Small Grants Application Form * = required Please Confirm:* I am an Australian citizen or resident, or Australian registered organisation, and the funds requested will be spent within Australia Title of Program or Project:* Amount Requested:* Applicant Name of Applicant* Name of Organisation* ABN Email* Telephone (incl. area code)* Mailing Address* Auspicing Body (if applicable) Name of Organisation ABN Contact Person Email Telephone Project Description: Please provide a short one or two paragraph description of your project (no more than one page of text) answering the following: What is it you want to do? Event/Project Timeline: Why do you want to do it? How the monies will be applied to the project? Who will benefit from the project? Have you tried sourcing other funds for your project – if so please outline what is the result? Briefly describe how does your project further the aims and objectives of the Pride Foundation Small Grants Program? Project Budget: Item: Dollar Amount: Total: Budget Narrative: Please give a description of each item and describe exactly how awarded funds would be used): Referee: If available please provide the name and phone contact for a personal or project referee.