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* 1. Name of organisation

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* 2. Organisation Street Address

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* 3. Organisation Postal Address

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* 4. Please provide two contacts at the organisation including name, phone number and email address.

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* 5. 2nd Contact Details

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* 6. Are you an Incorporated Nor-for-Profit Organisation

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* 7. Are you a trustee on behalf of a trust
If yes, please provide both the Trust and the Trustee's ABN

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* 8. Please provide the ABN

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* 9. Are you charity registered with the Australian Charities and Not-for-Profit Commission Organisation ABN

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* 10. Are you registered for GST?

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* 11. What is the Project Title

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* 12. Project Site Address - Must be within the Shortland electorate.
*This must be a street address. Do not provide a postal address, institution or building name.

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* 13. Total cost of Project

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* 14. Grant Funding Sought.
You can apply for up to 100% of the project cost (up to $12,000)

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* 15. Has the project received funding from another Commonwealth or State grant?
We cannot fund your project if it receives funding from another Commonwealth, State or Territory government grant.
You can apply for a grant for your project under more than one Commonwealth, State or Territory program, but if your application is successful, you must choose either the Powering Communities Program grant or the other Commonwealth, State or Territory grant.

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* 16. Type of Project

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* 17. Please provide an outline of your project.

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* 18. What are your key project activities and outcomes?

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* 19. Please upload all relevant quotes - Quotes are compulsory for application to be considered.
 You must provide the following documents with your application:
 - Evidence of your not-for-profit status
 - At least one quote(s) to validate your major project costs. Quotes that relate to solar projects
    - Must identify the make and model of any major equipment purchases, such as solar PV
    - Modules, inverters and batteries. Quote(s) must be dated on or after 30 March 2021 and for
    - Eligible activities listed in 5.1 of the Guidelines.
 - Letter of consent from the building or facility owner/manager (where applicable) (Appendix A of the Guidelines).
    - Project plan
    - Trust deed (where applicable).

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