Naturally Inspired Grants Round 9: Summer 2016 Application Form: $2000 - $5000 Community Group Stream Applications Close: Sunday 6th March 2016 Landowner/Sustainable Agriculture Stream Applications Close: Sunday 13th March 2016 Please refer to the Naturally Inspired Grants guidelines while completing this form (available at ). Grant Requested (Max $5000 ex GST i.e. $5500 inc GST) Amount (ex GST) GST (if applicable) $ $ $ Applicant details Your name (contact name for start typing into the grey area organisation, or individual’s name) Organisation name (if applicable) Address Suburb Postcode Phone/mobile E-mail Grant Stream applying for: Community Group Stream (please click to check the OR relevant box) Landowner/Sustainable Agriculture Stream Are you applying as: Community group Individual landowner (please click to check the Not for profit organisation (incorporated) Primary industry group relevant box) School Do you, or your organisation have an ABN? Yes No (see below) Please state your ABN (if applicable) Are you/your organisation registered for GST? Yes No Do you*/your organisation** have public liability insurance? Yes Provider name: Policy number: Expiry date: No (See below) *Private individuals are highly recommended to hold public liability insurance where contracting services onto your property. ** If your organisation does not have public liability insurance, an incorporated organisation meeting these requirements must sponsor your application and manage your grant payment on your behalf. Potential sponsors include Landcare Tasmania, Wildcare or Local Government. Please complete your sponsors details below, if applicable. Sponsor organisation’s name Address Suburb Postcode Contact name Phone/mobile E-mail What is the sponsor organisation’s ABN?
Naturally Inspired Grants Round 9: Summer 2016 Application Form: $2000 - $5000 Community Group Stream Applications Close: Sunday 6th March 2016 Landowner/Sustainable Agriculture Stream Applications Close: Sunday 13th March 2016 Please refer to the Naturally Inspired Grants guidelines while completing this form (available at ). Grant Requested (Max $5000 ex GST i.e. $5500 inc GST) Amount (ex GST) GST (if applicable) $ $ $ Applicant details Your name (contact name for organisation, or individual’s name) start typing into the grey area Organisation name (if applicable) Address Suburb Postcode Phone/mobile E-mail Grant Stream applying for: (please click to check the relevant box) Community Group Stream OR Landowner/Sustainable Agriculture Stream Are you applying as: (please click to check the relevant box) Community group Not for profit organisation (incorporated) School Individual landowner Primary industry group Do you, or your organisation have an ABN? Yes No (see below) Please state your ABN (if applicable) Are you/your organisation registered for GST? Yes No Do you*/your organisation** have public liability insurance? Yes Provider name: Policy number: Expiry date: No (See below) *Private individuals are highly recommended to hold public liability insurance where contracting services onto your property. ** If your organisation does not have public liability insurance, an incorporated organisation meeting these requirements must sponsor your application and manage your grant payment on your behalf. Potential sponsors include Landcare Tasmania, Wildcare or Local Government. Please complete your sponsors details below, if applicable. Sponsor organisation’s name Address Suburb Postcode Contact name Phone/mobile E-mail What is the sponsor organisation’s ABN?