International student wellbeing grant form - nt.gov.au Web viewDepartment of Trade, ......

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International student wellbeing grant form This application form is for the International Student Wellbeing Grant – up to $10 000. Grants are open, but not limited to student and community groups, associations, businesses and not-for-profit organisations to deliver activities or events that enhance the wellbeing of international students and encourage them to experience life as a Territorian. Applicants working in collaboration are strongly encouraged. Applications for this grant round close midnight ACST Sunday 14 January 2018. International wellbeing grant form Applicant details Name of applicant / organisation / business Contact Person Position Title Contact Number Email Address Postal Address Suburb State / Territory Post Code Activity / event details Name of activity / event Location of activity / event Date(s) of activity / event Organisation details (75-100 words) Please provide a brief description of your organisation DEPARTMENT OF TRADE, BUSINESS AND INNOVATION Page 1 of 5 November 2017

Transcript of International student wellbeing grant form - nt.gov.au Web viewDepartment of Trade, ......

International student wellbeing grant form

International student wellbeing grant form

International student wellbeing grant form

This application form is for the International Student Wellbeing Grant up to $10 000.

Grants are open, but not limited to student and community groups, associations, businesses and not-for-profit organisations to deliver activities or events that enhance the wellbeing of international students and encourage them to experience life as a Territorian. Applicants working in collaboration are strongly encouraged.

Applications for this grant round close midnight ACST Sunday 14 January 2018.

International wellbeing grant form

Applicant details

Name of applicant / organisation / business

Contact Person

Position Title

Contact Number

Email Address

Postal Address

Suburb

State / Territory

Post Code

Activity / event details

Name of activity / event

Location of activity / event

Date(s) of activity / event

Organisation details (75-100 words)

Please provide a brief description of your organisation

Is your organisation registered for GST?

Yes|_|

No|_|

Are you an Income Tax Exempt Body?

If yes, please attach a copy of tax exempt endorsement

Yes|_|

No|_|

What is your Australian Business Number?

Incorporation Number (for incorporated associations)

Grant information

Have you applied for / or received funding from another source for the activity you are applying for?

Yes|_|

No|_|

If yes, please specify the funding source and the amount applied for and / or received.

Provide a detailed description of the event / activity. (150-200 words)

How will the activity meet the objectives of the grant program?

What do you / your organisation want to achieve from this activity? (40-60 words)

How many international students are you targeting?

What kind of commitment will your organisation give this activity?

Financial

Planning

Staff / Volunteer

Insurance

Use of Facilities

Other

Please select how you will promote the Northern Territory Governments funding?

Recognition of the grant is a condition of the funding.

Media Advertising

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Posters

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Website

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Printed materials

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Banner

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Social media

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Other (please specify)

How did you find out about the International Student Wellbeing Grants?

Facebook Ad

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Social Media

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Email

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StudyNT website

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nt.gov.au website

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Word of mouth

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NT News

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Other (please specify)

Funding information

Please detail what you will be spending the grant funding on. Please check the guidelines for details of what is eligible for funding and what is not.

Item

Amount

Wages / Fees

Catering

Hire of Venue

Hire of Equipment

Consumables

(e.g. printing, office supplies)

Equipment purchases

Travel

Airfares

Accommodation

Other (please specify)

Total funding amount requested

Authorisation and privacy notice

I certify, as an authorised representative of the applicant that the information provided in this application is true and correct (applicants under the age of 18 years must obtain the signature from their parent / guardian).

I acknowledge and agree that information about my event and in this application form may be publicly released for the purpose of promoting and reporting the event.

I agree to information about my event and in this application being distributed via promotional materials developed, through Government websites, annual reports and media releases issued by the Northern Territory Government.

Signature

Date

Printed Name

Position Held

Organisation

Auspice Organisation Name (if required)

Auspice Organisation Signature (if required)

Date

Submitting your application

Applications should be emailed to [email protected].

For more information visit www.studynt.nt.gov.au or contact StudyNT by emailing [email protected] or calling 89996316.

Department of Trade, Business and Innovation

Page 1 of 4November 2017

Department of Trade, Business and InnovationPage 2 of 4

November 2017