PRIORITY AREAS OF FOCUS

Primary Producers facing hardship

Community based organisations with projects to strengthen and build resilience in primary producer communities.

Literacy and Numeracy

Programs addressing literacy and numeracy issues amongst primary school aged children, especially remedial programs for children from disadvantaged areas.

ELIGIBILITY

DOES YOUR ORGANISATION HAVE ENDORSEMENT AS A DEDUCTIBLE GIFT RECIPIENT (DGR)? *

ORGANISATION DETAILS

AREA OF FOCUS *

ORGANISATION NAME *

ORGANISATION WEBSITE *

TELL US HOW THE PROJECT RELATES TO THE PRIORITY AREA OF FOCUS.
Maximum 300 characters. *

ADDRESS *

SUBURB *

POSTCODE *

STATE *

ABN REGISTRATION NUMBER *

CONTACT PERSON DETAILS

TITLE *

FIRST NAME *

SURNAME *

POSITION

TELEPHONE NUMBER *

EMAIL *

FUNDING DETAILS

DATE OF ISSUE OF ENDORSEMENT AS A DEDUCTIBLE GIFT RECIPIENT *

DATE OF ISSUE OF ENDORSEMENT AS AN INCOME TAX EXEMPT CHARITY *

NUMBER OF PAID STAFF (FTE EQUIVILENT) *

NUMBER OF VOLUNTEERS *

PROVIDE A LINK TO OR LIST NAMES OF CURRENT BOARD MEMBERS.
Maximum 1,200 characters. *

TOTAL PRIOR YEAR REVENUE/INCOME *

TOTAL PRIOR YEAR EXPENDITURE *

ANNUAL PRIOR YEAR REVENUE FROM ALL GOVERNMENT SOURCES *

ANNUAL PRIOR YEAR REVENUE FROM PHILANTHROPIC SOURCES *

WHAT IS THE PURPOSE OR MISSION OF YOUR ORGANISATION ?
Maximum 900 characters. *

TELL US ABOUT THE SPECIFIC PROJECT FOR WHICH ARE SEEKING MAZDA FOUNDATION FUNDING
Provide a short background on the objectives of the project, who and how many will benefit from funding, the time frame for implementation and how it fits within the Mazda Foundation area of focus. Maximum 1,800 characters. *

TELL US ABOUT THE NEED TO BE ADDRESSED BY THIS PROJECT
Maximum 1,500 characters. *

WHAT EXPERIENCE DOES YOUR ORGANISATION HAVE IN DELIVERING SUCH PROJECTS?
Maximum 1,200 characters. *

WHAT ARE THE EXPECTED OUTCOMES OF THE PROJECT?
Maximum 1,500 characters. *

HOW WILL THE OUTCOMES OF THE PROJECT BE EVALUATED?
Maximum 1,200 characters. *

AMOUNT OF FUNDING REQUIRED

WHAT IS THE TOTAL PROJECT BUDGET AMOUNT? *

MAZDA FOUNDATION REQUEST AMOUNT(Ex GST)? *

OTHER INCOME (PLEASE ADVISE FROM WHERE THIS INCOME WILL BE RECEIVED AND IF IT HAS BEEN CONFIRMED) *

PROJECT EXPENDITURE (PLEASE ITEMISE)
Maximum 1,500 characters. *

DATE PROJECT FUNDS ARE REQUIRED BY *

NOTES

1. By applying for this grant, you permit the Mazda Foundation to use any supplied images in marketing communications.

2. Mazda Foundation will acknowledge receipt of your notification but this should not be seen as in any way indicating the notification will progress for further detailed consideration.

3. The Foundation does not fund overseas projects/trips in accordance with Australian Taxation Office requirements applying to the Mazda Foundation.

4. No attachments should be forwarded with this project notification.