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Submission Received

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This form has been submitted for consideration for the above Application process. Based on system generated information it appears that this Application has been submitted on time. Please note that the submission of this Application does not equate to automatic acceptance of the Application. The Application acceptance notification and information will be provided separately via email to the main email contact provided on this Application. Contact via Phone on or via email for any questions regarding this Application.
This form has been submitted for consideration for the above Application process. Based on system generated information it appears that this Application has not been submitted on time. The Application is therefore unlikely to be accepted. Note that the submission of this Application does not equate to automatic acceptance of the Application. The Application acceptance notification and information will be provided separately via email to the main email contact provided on this Application. Contact via Phone on or via email for any questions regarding this Application.

Next steps

You are required to complete these additional forms to finalize your request.
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Form Saved

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Your form has been saved and may be re-opened later.
Your Submission Reference is:
Please send yourself a link to this saved form by entering your email address below. This email will detail your Submission Reference, the date and time this application process will close, and a link to access your saved form.If you have any questions relating to this Application phone or email .

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Application Information

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longDescription

Grant Round Administration

This grant round is being administered by the .

Closing Date/Time

Applications must be submitted by .
Closing Time: System generated information indicates that this Application process has closed. Contact via phone on or via email for any questions regarding this Application process.
Closing Time: Please note that the submission period for this grant round has closed. You are still able to submit this form, however it will be considered a late application. You must provide a detailed explanation of the circumstances that prevented the application being submitted prior to the closing time in the text box below. Where appropriate, supporting evidence can be provided to verify the claim of exceptional circumstances. Exceptional circumstances are events characterised by one or more of the following: •reasonably unforeseeable, •beyond the applicant's control, •unable to be managed or resolved within the application period. Exceptional circumstances will be considered on their merits, in accordance with the Grant Opportunity Guidelines and Late Application Policy. Late applications which do not meet the requirements for exceptional circumstances will not proceed to assessment. Contact via phone on or via email for any questions regarding this Application process.
(Limit: approx 300 words, 2,000 characters)

If you have any supporting documentation on your extenuating circumstances then you may attach here. Please note that this is not mandatory and is limited to one attachment only.

List of attachments
File:

Making Sure Your Application is Saved

Upon exiting the form please ensure that you use the ‘Save and Exit’ button. The ‘Continue’ button should only be used as you intend to progress through the form. For your Application to be saved when exiting, you will need to click on: •‘Save and Exit’, and •‘Confirm’. You will know that your application is saved when you are taken from the current form process to the ‘Form Saved’ page. Note that the ‘Save and Exit’ button will ask that you ‘Confirm’ that you wish to save the Application, which you must do to complete the save process. If this is not done, your Application will not be saved. You can return to your Application with the data saved using the link on the 'Form Saved' page that says 'Click here to return to your form' and confirming your submission reference ID details.

Grant Opportunity Documents

Read all information in the Grant Opportunity Documents before completing this Application Form. The Grant Opportunity Documents are available on the website. Applications will be assessed using the process outlined in the Guidelines.
Read all information in the Grant Opportunity Documents before completing this Application Form. The Grant Opportunity Documents are available on the and websites. Applications will be assessed using the process outlined in the Guidelines.

Application Help

Information about the Application process is available on the website. Applicants must submit any questions relating to the Program or this Application process in writing to . Applicants may submit these questions up until five business days prior to the Closing Time and Date. A response will be provided within five business days. Applicants may direct any general enquiries, requests for technical help or support in using and/or submitting the Application Form by: •Phone •Email to
Information about the Application process is available on the and websites. Applicants must submit any questions relating to the Program or this Application process in writing to . Applicants may submit these questions up until five business days prior to the Closing Time and Date. A response will be provided within five business days. Applicants may direct any general enquiries, requests for technical help or support in using and/or submitting the Application Form by: •Phone •Email to

Attachment Limits

This Application Form allows users to attach files to support their application, where directed to do so. The maximum size for individual attachments is no larger than 2MB and the form will not accept individual attachments above this size. Please plan to modify your attachment files accordingly if necessary. Accepted file types:
.bmp, .doc, .docx, .gif, .jpeg, .Jpg, .msg, .pdf, .png, .pps, .ppt, .pptx, .txt, .xls, .xlsb, .xlsx. Note: Compressed files, such as .zip, .rar, are not accepted and foreign characters should not be used in file names.

