General Project Information

• *Project Title:
• *Organisation:
• *ABN or Auspicing Organisation:
• *Scope of Activity: Please Select International Australia Regional
• *Geographic Location:
• Target Groups:

  Note: Please select all relevant Target Groups. There are also category areas at the base of this form.

  Business Professionals Carers Gay and Lesbian

  Indigenous Migrants Mothers

  Prisoners Refugees Rural / Regional

  Sexworkers Singles Veterans

  Widows Unemployed Aged

  Adolescents

Contact Information

• *Contact Person:
• *Email:
• Website:
• *Phone:
• Fax:
• Street:
• City:
• State:
• Postcode:
• Country:

Project Detail

• *Commencement Date:
• *Completion Date:
• *Total Funding Required (AUD):
• *Current Funding (AUD):
• *Funding Needed (AUD):
• Other Funding Partners:
• *Tax Deductability Status (DGR):

  Note: Please specify if this project is eligible for Tax Deductability Status (DGR) within Australia.

  Yes No
• Tax Concession Status (TCC):
  Yes No
• DGR Additional Info:
• *Project Description: Note, Please limit this field to a maximum of 1000 characters.
• *What issues are addressed? Note, Please limit this field to a maximum of 1000 characters.
• *Alleviating suffering / disadvantage?

  Note: How does this project alleviate the suffering of, or compensate for the disadvantage experienced by women and girls?

  Note, Please limit this field to a maximum of 1000 characters.
• *Changing Policy, Practices & Systems?

  Note: How does this project work to change policy, practices or systems that perhaps contribute to the suffering or disadvantage?

  Note, Please limit this field to a maximum of 1000 characters.
• *Investing in or empowering women?

  Note: How does this project invest in or empower women?

  Note, Please limit this field to a maximum of 1000 characters.
• *Ungendered Projects?

  Note: If the project targets men and boys or is "ungendered" in its approach, how can you ensure that it will have positive results for women and children?

  Note, Please limit this field to a maximum of 1000 characters.
• *Media / Promotion?

  Note: Does this project have a media component so it also serves to spotlight the wrongs the project addresses?

  Note, Please limit this field to a maximum of 1000 characters.
• *How is success evaluated / measured?

  Note: How and when will the success of the project be evaluated / measured?

  Note, Please limit this field to a maximum of 1000 characters.
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