Community and Environmental Grants Program Question Title * 1. Who will be receiving the grant funds if successful? i.e. the entity or organisation (must have an ABN) Question Title * 2. Who is the primary point of contact for this grant application? (on behalf of the applying entity or organisation) Name: Email: Contact number: Question Title * 3. Which grant application category is the grant being applied under? Community initiative Environmental initiative Question Title * 4. Grant Purpose:If successful, what would the grant funds be specifically used for? Question Title * 5. Please provide the dollar amount(s) being requested for the grant purpose previously outlined? Minimum $ amount needed to support the grant purpose Target $ amount being requested (if different from the minimum) Question Title * 6. What targeted outcome(s) will this grant funding assist to achieve? Question Title * 7. Who will most benefit from the initiative this grant funding will support? Question Title * 8. What's the planned timeline for this initiative? Start date Expected completion date Question Title * 9. If your grant application is successful, do you give PF Olsen consent to provide information about your grant funding on PF Olsen's website? Yes No Done