Regional Grants – Child Protection Week

Funds are only provided to non-Government organisations and/or not-for-profit organisations.
Organisation Details
(or sponsoring organisation details)
Name*
ABN*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Telephone number:*
Email*

required for receipt notification
Event Organising Committee Details:
You must actively include and involve at least 5 organisations (both non-govt & government) who work with children, young people, parents, carers and families as part of the event planning committee
Event Organising Committee*
Member Name Organisation Email Address Phone
Identify Event Region:
Event Region*
- Northern Queensland Region
- Central Queensland Region
- Moreton Region
- South East Region
- South West Region

Region	Family support services (Family and child connect catchments)
Northern Queensland	Cairns Cape York/Torres Strait (enquiries currently being managed through Cairns) Townsville Mackay Mt Isa/ Gulf
Central Queensland	Rockhampton/Gladstone/Emerald Maryborough/Bundaberg Kingaroy
Moreton	Sunshine Coast/Gympie Moreton Bay Brisbane North Brisbane South Brisbane South West
South West	Toowoomba Roma Ipswich
South East	Gold Coast Logan Beenleigh/Bayside Browns Plains/Beaudesert

Insurance Policy Details: (attach copy of current certificate)
Does your organisation hold appropriate insurance? Please ensure that your public liability insurance covers the proposed event. Please specify the type of insurance cover held:
Insurance Policy Details*
Attach Copy of Current Certificate*
Overview of Activity
Your Regional application will be judged against the following key criteria. Refer to the guidelines.
Event Date*

DD
MM
YYYY
Location*
include address of proposed event/s

Street Address City State / Province / Region ZIP / Postal Code
Description of the proposed activity (Maximum 500 words)*
include estimated number of attendees per event. Please write a statement to explain how your project will reflect the aims and theme of Child Protection Week 2019 in your local community.
Promotion*
outline how both the activity and Child Protection Week will be promoted, and to whom (eg. brochures, posters, media etc).
Please Provide Banking Details for Payment Processing:
BSB*
Account Number*
Account Name*
Please Provide Itemised Breakdown of Anticipated Costs:
Item*
Total Funding requested*
Proposed Budget - Grants of up to $5000 (inclusive of GST) are available:

To be eligible for funding your submission must respond to the selection criteria outlined below.

1. Facilitate a regional event that promotes the theme Protecting Children is Everybody’s Business and reflects the interests and diversity of the region;

2. The event/activity must be completed within Child Protection Week 1-7 September 2019. In exceptional circumstances, applications for event/activities in the week prior to Child Protection Week will be considered.

3. raise awareness of child abuse and neglect as an issue within local Australian communities

4. promote local services available to support children and families who have experienced child abuse and neglect, or are at risk

5. equip individuals and communities with knowledge and skills to understand child abuse and neglect and empower them to take action

6. Funding submissions must reflect collaboration with other agencies within the region (minimum 5 organisations required)

Application due date 17 May 2019
Please Tick the Box*
I/we declare that the information provided here is, to the best of our knowledge, accurate and complete. I/We agree to abide by the conditions of funding laid out in the application form and understand that I/we will be responsible for completing an accountability of expenditure report within one month of the completion of the activity.
I Agree
Name*
Auspice Organisation*
Signature*
Sign electronically using your mouse/finger
Date*

DD
MM
YYYY

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Regional Grants 2019

Organisation Details

Event Organising Committee Details:

Identify Event Region:

Insurance Policy Details: (attach copy of current certificate)

Overview of Activity

Please Provide Banking Details for Payment Processing:

Please Provide Itemised Breakdown of Anticipated Costs:

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