If you are affiliated with a peak body, explain what level of support If applicable, provide with your application a letter of support the peak body is providing? for the project from your peak body. Please note if you ticked no Have you undertaken a child safe risk assessment for the project? and your project is successful, you will be required to Yes undertake a child safe risk No assessment on your project as a condition of your grant Not applicable to this project agreement. Who will be managing the project? Only provide the contact details of the person who will Our organisation will manage the project be managing this project if it is someone from outside your (provide details below) organisation. Contact Person Name of Contact phone organisation number What are your project costs? Attachment 2 to be 2017/18 2018/19 2019/20 completed with details relating to the project and associated $ $ $ Total Project Cost: costs and must be submitted with the application. Our organisations $ $ $ If your organisation is GST contribution: registered GST are to be exclusive Other confirmed $ $ $ contributions: Evidence of confirmed contributions (eg. Letter of confirmation) Amount requested from ORS Amount of funding $ $ $ (Maximum $100,000) requested: Provide detail on the number Will your project include the employment of staff? of and the expected Yes (complete questions below) number of hours to be worked each week. No Further information on If Yes, please provide the number of to be employed. can be found at ‘Awards’ Casual Part Time Full Time Estimated hours to be worked per week Which the employee(s) will be covered by? ‘Award’ checklist before submitting your application
If applicable, provide with your application a letter of support for the project from your peak body. If you are affiliated with a peak body, explain what level of support the peak body is providing? Please note if you ticked no and your project is successful, you will be required to undertake a child safe risk assessment on your project as a condition of your grant agreement. Have you undertaken a child safe risk assessment for the project? Yes No Not applicable to this project Only provide the contact details of the person who will be managing this project if it is someone from outside your organisation. Who will be managing the project? Our organisation will manage the project (provide details below) Contact Person Name of organisation Contact phone number Attachment 2 to be completed with details relating to the project and associated costs and must be submitted with the application. If your organisation is GST registered are to be GST exclusive Evidence of confirmed contributions (eg. Letter of confirmation) What are your project costs? 2017/18 2018/19 2019/20 Total Project Cost: $ $ $ Our organisations contribution: $ $ $ Other confirmed contributions: $ $ $ Amount requested from ORS (Maximum $100,000) Amount of funding requested: $ $ $ Provide detail on the number of and the expected number of hours to be worked each week. Further information on ‘Awards’ can be found at Will your project include the employment of staff? Yes (complete questions below) No If Yes, please provide the number of to be employed. Casual Part Time Full Time Estimated hours to be worked per week Which ‘Award’ the employee(s) will be covered by? checklist before submitting your application
SRDIP_Application_Form_201718.docx