Sharing this Form

More than one person should not access this form at the same time. If this is done there is a risk that information entered in the form may be lost and not transferred upon submission. If you wish to share this form and access details, please ensure that only one user edits the form at any given time. To avoid any issues with your submission, ensure each contributor has completed their updates, saved their changes and exited the form prior to another person accessing the same form.

Submission Reference ID

Each Application Form is allocated a unique Submission Reference ID. Each time this Application is accessed you will be required to use this Submission Reference ID.

Submitting Application Form

Once you have completed this Application Form, you must submit it electronically by using the submission section at the end of this form. Please note: there may be short, scheduled outages to systems as part of regular information technology maintenance that may affect submission of this form. Notification of these outages will be on the website. Following electronic submission, a message with your Submission Reference ID will appear on your screen. An email will be sent to the main email contact provided in the Application Form. A function is also available on the submission page to allow you to send a receipt email to the address of your choosing. Please save this email receipt for future reference and use it in all correspondence about this Application. Note: Applications will be assessed using the process outlined in the Grant Opportunity Documents. Applicants will be notified of the grant funding outcome on completion of the assessment process.

National Relay Service (NRS)

The uses the NRS to ensure our contact numbers are accessible to people who are deaf or have a hearing or speech impairment. Please phone to access the NRS.

Australian Tax Office Reporting

The will need to report details of payments made to the Australian Taxation Office (ATO) as part of the taxable reporting obligations for government entities. In general terms, the types of payments to be reported to the ATO are: •Payments made for grants to entities with an Australian Business Number (ABN); •Payments made for services. If you receive a payment from the Department that meets the ATO criteria, it will be reported to the ATO as part of the Taxable payments annual report. Further information is available on the Australian Taxation Office website.

Privacy

The , supported by the Community Grants Hub, uses an integrated Smartform service assisted by the Department of Industry, Science, Energy and Resources on www.business.gov.au. If you are providing information to access a non-Department of Industry, Science, Energy and Resources program, that information will not be accessed by Department of Industry, Science, Energy and Resources employees. The only exception to this is where Senior Analysts within the Department of Industry, Science, Energy and Resources require access to your information for the sole purpose of troubleshooting technical errors. Where this occurs Senior Analysts will only access the data with permission and at the request of client agencies. The , supported by the Community Grants Hub, will be able to access the Application as part of the form support services. By submitting the Application you acknowledge that the information provided in the Application may be shared with other Commonwealth and law enforcement agencies for the prevention and detection of fraud. For more information about how the Department of Industry, Science, Energy and Resources protects your privacy and personal information, please see the Department of Industry, Science, Energy and Resources’ Privacy Policy. The Community Grants Hub Privacy Policy and WCaG Accessibility Information and the Privacy Policy should also be read and understood.

Use of Information

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Your Submission Reference is:


Please send yourself a link to this saved form by entering your email address below. This email will detail your Submission Reference, the date and time this application process will close, and a link to access your saved form. If you have any questions relating to this Application phone or email .

Use of Information

The may use the information, other than personal information, provided in this Application Form to assist it to:

•comply with the Australian Government requirement to publish the details of all grant recipients on the GrantConnect website, •inform staff negotiating and establishing Grant Agreements of risks and issues that need to be addressed in the Grant Agreement for that program, and/or •inform future assessments for Applications.
All information including personal information provided in this Application may be shared with other Commonwealth and law enforcement agencies for the purpose of preventing and detecting fraud. This includes personal information of any third party provided in this Application. You can only apply if you agree to the use of the information you provide in this form for the purposes listed above.
Check this box if you agree to the use of the information you provide in this Application Form.

