Regional Arts Development Fund PROJECT GRANT APPLICATION FORM Applicant Type Individual Group/Unincorporated Body Organisation Have you or your group/organisation previously been successful for a RADF Grant? Yes No If you were successful, was that grant successfully acquitted? Yes No INDIVIDUALS Mr Mrs Ms Other (please specify): Name Age group under 18 18 25 25 55 55 + – – APPPLICANT GROUPS/UNINCORPORATED BODIES/ORGANISATIONS DETAILS Name Legal Name(Organisations Only) Legal Status (Organisations Only) Contact Person Title Mr Mrs Ms Other (please specify): Contact Person Name Contact Person Role Street Address Suburb State Postcode Postal Address CONTACT Suburb State Postcode DETAILS Mobile Home Email Website Project Title Category 1. Community Project 2. Council Initiated Project Grant Round 2018-19 Round 1 Round 2 Round 3 PROJECT Project Brief (Describe the project in 20 words or less) SUMMARY RADF Grant Requested: $ Total Project Cost: $ Start Date / / End Date / / Outcome Report Due / /
Regional Arts Development Fund PROJECT GRANT APPLICATION FORM APPPLICANT DETAILS Applicant Type Individual Group/Unincorporated Body Organisation Have you or your group/organisation previously been successful for a RADF Grant? Yes No If you were successful, was that grant successfully acquitted? Yes No INDIVIDUALS Mr Mrs Ms Other (please specify): Name Age group under 18 18 – 25 25 – 55 55 + GROUPS/UNINCORPORATED BODIES/ORGANISATIONS Name Legal Name(Organisations Only) Legal Status (Organisations Only) Contact Person Title Mr Mrs Ms Other (please specify): Contact Person Name Contact Person Role CONTACT DETAILS Street Address Suburb State Postcode Postal Address Suburb State Postcode Mobile Home Email Website PROJECT SUMMARY Project Title Category 1. Community Project 2. Council Initiated Project Grant Round 2018-19 Round 1 Round 2 Round 3 Project Brief (Describe the project in 20 words or less) RADF Grant Requested: $ Total Project Cost: $ Start Date / / End Date / / Outcome Report Due / /
CHRC-RADF-Group-Application-Form-2018-19.docx