MWPA Community Grant Application Form

Please fill in the below application form to be considered for a MWPA Community Grant.

For further information or questions regarding the form, email communications@midwestports.com.au

= Required Fields

Organisation

Not for profit?

YesNo

Contact Name

Role within organisation

Postal address

Postcode

Email address

Mobile

Is your organisation registered for GST?

YesNo

Does your organisation have an Australian Business number (ABN)?

YesNo

Name of grant event/ project?

Event/ project timeline?

Please provide a summary of your event/ project

What are the benefits to the community?

How many people do you estimate this event or project will impact?

Indicate the category that relates best to your event/ initiative

How does your project/ event align with MWPAs corporate values of Accountability, Care, Courage, Collaboration, Integrity?

What are the opportunities for MWPA to become involved in the event/ project?

Please outline what the promotional and recognitions benefits are to MWPA? i.e. newspaper, internet, social media, radio, tv, or other

Are there any other sponsors, if so who are they?

11. What is the grant amount requested and what will these funds be allocated to? - please provide a brief description of your budget below and attach a detailed breakdown to this application.

When do you require the funds?

What is the event/ project timeline? Including marketing and promotional activities.

How will you evaluate success of the grant? Will you release any data following project/ event conclusion?

Please provide supporting documents including a detailed budget breakdown

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