Existing Grant Recipient

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Section help text here

Is the Applicant an existing Grant Recipient? *

You must respond to this question. Select 'No' if the Applicant is not an existing recipient of a grant through the or Community Grants Hub. Select 'Yes' if the Applicant is an existing recipient of a grant through the or Community Grants Hub. If yes is selected you then must enter your organisation ID number in the next field. The Applicant’s organisation ID number should be entered as it appears on the Grant Agreement. After entering the organisation ID, click on the 'Search' button to validate the ID to bring back key organisation details for this Application. Should there be any issues with validation, a message will be returned to give a choice on actions to progress. If you require assistance, please call .
If Yes, provide the organisation ID number as it appears on your Grant Agreement and then click 'Verify number' to confirm the details are correct Tip: Copy and paste the organisation ID number from the Grant Agreement to avoid errors.

Your verified organisation details have indicated that you currently have no ABN on the records held by the . Do you currently have an ABN? *

You must respond to this question. For further details refer to http://www.abr.business.gov.au/. If your Organisation does have an ABN, select ‘Yes’ and you will be asked to enter and verify your ABN details. If the information is correct and your organisation does not have an ABN, select ‘No’ and you will be asked to provide a statement by supplier for this grant opportunity.
Enter your ABN into the Australian Business Number (ABN) field and click the Validate ABN button to retrieve your registration details.
Enter the ABN Branch Number relevant to the Applicant’s ABN, if applicable. This is limited to 3 digits.
Note: If the details displayed are out of date or incorrect, please update them now via the Australian Business Register website then re-enter and validate the ABN.
If you have Business Names registered, you can select the relevant Business Name. If you have not registered your Business Name, you can either select "Same as Legal Entity" or "Other" in the "registered business name" field. If "Other" is selected, you will be asked to provide the Applicant's registered business name in another field that will become available.

Attach a completed Statement by a supplier form (reason for not quoting an ABN to an enterprise) here. *Further information about a Statement by a Supplier is available on the ATO website.

Attachment *

List of attachments (Note: Attach any relevant documentation. Mandatory to provide at least one document where it has been indicated that the Applicant is able to provide a completed Statement by a supplier. Only .doc .docx .pdf will be accepted)
File:

Are updates required to the Applicant's details? *

You must respond to this question. Select ‘No’ if updates are not required to the Applicant’s details as currently held by the . Select ‘Yes’ if updates are required to the Applicant’s details as currently held by the . You will be required to contact your Funding Arrangement Manager to update your details.

Please contact your Funding Arrangement Manager to update your details. *

Check this box to confirm that you have contacted your Funding Arrangement Manager and your organisation information is now current.

Applicant Details

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Are you applying as a Trustee on behalf of a Trust? *

Note: The Trustee will enter into a Grant Agreement with the (should the applicant be successful).

Attachment

Please attach a copy of the full, signed Trust Deed here.
File:

Does the Trustee have an Australian Business Number (ABN)? *

You must respond to this question. For further details refer to http://www.abr.business.gov.au/.
Enter the Trustee's ABN into the Australian Business Number (ABN) field and click the Validate ABN button to retrieve registration details.
Enter the ABN Branch Number relevant to the Trustee's ABN (if applicable). This is limited to 3 digits.
Note: If the details displayed are out of date or incorrect, please update them now via the Australian Business Register website then re-enter and validate the ABN.
Note: If the details displayed are out of date or incorrect, please update them now via the Australian Business Register website then re-enter and validate the ABN.
Is the organisation known by another name e.g trading name/business name?
If the Trustee have Business Names registered, you can select the relevant Business Name. If the Trustee have not registered a Business Name, you can either select "Same as Legal Entity" or "Other" in the "registered business name" field. If "Other" is selected, you will be asked to provide the Trustee's registered business name in another field that will become available.
(Limit 80 Characters)

