FUNDING OF COMMUNITY IDEAS 2018

APPLICATION FOR ABILITY LINKS BROKERAGEName of the person who will run the projectOrganisation (if applicable)ABN number (if applicable)Contact Details T:

E:Project Title

What is the Proposed Project?Include a bit of history, how it came about, whose idea etc.What is the project goal/objective?Who is the target group? e.g. local youthHow does this project support the aims of social inclusion and community capacity building?What difference will the project make to the target group?How are people with a disability included in the development and implementation of this project?Where will the project be held?What are the key indicators of success?How will you know your project is working well?Is the project sustainable without Ability Links funding and support in the future?Please give detailsWho are the project partners and what is their relationship to the project?Who else is contributing to the project, financially or in-kind?

Existing/on board partners:

Stakeholders/collaboratorsWho is involved in the project and how?

Existing stakeholders/collaborators:

Project Start and End dateResource Requirements e.g. Room hire, equipment, catering etc.Other Funding sources for the project e.g. RSL providing: $200 room hireAnticipated project costing- please

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include as many details as possible. Including quotes

Total amount requested – as it will be shown on your invoice

Subtotal:GST (if applicable):Total:

Are you registered for GST? If ‘Yes’, then you will be required to provide a tax invoice. If ‘No’, then you will be required to provide an invoiceDate DevelopedDeveloped By

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Please complete these reflective questions. At what level does this project support people with a disability to build their skills, abilities and confidence?

1 2 3 4 5Minimal Core Part

of ProjectTo what extent does this proposal promote collaborative relationships amongst organisations, services and communities in the region?

1 2 3 4 5 Minimal Core Part

of ProjectDoes this project support people with a disability to more easily connect with wider community resources rather than disability services?

1 2 3 4 5Minimal Core Part

of ProjectDoes this project support the rights of people with a disability to be included, valued and belong?

1 2 3 4 5Minimal Core Part

of ProjectDoes this project support deep community connections for people with a disability as opposed to a token presence?

1 2 3 4 5Minimal nimal Core Part

of ProjectDoes this project provide wellbeing and safety for all involved?

1 2 3 4 5

Minimal Core Part of Project

Will the project contribute to improved physical access of the physical and sensory environment?

1 2

3 4 5

Minimal Core Part of Project

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Does the project contribute to training and develop awareness of inclusion? 1 2

3 4 5

Minimal Core Part of Project

Does the project include education awareness opportunities?1 2

3 4 5

Minimal Core Part of Project

Does this project contribute to changes in policy and attitude to build inclusiveness?1 2

3 4 5

Minimal Core Part of Project

Please forward this application and any supporting documents to: Met North: Loknight@uniting.org Southern: Jbowker@uniting.org

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Internal use

Overall Assessment (Comments):

Linker:

Area Coordinator comment and recommendation:

Project Officer:

Project Coordinator

Program Manager

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Outcome (Signatures required):

Project OfficerApproved ☐ Declined☐

Project Officer:

Signed: DateDetails/Explanation (Project title, approved amount & conditions)

Project Coordinator Amounts up to $2000

Approved ☐ Declined☐ Coordinator:Signed: DateDetails/Explanation (Project title, approved amount & conditions)

Program Manager Amounts up to $10,000Approved ☐ Declined☐

Program Manager:

Signed: Date

Details/Explanation (Project title, approved amount & conditions)

** For amounts over $10000 approval is obtained via purchase order approval.

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