Macmahon Foundation Grants Application

Fields marked with * are required.

ORGANISATION DETAILS

Legal name of organisation(Required)

Address(Required)

ABN(Required)

Are you registered for GST?

Yes

CONTACT DETAILS

Name(Required)

First Last

Position

Phone/mobile

Email address(Required)

ABOUT YOUR ORGANISATION

Summary/objective of your organisation

How many organisation staff/volunteers

Has Macmahon sponsored your organisation before (if so, please provide details)

What are your organisation's values

GRANT DETAILS

Which focus area(s) will this grant support

Health and wellbeing

Education

First Nations engagement

Environment

Where will this event/program take place

Date of event/program timeframe

Description of the event/program

Total amount requested

Itemised list breakdown (including GST) Include complete list of items and services that would be purchased or paid for using the Grant. Please provide detailed information and quotes where possible.

How will Macmahon’s support be recognised?

Who will benefit from this Grant?

What other sponsors does your organisation have for this event/program?

APPLICANT DECLARATION

By signing this form, I declare I have read and understood my obligations under the Macmahon Code of Conduct (available on the Macmahon website) and all information provided is true and correct to the best of my knowledge.

AUTHORISED OFFICER OF ORGANISATION

Name(Required)

First Last

Position(Required)

Signed(Required)

Date(Required)