APPLICATION CHECKLIST

Please check all boxes & include all attachments with the application form
☐ / PROJECT ELIGIBILITY: Is your project eligible for funding? Please note that the Trust is unlikely to fund projects that are mostly salaries, equipment or infrastructure.
☐ / BUDGET: Does the budget balance? Has each item of income been labeled as confirmed (C), unconfirmed (NC) or in-kind (IK)? Is it clear which expenses the Valley to Coast Charitable Trust grant would fund? The budget should include as much detail as possible and should also include a detailed breakdown of costs in relation to technology-related expenses.
☐ / PROJECT DESCRIPTION: Has your proposed project been described clearly in plain language? It is a good idea for someone unfamiliar to your project to review your application as sometimes it may read clearly to the writer, but not to others.
☐ / ELIGIBILITY: All applications must be submitted in full with all supporting documentationby 5pm on the closing date. Any incomplete applications or applications received after 5pm may be treated as ineligible.
Attachments
☐ / LETTERS OF SUPPORT: Letters of support are required for each source of confirmed in-kind or cash contribution towards your project. The confirmed financial amount should be clearly stated in the letter.
☐ / OTHER ATTACHMENTS (OPTIONAL): Applicants may supply no more than six attachments as supplementary materials to support their application. Documentation should be sent electronically with your application.

application form

1. PROJECT DETAILS
Project title(limit to 50 characters)
Date Application Submitted:
Project start date // / Project end date //
Amount requested / Total project cost
2. Applicant Details
Organisation/Applicant name
Australian Business Number (ABN) / (note an ABN is required if successful, though not at the application stage)
Postal address
Suburb / State / Postcode
Contact name
Title / Position
Phone / ()
Email / Web

* Please restrict each section to a maximum of 200 words*

3. project: description
3.1 Summary statement: please summarise the proposed project.

3.2 Please explain how the objectives of this project align with the purpose of the Valley To Coast Charitable Trust.

3.3 What is the problem or opportunity this project will address and why it needs to be done?

3.4 What are the current perceived risks to the project?

3.5 Who will benefit from this project? Please be as specific as possible by providing information about target audience or other characteristics of the group you aim to benefit.

3.6 Please indicate the geographic scope of your initiative
Hunter☐ Central Coast☐ Manning ☐ New England ☐
3.7 Please describe the short-term and long-term objectives of the project.
Short-term objectives:
Long-term objectives:
3.8 What are the steps (activities) you will take to carry out your project?
3.9 What will be monitored and evaluated? How will it be done? How will the results of that monitoring and evaluation be used?
3.10 What is the most similar work currently being done by others in this area and who is doing it? Are you consulting with or collaborating with any other parties? How does your project differ?
3.11 Please provide name and information (work and education history) of key personnel within the project. (200 words or attached CV per person) and how many full days each person is expected to work on the project in total.
Name:
CV:
Name:
CV:
3.12 What are the long-term plans for funding this project after the grant funds have been expended?
4. project:Budget
4.1 Please provide a hyper link to your latest annual report with financials (if available on the internet).
If not available on the internet please submit electronically ONLY the latest audited financial data as a supplement to this application.
4.2 Budget
Please include, in the table below, an outline of the full project budget.
Note: the budget must balance, i.e. the total income must equal the total expenditure.
Please indicate: confirmed (C), unconfirmed (NC) or in-kind (IK) income contributions from other organisations, and please indicate which expenditure items would be covered by the Valley to Coast Charitable Trust grant.
INCOME
Valley to Coast Charitable Trust (amount sought) / $
Cash Contributions from the applicant organisation / $
In-kind contributions from the applicant organisation / $
Funding from othergovernment or outside sources / $
Other cash contributions / $
Other in-kind contributions / $
Other / $
$
$
TOTAL INCOME / $
EXPENDITURE
Content management/website development/IT development / $
Project Management / $
Research / $
Salaries (PLEASE NOTE: applicant must specify the position the salary costs are for and include a detailed breakdown of costs) / $
Equipment/Infrastructure / $
Monitoring and evaluation / $
Administration and overhead (i.e. office supplies, postage, printing, etc) / $
Marketing / $
Events / $
Travel / $
Training and professional development / $
Other / $
$
TOTAL EXPENDITURE / $

Please forward this completed application to the VTC Trust Administrator at