Does the Trustee have any of the following types of Incorporation Number: Australian Company Number (ACN), Australian Registered Business Number (ARBN), Registration Number, Indigenous Corporation Number (ICN), Incorporated Association Number (IAN)? *

Note: An ACN (Australian Company Number) is a nine-digit number issued by the Australian Securities and Investments Commission (ASIC). It is a unique identifier purely for companies incorporated under the Corporations Act 2001 of the Commonwealth. An ARBN (Australian Registered Body Number) is a nine-digit number issued by the Australian Securities and Investments Commission (ASIC). Some organisations can only conduct business in their 'home' state or territory. By becoming a registered Australian body, these organisations can trade throughout all states and territories within Australia. A Registration Number is a form of Incorporation Number for a Cooperative that has been established and/or registered under the relevant legislation in the State or Territory in which they were formed. An ICN (Indigenous Corporation Number) is a number issued by the Office of the Registrar of Indigenous Corporations under the Corporations (Aboriginal and Torres Strait Islander) Act 2006 – CATSI Act. An IAN (Incorporated Association Number) is a number given to an Incorporated Association that has been incorporated or registered under the relevant incorporated associations legislation in the State or Territory in which they were formed.
Enter the Trustee's Incorporation Number/s. *

What is the legal entity name of the Trustee that will enter into a Grant Agreement should the application be successful? *

You must respond to this question. 200 character limit. NOTE: This field accepts the characters of A to Z, 0 to 9, ( ) . , ’ & -/ \ @, all other characters including carriage returns are not accepted.

Does the Trust have an Australian Business Number (ABN)? *

You must respond to this question. For further details refer to http://www.abr.business.gov.au/.
Enter the Trust's ABN into the Australian Business Number (ABN) field and click the Validate ABN button to retrieve your registration details.
Note: If the Organisation details displayed are out of date or incorrect, please update them now via the Australian Business Register website then re-enter and validate the ABN.
Enter the ABN Branch Number relevant to the Trust's ABN, if applicable. This is limited to 3 digits.
Note: If the details displayed are out of date or incorrect, please update them now via the Australian Business Register website then re-enter and validate the ABN.
Is the organisation known by another name e.g trading name/business name?
If the Trust have Business Names registered, you can select the relevant Business Name. If the Trust have not registered a Business Name, you can either select "Same as Legal Entity" or "Other" in the "registered business name" field. If "Other" is selected, you will be asked to provide the Trust's registered business name in another field that will become available.’.
(Limit 80 Characters)

Attach a completed Statement by a supplier form (reason for not quoting an ABN to an enterprise) here. *Further information about a Statement by a Supplier is available on the ATO website.

Attachment *

List of attachments (Note: Attach any relevant documentation. Mandatory to provide at least one document where it has been indicated that the Applicant is able to provide a completed Statement by a supplier. Only .doc .docx .pdf will be accepted)
File:

What is the legal entity name of the Trust? *

You must respond to this question. 200 character limit. NOTE: This field accepts the characters of A to Z, 0 to 9, ( ) . , ’ & -/ \ @, all other characters including carriage returns are not accepted.

Does the Organisation have an Australian Business Number (ABN)? *

You must respond to this question. For further details refer to http://www.abr.business.gov.au/.
Enter your ABN into the Australian Business Number (ABN) field and click the Validate ABN button to retrieve your registration details.
Enter the ABN Branch Number relevant to the Applicant’s ABN, if applicable. This is limited to 3 digits.
Note: If the details displayed are out of date or incorrect, please update them now via the Australian Business Register website then re-enter and validate the ABN.
If you have Business Names registered, you can select the relevant Business Name. If you have not registered your Business Name, you can either select "Same as Legal Entity" or "Other" in the "registered business name" field. If "Other" is selected, you will be asked to provide the Applicant's registered business name in another field that will become available.

