QCOSS Event Subsidy Program - Organisation Application Organisation Information Question Title * 1. Name of organisation Question Title * 2. Address Street Suburb State Postcode Question Title * 3. Are you a not for profit organisation Yes No Question Title * 4. Are you a QCOSS member? Yes No QCOSS member number (please specify) Question Title * 5. Organisation's key purpose (one or two lines) Question Title * 6. Size of organisation (No. of full time staff or volunteers) Question Title * 7. Approximate total annual turnover (Total amount of income from grants, donations and other sources received per year) Question Title * 8. Name of course/event Question Title * 9. Date of event Question Title * 10. Applicant attending course Mr Mrs Ms Other (please specify) Question Title * 11. First Name Question Title * 12. Surname Question Title * 13. Job title/role of person attending Question Title * 14. Email address Question Title * 15. Contact phone number Question Title * 16. Why do you need a subsidised place? (address criteria/priorities where possible) Question Title * 17. Why would attending this course be valuable to your organisation? Question Title * 18. Other comments to support your case Question Title * 19. Does the CEO or senior person support this subsidy application Yes No Question Title * 20. Name and title of supporting person Question Title * 21. Phone number and email address of supporting person Question Title * 22. You have read the terms of the QCOSS event subsidy program and agree to the cancellation policy Yes No Question Title * 23. Signed by training applicant Signature Date Question Title * 24. Approved and signed by CEO or senior person Signature Date Done