Nudgee Trust Grant Application Form

Section A: Applicant Information

Conditions and Eligibility(Required)

Yes

No

I have read and understand the Nudgee Trust application guidelines.

Organisation Name(Required)

Australian Business Number (ABN)(Required)

ACN Registered(Required)

Yes

No

ABN Date of Registration(Required)

Postal Address(Required)

Postal Address City State Post Code

Website(Required)

Tax Status- Deductible Gift Recipient(Required)

Yes

No

Tax Concession Charity(Required)

Yes

No

Head of Organisation (CEO or equivalent)(Required)

Full Name

Head of Governing Body(Required)

Full Name

Phone

Email(Required)

Contact for Application(Required)

Full Name

Title(Required)

Phone(Required)

Email(Required)

Section B: Project Overview

Project Title(Required)

Project Start Date(Required)

Project End Date(Required)

Amount Requested(Required)

Total Project Cost(Required)

Brief Project Description(Required)

A short summary of your project. 100 words.

How does the Proposal meet the purpose of the Nudgee Trust?(Required)

How does the project address Extending Mission?(Required)

1.Explain how this project extends or enhances your ministry's mission: 2.How will it expand, deepen, or enhance your organisational impact? 3.What new capabilities, reach, or outcomes will this project create?

How does the project address Co-Design?(Required)

1. Explain how beneficiaries and stakeholders have been involved in designing this project 2. How have you engaged with your target community in project planning? 3. How will beneficiaries continue to be involved in project implementation and evaluation

How does the project address Evidence informed innovation?(Required)

• Describe the evidence base for your approach and any innovative elements: 1. What research, best practices, or evidence supports your project methodology? 2. How is this project innovative, creative, or different from existing approaches? 3. What successful models or case studies have informed your design?

How does the project address Environmental responsibility?(Required)

1. Outline how your project considers environmental sustainability: 2. What positive environmental impacts might your project have? 3. How will you minimise any negative environmental impacts? 4.What steps will you take to ensure environmentally responsible practices?

Section C: Detailed Project Description

The problem we are trying to address.(Required)

1. Why does this work need to be done? 2. What is the specific issue or need you want to address?

What will you do?(Required)

Describe the key strategies and approach being taken to address the issue

Through the following specific actions.(Required)

Outline the activities that will take place and where they will take place.

Then this will result in?(Required)

What are the outcomes you expect to deliver? Outcomes are the effects on participants/beneficiaries from their involvement in the project

How will you know if these outcomes have been achieved?(Required)

1. How will you measure the social impact of the project? vs the baseline? 2. Outline the expected longer term or systemic changes.

Project Budget

Upload your completed Project Budget, the template can be found on the Apply Page.

Completed Project Budget(Required)

Drop files here or

Accepted file types: xls, xlsx, Max. file size: 100 MB.

Budget Sign Off(Required)

Yes

This uploaded budget has been signed off by your ministry’s senior Financial Officer.

Name of Financial Officer(Required)

First Last

Contact Number of Financial Officer(Required)

Declaration(Required)

Yes

The information provided in this application is accurate, true and correct at the time of completion