Alcoa Waroona Sustainability Fund Application

What is the name of your organisation?

Who is the primary contact person at your organisation regarding your application?

What is the phone number for your organisation?

What email should all correspondence about this application be sent to?

What is the preferred postal address of your organisation?

Is your organisation registered for GST?

Briefly describe your organisation and it's purpose.

What is the location in which your organisation or group operates or conducts activities?

Please indicate the current membership and/or volunteer numbers in your organisation or group. 

What is your Australian Business Number (ABN)?

Who is your Insurer for your public liability insurance and what is your policy number?

Please attach a copy of your current public liability insurance. 

What is the name of your preferred bank account?

What is your organisation's BSB number?

What is your bank account number?

What is the name of your project?

Provide a description of the project and its intended purpose.

Where will the project take place?

How will the project benefit the wider community?

How many people will benefit from this project?

How has the need for the project been identified and assessed? You can attach documents evidencing need. 

If you would like to attach any documents regarding the identified need for the project, you may do so here. 

Who owns the land on which the project will be delivered?

Do you require planning approvals from any organisations for your project? These may include but are not limited to:

• Shire of Waroona
• Landowner
• Department of Biodiversity Conservation and Attractions
• Department of Aboriginal Affairs. 

Who will be responsible for ongoing maintenance and asset renewal?

Please indicate any of the key focus areas that your project aligns with. You may select all that apply. 

Detail how your project meets one or all of the following criteria -

Co-location, Sustainability Initiative and/or Increased Participation?

Please detail your organisation/groups capacity to deliver the project. 

What is your project's anticipated end date?

What is your project's anticipated start date?

Please attach your completed project budget. The template is available for download here.

In order for your application to be considered, the following conditions must be agreed to. Please tick the boxes to proceed.

I declare that

• I am a person authorised on behalf of my organisation to complete this application.
• the information provided in this document and any attachments is to the best of my knowledge true, correct and discloses an accurate income, expenditure and activities of the project.
• I understand any omission or false statement may result in the rejection of future applications or withholding of any funds approved

Are there any attachments you would like to provide with your application?

These may include a project plan, letters of support, etc.