $0 in this column

TOTAL PROJECT INCOME $Including Multicultural NSW Grant (as stated at D4)

QUESTION D5

ARE THERE ANY CURRENT OR PROPOSED FUNDING APPLICATIONS THAT COULDASSIST WITH THIS PROJECT?

○  Yes ○  No

List all applications including those to other NSW and Commonwealth GovernmentDepartments, Local Councils, other not-for-profit organisations.

Details of Other ProjectFunding Source

Amount $ Confirmed or Approved?

  $            

QUESTION D6

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WHAT IS THE TOTAL PROJECT EXPENDITURE? ITEMISE ALL COSTS INCLUDINGDIRECT WORKERS' SALARIES AND ASSOCIATED COSTS, TRAVEL, STATIONERY,ELECTRICITY, RENT, HIRE OF VENUE, HIRE OF EQUIPMENT, ETC.Note: Audit will not be met from Multicultural NSW funds.

Item Amount $  $               

Total ProjectExpenditure

$

 PART D: DECLARATIONQUESTION D7

DECLARATION BY THE HOST ORGANISATIONBy clicking the submit button Multicultural NSW will assume that themanagement committee of your organisation has endorsed this application. Themanagement committee declares that they:Are not aware of any circumstances which adversely affect or might adversely affect theorganisation's ability to carry out the delivery of the program or service.Have read and understood the Grants Program Terms and Conditions and if awarded agrant, acknowledge that an agreement based on those terms and conditions will apply tothe grant.Agree to comply with those terms and conditions in acquitting the grant.The information contained in this application is true and correct in every detail and haveensured that all required information is enclosed.The information in this application may be disclosed to other government agencies,reviewers and staff assisting with the administration or promotion of NSW governmentfunding programs administered by Multicultural NSW. Please refer to our Privacy Policy onour website.

OFFICE BEARER (1)

Name First Name   Last Name     Applicant signatory 1

Position in Organisation  

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President, Chairperson or similar position

Telephone  Email  Date  

OFFICE BEARER (2)

Name First Name   Last Name     Applicant Signatory 2

Position in Organisation  President, Chairperson or similar position

Telephone  Email  Date  

Must be a date

OFFICE BEARER (3)

Name First Name   Last Name     Applicant Signatory 3

Position in Organisation  President, Chairperson or similar position

Telephone  Email  Date  

QUESTION D8

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WHERE RELEVANT, DECLARATION BY PARTNERORGANISATION 1:By clicking the submit button Multicultural NSW willassume that the management committee of yourpartner organisation has endorsed this application.The partner organisation declares that:the information contained in this expression of interest istrue and correct in every detail. I agree the informationdisclosed in this expression of interest may be disclosed toother government agencies, reviewers and staff assistingwith the administration or promotion of NSW Governmentfunding programs and by the Multicultural NSW for thedelivery of its services.

Name First Name   Last Name     Partner 1 Signatory

Position in Organisation  Telephone  Email  Date  

WHERE RELEVANT, DECLARATION BY PARTNERORGANISATION 2:By clicking the submit button Multicultural NSW willassume that the management committee of yourpartner organisation has endorsed this application.The partner organisation declares that:the information contained in this expression of interest istrue and correct in every detail. I agree the informationdisclosed in this expression of interest may be disclosed toother government agencies, reviewers and staff assistingwith the administration or promotion of NSW Governmentfunding programs and by the Multicultural NSW for thedelivery of its services.

Name First Name   Last Name     Partner 2 Signatory

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Position in Organisation  Telephone  Email  Date  

WHERE RELEVANT, DECLARATION BY PARTNERORGANISATION 3:By clicking the submit button Multicultural NSW willassume that the management committee of yourpartner organisation has endorsed this application.The partner organisation declares that:the information contained in this expression of interest istrue and correct in every detail. I agree the informationdisclosed in this expression of interest may be disclosed toother government agencies, reviewers and staff assistingwith the administration or promotion of NSW Governmentfunding programs and by the Multicultural NSW for thedelivery of its services.

Name First Name   Last Name     Partner 3 Signatory

Position in Organisation  Telephone  Email  Date  

 PART E: CHECKLIST AND ATTACHMENTSCHECKLIST FOR APPLICANTS

PLEASE CHECK THAT (TICK BOXES):

☐   All questions are answered.

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☐   The Project addresses stated criteria for the funding program from which funds are beingsought.☐   The declaration is made by two authorised office bearers plus representatives frompartner organisations, where relevant.☐   A copy of this application form has been retained by the applicant.

The following attachments are included:Maximum 25MB but suggest no more than 5MB

A copy of the organisation's certificate of registrationAttach a file:

 A copy of the organisation's most recent financial statements approved by thedirectors of the organisation with statements being not more than two yearsold at the time of submitting this expression of interest, including contactdetails for the auditor (in accordance with the requirements of the organisation'sconstitution).Attach a file:

 A copy of the organisation's constitution or Memorandum and Articles ofAssociationAttach a file:

 A copy of the organisation's ABN and GST registration confirmation from theAustralian Taxation OfficeAttach a file:

 Last annual reportAttach a file:

 Project reports of any previous government funded ProjectsAttach a file:

 Please note that if the above documents are not provided, your application willnot be considered for funding.

Other documentation provided (if applicable)Attach a file:

 

 

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