Does the Organisation have any of the following types of Incorporation Number: Australian Company Number (ACN), Australian Resgistered Business Number (ARBN), Registration Number, Indigenous Corporation Number (ICN), Incorporated Association Number (IAN)? *

Note: An ACN (Australian Company Number) is a nine-digit number issued by the Australian Securities and Investments Commission (ASIC). It is a unique identifier purely for companies incorporated under the Corporations Act 2001 of the Commonwealth. An ARBN (Australian Registered Body Number) is a nine-digit number issued by the Australian Securities and Investments Commission (ASIC). Some organisations can only conduct business in their 'home' state or territory. By becoming a registered Australian body, these organisations can trade throughout all states and territories within Australia. A Registration Number is a form of Incorporation Number for a Cooperative that has been established and/or registered under the relevant legislation in the State or Territory in which they were formed. An ICN (Indigenous Corporation Number) is a number issued by the Office of the Registrar of Indigenous Corporations under the Corporations (Aboriginal and Torres Strait Islander) Act 2006 – CATSI Act. An IAN (Incorporated Association Number) is a number given to an Incorporated Association that has been incorporated or registered under the relevant incorporated associations legislation in the State or Territory in which they were formed.
Enter the Incorporation Number/s. *

Attach a completed Statement by a supplier form (reason for not quoting an ABN to an enterprise) here. *Further information about a Statement by a Supplier is available on the ATO website.

Attachment *

List of attachments (Note: Attach any relevant documentation. Mandatory to provide at least one document where it has been indicated that the Applicant is able to provide a completed Statement by a supplier. Only .doc .docx .pdf will be accepted)
File:

What is the legal entity name of the Organisation? *

If your Application is successful, will only enter into a Grant Agreement with this legal entity. It may be different to the name the Applicant trades or provides services under.
You must respond to this question. 200 character limit. NOTE: This field accepts the characters of A to Z, 0 to 9, ( ) . , ’ & -/ \ @, all other characters including carriage returns are not accepted.

What is the registered business address and main contact details of the Applicant?

The business address must be completed in full and not be a PO Box. For example: Level 1 Main Building 220 Business Street Canberra City ACT 2601 Note: the address fields accept the characters of A to Z, 0 to 9, ( ) . , ' & - / \ @, all other characters including carriage returns are not accepted. Please note that if an Applicant selects 'Unable to validate' following an initial failed validation attempt, the will use this non-validated address for correspondence.
Address Validated
Address NOT Validated

What is the postal address of the Applicant?

The postal address must be completed in full. For example: Level 1 Main Building 220 Business Street Canberra City ACT 2601 Note: the address fields accept the characters of A to Z, 0 to 9, ( ) . , ' & - / \ @, all other characters including carriage returns are not accepted.

Is the registered business address and main contact details supplied above different for the Trust? *

What is the registered business address and main contact details of the Trust?

The business address must be completed in full and not be a PO Box. For example: Level 1 Main Building 220 Business Street Canberra City ACT 2601 Note: the address fields accept the characters of A to Z, 0 to 9, ( ) . , ' & - / \ @, all other characters including carriage returns are not accepted. Please note that if an Applicant selects 'Unable to validate' following an initial failed validation attempt, the Department will use this non-validated address for correspondence.
Address Validated
Address NOT Validated

What is the postal address of the Trust?

The postal address must be completed in full. For example: Level 1 Main Building 220 Business Street Canberra City ACT 2601 Note: the address fields accept the characters of A to Z, 0 to 9, ( ) . , ' & - / \ @, all other characters including carriage returns are not accepted.

What is the Applicant's financial email address for the receipt of payment advice should the Application be successful?

You must respond to this question. 350 character limit. The email address must be entered in a valid format without spaces (eg. example@business.com.au). Payment advice includes Recipient Created tax invoices (RCTIs).

