Breadcrumb Home Forms Mansfield SIAG 2025 Funding Request Application Mansfield SIAG 2025 Funding Request Application Organisation Details Organisation name ABN (if applicable) Contact name Phone Email Is your group an incorporated not-for-profit organisation? Only not-for-profits are eligible Yes No Is your organisation based in Mansfield Shire? Only organisations within the Mansfield Shire are eligible. Yes No Postal Address Has your organisation received Council funding before? Yes No If yes, is the funding fully acquitted? Organisations with outstanding debts or unacquitted grants are ineligible. Yes No N/A Project Details Project Title Project Summary (What is your project about?) Who will benefit from this project? Tick all that apply Young people Single parents People not in education/employment/training Culturally and linguistically diverse people Refugees Aboriginal and Torres Strait Islander people People with disabilities LGBTQIA+ communities Older adults General community Other Why is the project needed in your community? How will your project promote social inclusion in your community? Where and when will the project take place? Please include locations and a general timeframe within the 12-month limit. How will you promote your project to the community? Budget Total amount requested? Maximum $5,000 Will any other funding or in-kind contributions support this project? Project budget documentation Maximum 20 files.50 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Quotes for proposed expenditure Maximum 20 files.50 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Any other documentation to support your application Maximum 20 files.50 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Checklist and Declaration Application Checklist Read 2025 Funding Guidelines Answer all application questions that are required Uploaded project budget with quotes Upload other relevant documentation I confirm that:1. The information in this application is true and correct.2. I have read the 2025 Funding Guidelines.3. This application meets the eligibility criteria.4. If successful, I will comply with acquittal and reporting requirements. Name Signature Draw signature below Upload photo of signature Draw your signature Sign above Upload photo of signature One file only.64 MB limit.Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip. Date
