Skip to content
Fosterville Gold Mine Community Grants Committee
Application Form
*
1.
Applicant Details and Contact Information
(Required.)
Name
Address
Town
State
Post Code
Email Address
Phone Number
*
2.
How far do you live from the mine?
(Required.)
0km-5km
5km-10km
>10km
*
3.
Briefly state why you would like to be a part of the Fosterville Gold Mine Community Grants Committee
(Required.)
*
4.
Please detail any previous experience of working with community group and organisations
(Required.)
*
5.
Please detail any previous experience you have in assessing project proposals and/or grant applications
(Required.)
*
6.
Please details any previous experience you have in applying for grants
(Required.)
*
7.
What community group(s) do you currently represent?
(please include period of membership if possible)
(Required.)
1.
2.
3.
4.
5.
6.
*
8.
Please give examples of situations where you have had to maintain confidentiality
(Required.)
Appointment to the FGM community grants committee will be based on the applicant’s ability to:
· Attend biannual committee meetings in April and October.
· Actively participate in committee meetings and associated discussions
· Fairly and accurately contribute to the voting panel for each community grant
· Work collaboratively with other panel members with different views and/or opinions
· Maintain confidentiality across each grant application and information provided
For any questions regarding the FGM Community Grants Committee or this application process, please contact:
FGM Community Team on 03 5439 9000 or FGM.Community@agnicoeagle.com
Applications Close Friday February 17th 2023
9.
I acknowldege the above conditions of appoinmtent and have read the
Terms of Reference
for the Fosterville Gold Mine Community Grants Committee?
Yes
No
