GRANT PROGRAM 2015

EXPRESSION OF INTEREST

PROCEDURE

See “General Information for Grant Applicants” document.

The annual Grant round opens 1st July each year.

Grants are awarded in November.

Projects are funded for a one year time frame and grant must be used within twelve months of acceptance.

Organisations wishing to apply for funding for community projects are requested to submit this Expression of Interest (EOI) for consideration by Border Trust.

The Expression of Interest (Part One & Part Two) should provide a brief overview of your project and funding request.

a)Read “General Information for Grant Applicants”document at

b)Complete the EOIform (Part One & Part Two)

c)SUBMIT EOI – hard copy & electronic copy required

BY MAIL : submit an original and two copies, postmarked by closing date, 5.00pm, 31 July 2015 to
Border Trust, PO Box 3288, Albury NSW 2640

PLUS

BY EMAIL: submit electronic copy of EOI, by closing date,
5.00pm, 31 July 2015to .

If your Expression of Interestmeets the guidelines of one of the grant programs, it may be selected to proceed to full application. In this case, you will be contacted by no later than

2 September 2015 viaemail and/or in writing, inviting completion of afull application.

If your funding request is not selected to proceed to full application, you will be advised via email/ and or in writing, by no later than 2 September 2015.

Border Trust may contact you to discuss alternative funding options for your project.

Further information

Glenys Atkins, Executive Officer

Border Trust. PO Box 3288, Albury, NSW, 2640.

Telephone – 02 6051 3349

Email: . / Website:

Border Trust Grant Program 2015 Expression of Interest

PROJECT NAME
Commencement Date

ORGANISATION DETAILS

Name of Organisation
Main Activity of Organisation
Address
Contact Person & Position (CEO or equivalent)
Telephone / Mobile / Email
Project Manager Name & Position (if different to contact person)
Telephone
/ Mobile / Email
ABN Number: Don’t know the ABN? Go to
Does your organisation have:
DGR (Deductible Gift Recipients) Item 1 Charitable Organisation Status  Yes No
TTC (Tax Concession Charity) Status  Yes No
Please provide a copy of ATO endorsement if applicable
Amount Requested $
Is your organisation audited annually?  Yes No
If YES please provide copy of your most recent audited accounts or a copy of Annual Report if it includes this information.If NO please provide your most recent financial statements and yearly budget figures.
Name auditor or treasurer / Email / Telephone

OTHER

Committee of Management (Office Bearers Only)
Position Held
President
Secretary
Treasurer / Name
1)
2)
3)
Staffing of Organisation (Position & Name)
CEO
Manager
Number of full time equivalent staff / 1)
2)
3)
Your location?
 Albury City /  City of Wodonga
 Alpine Shire /  Corowa Shire
 Greater Hume Shire /  Indigo Shire
 Towong Shire /  Tumbarumba Shire
Which region/s will beneficiaries of your project come from?
 Albury City /  City of Wodonga
 Alpine Shire /  Corowa Shire
 Greater Hume Shire /  Indigo Shire
 Towong Shire /  Tumbarumba Shire

REFEREE

Please provide the name and contact details of an external referee who knows your organisation well and who would be prepared to support your application. Letters of support should form part of your application.

Organisation Name
Contact Person
Position
Telephone / Mobile / Email

FUNDING

Please provide details of any other funding for this project

Funding Body / Year / Approved/Declined / Current Status
Has your organisation previously received funding from Border Trust?
Year
Project
Amount

AUSPICING ORGANISATION

An auspicing body may be considered in exceptional circumstances. Please contact Border Trust to discuss prior to submitting your Application.

Name of auspicing organisation
Main activity of organisation
Contact Person & Position
Telephone / Email
Mobile
Postal Address
ABN Number:Please provide a copy of the certificate
Does Auspicing organisation have:
DGR (Deductible Gift Recipients) Item 1 Charitable Organisation Status Yes No
Please provide a copy of ATO endorsement if applicable
AND
TTC Status (Tax Concession Charity)  Yes No
Please provide a copy of ATO endorsement if applicable
Is your Auspicing organisation audited annually?  Yes No
If YES please provide copy of most recent audited accounts or a copy of Annual Report if it includes this information.
If NO please provide copy of most recent financial statements and yearly budget figures.
Name auditor or treasurer / Email / Telephone
IN ADDITION:
Please provide a letter of support for the project from your auspicing organisation as the entity responsible for management of the grant funds, and;
Theauspicing organisation must complete the Declaration component of this application.

Expression of Interest Border Trust Grants Program 2015

EXPRESSION OF INTEREST – PART TWO
Please provide a short overview of your project (2 x A4 pages)

NAME OF PROJECT
Description of project.
When will this project commence? What is the anticipated timeline for the project?
What specifically, within the project, will this grant be used for?
Who will benefit from this project?
What are the anticipated outcomes of the project?
How will you evaluate the project?
What is the estimated budget for the project?
Please provide details of any other funding, or funding applications, for this project
Funding Body / Year / Approved/Declined / Current Status

Thank you for your submission.

Border Trust Grants Program 2015- Expression of Interest Page 1 of 5