origin Round_1_2024 Eraring Community Investment Fund Application Form User Guide

origin Round_1_2024 Eraring Community Investment Fund Application Form

Product Information

Specifications

• Product Name: Eraring Community Investment Fund Application Form
• Application Type: Funding application form
• Target Users: Organizations seeking funding for community projects

Product Usage Instructions

Part A – Applicant Details:
Fill in the required details about your organization:

• Application Date
• Organisation Name
• Address Details
• Project Contact Information
• ABN (Australian Business Number)
• Type of Organization
• Overview of Your Organization
• GST Registration Status
• Public Liability Insurance Information
• Funding History with Origin (if applicable)

Part B – Project Details:
Provide information about your project:

• Project Name
• Project Summary
• Project Dates and Location
• Project Type (Sponsorship, Grant, Partnership)
• Project Focus Areas
• Importance of the Project
• Project Goals and Outcomes
• Activities and Beneficiaries
• Recognition of Origin’s Contribution
• Other Organizations Involved

Funding Request Details:
Provide financial details of your funding request:

• Funding Amount Requested
• Total Project Budget
• Description of Funding Allocation
• Other Funding Sources

Frequently Asked Questions (FAQ)

• Q: How can I apply for the Eraring Community Investment Fund?
  A: To apply for the fund, complete all sections of the application form with accurate information about your organization and project details.

• Q: Can my organization apply for funding if we have received support from Origin in the past?
  A: Yes, organizations that have received funding from Origin in the past 12 months can still apply, but they need to provide details of the previous project.

• Q: What is the maximum project summary word limit?
  A: The project summary should be described in a maximum of 100 words.

• Q: Are salaries and operating costs covered by the funding?
  A: No, salaries and operating costs are not eligible for funding. Ensure to allocate funds for project-related expenses only.

Eraring Community Investment  Fund Application Form

Part A – Applicant details

• Application date
• Organisation name
• Street address
• Postal address (if different to above)
• Project contact name
• Contact number
• Email
• ABN
• Type of organisation

Please provide a brief overview of your organisation

Is your organisation GST registered?

Part B – Project details

Project name
Project summary (describe your project in just a few sentences)

Maximum 100 words

• Why is this project important? Please explain how your project addresses a key strategy area/s and an identified need in the community?
  Maximum 150 words

• What do you hope to achieve? What are the key outcomes of this project?
  Maximum 150 words

• How will you achieve this? What activities you will deliver?
  Maximum 200 words

• Who will benefit from this activity? Detail community sectors/target audience and the estimated number of participants.
  Maximum 100 words

• How will Origin be recognised for their community investment?
  Eg printed material, media, newsletters and/or inclusion of Origin’s Logo.
  Maximum 100 words

If applicable, list other organisations involved in this project. If they are making a financial contribution complete the table below.

Does your project have other project partners or sponsors contributing funds?
If yes, please specify who, the value, and confirm the status of the funds.

Part C – Project budget

Is the funding request inclusive or exclusive of GST? All figures below are assumed to be GST exclusive unless nominated.

• For multi-year partnerships please complete the budget to reflect the total value of the project

Part D – Checklist and declaration

I have (tick boxes):

• Read the Origin Community Investment Fund Guidelines and confirmed eligibility
• Where a project involves a modification to an asset/building or parcel of land owned by a third party, evidence of their consent is attached Completed all sections of the Application (including Part E for grants and partnerships)
• Attached quotes for expenditure on items valued over $2000
• Signed the declaration below

Please list any attachments provided to accompany this application.

Declaration

I declare a conflict of interest, actual or perceived, that may influence this application.

• No
• Yes. Where a conflict of interest does exist please explain:

If you have any questions or need support completing your application email [email protected] or call 0400 580 732 during business hours.
The privacy of your personal information is a priority to us. By providing your personal information, you consent to Origin collecting, holding, using and disclosing your personal information in accordance with Origin’s Privacy Collection Statement for Community Engagement and Stakeholders (available at originenergy.com.au/privacy)

Part E – Project planning and evaluation (Grants and Partnerships)

Measuring Project Outcomes
Which of the following project indicators can be used to measure your project? Add others that may apply.

Project Milestones
Please document the key project milestones below and scheduled completion dates.

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