Applications - Prod Kirby Foundation

Name of Organisation*

Name of Parent Organisation and/or Faculty

if applicable

Australian Business Number (ABN)*

Do you have DGR Status under Item 1*

You are not eligible to apply for funding.

Name and Title of CEO*

or equivalent

Contact Person*

First Last

for this application

Contact Person Email Address*

Contact Business Number*

Contact Mobile Number*

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organisation Website

Project Details

Project Title*

(in no more than 6 words)

Funding Category*

Funding Sub Category*

Amount Requested ($)*

Total Project Cost ($)*

Project Start Date (From 1 July 2024)*

Project End Date*

1. Project Description (application summary) with specifics of what you are seeking funding for*

(max: 600 characters)

2. Why are you undertaking this work*

(max: 1000 characters)

3. Who will benefit from this project and how will they benefit*

(max: 1000 characters)

4. Expected outcomes and how you will measure them*

(max: 1000 characters)

Cover letter*

Accepted file types: pdf, Max. file size: 25 MB.

Please include a list of the Directors names and qualifications.(no more than 1 x A4 page)

Budget*

Accepted file types: pdf, Max. file size: 25 MB.

(no more than 1 x A4 page)