Foster's Community Grants Application Form

When filling out this form, please note:

• The organisation must be a NOT-FOR-PROFIT organisation to be eligible for funding.
• Once the form is successfully submitted you should receive a confirmation email, if this does not arrive please email inthecommunity@fostersgroup.com to confirm your submission.
• denotes a compulsory field

1. Organisation Details

Organisation Name
Registered Business Number or equivalent in your jurisdiction
Deductible Gift Recipient (DGR) # (AUS) (or charity number in your jurisdiction)
Describe your organisation - When was it established? How many staff and/or volunteers? Annual income? and other important facts (1000 characters max.)
What does the organisation do?
Physical Address
Address
City/Suburb
State
Country	-- Please select one -- Australia Canada United States
ZIP/Postcode
Postal Address (if different from physical address)
Address
City/Suburb
State
Country	-- Please select one -- Australia Canada United States
ZIP/Postcode
Primary Phone	Please include the area code
Fax	Please include the area code
Organisation Senior Representive
Title	Mr Mrs Ms Dr
Given Name
Surname
Position
Email

2. Project co-ordinator's details

Name
Email
Contact Number	Please include the area code

3. Project Information

Project Name
When is the funding required?	-- Day -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- Month -- January February March April May June July August September October November December -- Year -- 2008 2009 Day Month Year
Project Focus	-- Please select one -- Environment Culture Wellness
Project Purpose - What is the aim? (1000 characters max.)

4. Project Plan

What will happen in the project? What are the key tasks and milestones? Who will be responsible for these tasks? If the project runs beyond the funding requested, how will it be sustained? Is this a new type of project, or has it been done before? (2000 characters max.)

5. Outcomes and Benefits

Who will benefit?	Age Group -- Please select one -- Kids Adults Families Older People All Location -- Please select one -- Metropolitan Rural / Regional Not Applicable Other
How many people will benefit directly in the short term?
Describe any long-term benefits or spinoffs (1000 characters max.)
How will the project be monitored and evaluated? (2000 characters max.)

7. Other important information

Tell us about your organisation's track record in delivering projects of this nature (1000 characters max.)
Why did you decide to run this project? (1000 characters max.)
Are you confident that Foster's support for this organisation is in Foster's best interests?	-- Please select one -- Yes Please call to discuss
Total amount requested from Foster's	$   AUD CND USD
% of total project budget requested from Foster's
How did you hear about Fosters Community Grants?	-- Please Select One -- Another corporate foundation or granting organisation Foster's Group employee Not-for-profit association / peak body Philanthropy Australia Word of mouth Other
(other)
Is there anything else you would like to say?

8. Attachments

Budget
Other Attachment / Information

9. Confirmation

	I accept the "Fosters Community Grants" Terms and Conditions
	I accept the Privacy Policy
	I am sending supporting material to: Foster's Community Grants 77 Southbank Boulevard Southbank VIC 3006 Australia