Online Form - Alcoa Dwellingup Community Assistance Scheme


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You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Organisation Details

Is your group/organisation registered for GST?*
Does your group/organisation hold current public liability insurance?*

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Is your group/organisation incorporated?*

Project Details

Project Justification

Community Benefit

Will this project make use of volunteers?*

Project Delivery

Project Budget

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Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Payment Details

Bank account details for electronic transfer of grant monies (if successful).

Application Declaration

This section must be completed by an individual with authorised delegation of the group/organisation (President, Chief Executive Officer or similar).

  • Shire of Murray staff have been consulted in the development of this application
  • This project is not retrospective and will occur at least eight weeks after the funding round closes, allowing time for the project to acknowledge funding+
  • Funding assistance provided by the Shire of Murray will be acknowledged in any promotional material, advertising or other public documents relating to the project
  • All Local, State and Commonwealth laws applicable to the approved project will be complied with
  • The grant will be used solely for the specified purpose approved by the Shire of Murray
  • Final acquittal report and a full statement of income and expenditure demonstrating how the grant funds were utilised, to be provided to the Shire of Murray 

I certify that:

  • This application is, to the best of my knowledge, true and correct
  • On behalf of the applicant group/organisation, I have read, accepted and will comply with the Community Assistance Partnership Fund conditions above

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