Community Telecommunications Grant Application

PART A

Name and Details of Applicant Organisation

Full Name

Address

Postal Address

Contact Person

Position Held

Phone

Email

Website

Facebook

About your organisation

Please give a brief description of your community/organisation, its history, aims and details of its services or activities.

Additional Information Required

Please attach a copy of your charitable status certificate to your application.

Please attach organisational supporting information (if you have any).

PART B

The Project

Title of Project:

Funding amount requested:

Please give a brief description of the project or program, including how it will achieve its objectives in the community and what needs within the community this project will address.

Please provide a sixty (60) word summary of your project for marketing purposes.

If volunteers will help implement the program, indicate the estimated time involved and any special skills or training required.

If this project is a new initiative, how do you propose to keep this project operating after the Community Telecommunications Grant has been expended?

Please attach or complete a summary budget for the total project including all potential and actual funding sources and all costs in as much detail as possible e.g. Salaries, Equipment, Materials, Other.

Does your community/organisation have reserves and if so, is there any reason why they cannot be used in supporting this project?

PART C

PART D

Recognition of Grant

Detail how you will acknowledge the TRBR Community Telecommunications Grant’s contribution to your project. eg newsletter, website, social media, newspaper article, radio interviews etc.

Reporting and Grant Acquittal

The TRBR will require a Grant Acquittal including photographs as appropriate on completion of the project and its outcomes. An audit report from a registered auditor covering budget and actual costs may be requested for certain projects. It should be noted that in some cases, the TRBR may request an onsite review of a funded program.

Your application is successfully submitted. A confirmation email will be sent to you shortly once we receive your application.