Does the Applicant operate as not-for-profit? *

For eligibility requirements, refer to the Guidelines. For further details about not-for-profit organisations refer to the Australian Tax Office website.
You must respond to this question. Select ‘No’ if the Applicant operates for profit. Select ‘Yes’ if the Applicant operates as not-for-profit.

Eligibility Requirements

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Section help text here

What is the Applicant's entity type? *

For a list of eligible entity types, refer to the Guidelines. If you are unsure about the Applicant's entity type, please seek professional advice (e.g. from your lawyer or accountant) or refer to the Australian Business Register website for further information.
You must respond to this question. Choose the entity type that is relevant to the Applicant from the list. NOTE: Use the field’s scroll-bar or the keyboard’s down-arrow to view all available options.
(Limit: approx 45 words, 300 characters)

Is the Applicant able to provide documentation to support the entity type? *

You must respond to this question. At least one attachment must be provided if the response to "Is the Applicant able to provide documentation to support the entity type?" was 'Yes'. Select 'No' if the Applicant is not able to provide documentation to support the entity type. Select 'Yes' if the Applicant is able to provide documentation to support the entity type. If 'Yes' is selected, click the 'Click to Upload' button to add the file in each attachment section and then click the 'Add Attachment' button to add sections for subsequent attachments. Note: the maximum size permitted per attachment file is 2mb and the overall form has the capacity to take 15MB of attachments in total. Once a file has been uploaded or an attachment section has been added, select the appropriate 'X' symbol button to delete. NOTE: There is a maximum of 2 attachments for this question if the response is Yes.
As the Applicant has indicated that the entity type is Trustee on behalf of a Trust in order to validate your organisation as a Legal Entity you are required to provide a copy of your full and signed Trust Deed identifying both the trust and trustee. Click the 'Click to Upload' button to add the file in each attachment section and then click the 'Add Attachment' button to add sections for subsequent attachments. Note: the maximum size permitted per attachment file is 2mb and the overall form has the capacity to take 15MB of attachments in total. Once a file has been uploaded or an attachment section has been added, select the appropriate 'X' symbol button to delete. NOTE: There is a maximum of 2 attachments for this question if the response is Yes.
As the Applicant has indicated that the entity type is Organisation established through a specific piece of commonwealth or State/Territory legislation in order to validate your organisation as a Legal Entity you are required to provide one of the following: •your Government Gazette •a copy of your Certificate of Incorporation or Letter of Patent •the name and section of the Act that incorporates your organisation Click the 'Click to Upload' button to add the file in each attachment section and then click the 'Add Attachment' button to add sections for subsequent attachments. Note: the maximum size permitted per attachment file is 2mb and the overall form has the capacity to take 15MB of attachments in total. Once a file has been uploaded or an attachment section has been added, select the appropriate 'X' symbol button to delete. NOTE: There is a maximum of 2 attachments for this question if the response is Yes.
In order to validate your organisation as a Legal Entity you are required to provide a copy of your full and signed Trust Deed. Note: It is mandatory to provide one document where it has been indicated that the Legal Entity is a Trustee on behalf of a Trust.
List of attachments (Note: Attach any relevant documentation. Mandatory to provide at least one document where it has been indicated that the Applicant is able to provide documentation to support their entity type.)

Attachment *

List of attachments (Note: Attach any relevant documentation. Mandatory to provide at least one document where it has been indicated that the Applicant is able to provide documentation to support their entity type. Only .doc .docx .pdf will be accepted)
File:

Header Text

Question Detail
Provide attachment *
List of attachments.
File:
(Limit: approx characters)
(Limit: approx characters)
Criteria
Budget Item
Amount
If you have more than ten budget items, please provide an attachment for any additional information.
List of attachments.
File:
Address Validated
Address NOT Validated

Project Plan

(Limit: approx 600 words, 4,000 characters)
(Limit: approx 300 words, 2,000 characters)
(Limit: approx 300 words, 2,000 characters)