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For Purpose Impact Accelerator Hub
Expression of Interest - Desk Licence (12+ Months)
1.
Your contact details
Name
Email Address
Phone Number
2.
Organisation name
3.
Date organisation established
4.
Is your organisation a charity?
Yes
No
5.
If no, is your organisation not for profit?
Yes
No
6.
What is your organisation's ABN?
7.
Is your organisation Melbourne-focused?
Yes
No
8.
Does your organisation have a Victoria-wide focus?
Yes
No
9.
Does your organisation have a national focus?
Yes
No
10.
What is your organisation's purpose?
11.
Number of desks required
1
2
3
4
5
6
7+
If you selected 7+, please provide more information about your needs
12.
For each desk, please indicate whether you require it for 1-5 days per week
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desk 1
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desk 2
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desk 3
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desk 4
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desk 5
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desk 6
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
Desks 7+
One day per week
Two days per week
Three days per week
Four days per week
Five days per week
13.
Are the desks to be used by
Your whole organisation
A division of your organisation
A program of your organisation
14.
Please provide more information in relation to the above (50 words)
15.
Please indicate if your organisation is addressing one or more of the following areas (select as many as applicable)
Homelessness
Affordable housing
Sustainable food systems / food security
Social enterprise (especially work integrated social enterprise)
Jobs and skills in the next economy
Inclusive and/or regenerative economy
Climate change - reducing emissions, climate transitions
Climate resilience - including health impacts of climate change, disaster response, community resilience
NFP / charity sector capacity building
Social entrepreneurship
NFP leadership
Other (please outline in up to 50 words)
16.
Please provide a brief summary of your organisation's activities in relation to the area/s selected above (250 words maximum)
17.
Is your organisation committed to innovation and fresh thinking?
Yes
Somewhat
No
If yes, please provide an example of your approach (100-250 words maximum)
18.
Is your organisation committed to cross-sector collaboration?
Yes
Somewhat
No
If yes, please provide a brief recent example (100 words maximum)
19.
Is your organisation committed to supporting start ups?
Yes
Somewhat
No
If yes, please provide a brief example (100 words maximum)
