Copy of Community Grant Application Form

Applications close: 30th June 2020

Flagon & Dragon raises funds to provide financial support & assistance to entities in Mackay & the surrounding district that are involved in assisting & treating sick & injured children, in particular, but not limited to, the children’s wards of hospitals in Mackay & the surrounding district.

Applications for financial support & assistance from the Mackay Flagon & Dragon Club are now open for community GROUPS & ORGANISATIONS that have the health, wellbeing & future of our local children & young people in their primary interest.

Applications outlining the purpose of the donation requests & the beneficiaries of the money donated will be taken into consideration & viewed by the Committee.

The Mackay Flagon & Dragon Club completely reserves the right to decide the final recipients & distribution amounts of the funds raised from the 2019 event.

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* 1. contact details

Your Name

Organisation / Group

Address

Email Address

Mobile Phone

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* 2. FUNDING REQUEST

Amount of funding required

Date funding is required (if applicable)

Funds for (equipment / resources / activity):

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* 3. You must meet the following criteria in order for your application to be considered. Please check the boxes below to confirm you are eligible to apply.

Funds will be used for medical health-related equipment / resources / activities primarily for children or young people

Those children or young people live within the Mackay & surrounding district

Equipment and/or services must benefit a large number of children or young people (Funding not available for equipment/resources for individuals)

Where appropriate, details of equipment to be purchased and a minimum of two (2) quotes must be provided (if such equipment can only be sourced through one agency, please clarify)

Resources or equipment are not otherwise available to children or young people in the Mackay & surrounding district

Provision of these resources or equipment will serve to enable children or young people to remain in their own environment with family close by

Provision of these resources/ equipment will provide an immediate & lasting benefit to children & young people in the Mackay & surrounding district.

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* 4. Please give a brief outline of how you believe your organisation meets these criteria

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* 5. Benefit: Please provide details of the beneficiaries of any funding being requested

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* 6. Have you applied for or received funding from other organisations for this particular project?

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* 7. Any additional information or comments to support your Application

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* 8. The Project: Please email us any additional information that further explains the project & how funds will be used. flagonanddragonclub@gmail.com

Will you be emailing something through?

Yes

Question Title

* 1. contact details

Question Title

* 2. FUNDING REQUEST

Question Title

* 3. You must meet the following criteria in order for your application to be considered. Please check the boxes below to confirm you are eligible to apply.

Question Title

* 4. Please give a brief outline of how you believe your organisation meets these criteria

Question Title

* 5. Benefit: Please provide details of the beneficiaries of any funding being requested

Question Title

* 6. Have you applied for or received funding from other organisations for this particular project?

Question Title

* 7. Any additional information or comments to support your Application

Question Title

* 8. The Project: Please email us any additional information that further explains the project & how funds will be used. flagonanddragonclub@gmail.comWill you be emailing something through?

* 8. The Project: Please email us any additional information that further explains the project & how funds will be used. flagonanddragonclub@gmail.com

Will you be emailing something through?