Willogoleche 2 Wind Farm - Community Grants

This is a preview of the Willogoleche Wind Farm 2 - Community Grants form. When you’re ready to apply, click Fill Out Now to begin.

Willogoleche 2 Wind Farm - Community Grants Program

* indicates a required field.

Thank you for your interest in the Willogoleche 2 Wind Farm Community Grants Program.

Contributions made by ENGIE under the Willogoleche 2 Wind Farm Community Grants Program will be one-off cash payments up to a maximum value of $5,000.Please ensure you have read the Willogoleche 2 Wind Farm Community Grants Guidelines and Terms and Conditions before completing this form. They can be viewed at: engie.com.au/willogoleche2

ORGANISATION / COMMUNITY GROUP DETAILS (Not Applicable)

Name of organisation or community group: *

Please provide a brief overview of your organisation or community group, including its role and history: *

Australian Business Number (ABN) (if applicable):

The ABN provided will be used to look up the following information.

Click Lookup above to check that you have entered the ABN correctly.

Australian Business Register Information

ABN

Entity name

ABN status

Entity type

Goods & Services Tax (GST)

DGR Endorsed

ATO Charity Type

More information

ACNC Registration

Tax Concessions

Main business location

Must be an ABN.

Organisation entity (please select one): *

Response required.

Charitable Trust

Not for Profit

Registered Charity

Incorporated Society

Clear

No more than 1 choice may be selected.

Contact name: *

Title

First name

Last name

Position *

Address *

Return to address search

Address line 1

Address line 2

Suburb/Town

State/Province

Postcode

Country

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

Contact Phone Number *

Must be an Australian phone number.

Email *

Must be an email address.

PROJECT / EVENT DETAILS (Not Applicable)

Name of project or event: *

Brief description of project or event (100 words or less): *

Word count:

Must be no more than 100 words.

What is the timeline for the project or event? (please include date of completion of the project or event): *

Which selection criteria does your project or event satisfy? (select all that apply): *

Response required.

Tourism, arts, culture

Sustainability and environment

Education and training

Socio-economic conditions

Clear

At least 1 choice must be selected.

Briefly outline how your project or event satisfies the criteria selected above (200 words or less): *

Word count:

Must be no more than 200 words.

Please describe how the community will be involved and benefit from this project or event (200 words or less): *

Word count:

Must be no more than 200 words.

FUNDING DETAILS (Not Applicable)

Total budget required to deliver your project or event: *

Must be a dollar amount.

How much funding support are you seeking from ENGIE? (up to $5,000): *

Must be a dollar amount and no more than 5000.

Are any other organisations involved in this project or event? (please list): *

Have you applied for funding from other sources? If so, please provide details of the funding body, amount and if you have secured this funding or still awaiting feedback. *

TERMS AND CONDITIONS (Not Applicable)

Please read and acknowledge your understanding of the Community Grant Guidelines and Terms and Conditions that apply to applications made under the Willogeleche 2 Community Grants Program, available at: engie.com.au/willogoleche2

Response required.

I have read the Willogoleche 2 Wind Farm Community Grants Guidelines and agree to all Terms and Conditions.

Clear

Name *

First name

Last name

Date *

Must be a date.

Willogoleche 2 Wind Farm - Community Grants