Valuing Diversity Grants Short Form Particulars

Particulars for Cultural Diversity Queensland 2014-15 Valuing Diversity Grants Program

Parties: The State of Queensland (through the Department of Aboriginal and Torres Strait Islander and Multicultural Affairs) (“We/Us”)

The Organisation: as named below (“You”)

To be read in conjunction with the (Short Form) Terms and Conditions

Funding Reference Number:

Organisation:

Organisation Contact Details: Contact Officer, Address, Email and Phone

Approved Project Name:

Funding Purpose (Description of Project):

Funding Approved: $ (excluding GST)

Type of Funding: One off or Multi-year

Commencement Date:

End Date:

Timing and method of Payment/s: These funds will be provided by electronic funds transfer upon: – receipt of signed acceptance of this agreement plus – receipt of Electronic Funds Transfer (EFT) Form, plus – outline payment frequency, when, how payment will be made, EG: quarterly following the receipt of reports as outlined below

Deliverables: (performance measures eg. milestones, submission of Acquittal Report and surveys)

Reporting Requirements: Provision of an Acquittal Report within 8 weeks of the End Date OR  Progress report due (insert a date in dd/mm/yyyy format) Email notification to be provided to Us on the status of the project. Email to contain information on current activities and activities undertaken to date, number of participants engaged and if project is on track. (delete if no status report required)  Final/Acquittal Report due (insert date in dd/mm/yyyy format): Provision of a final project report using the Acquittal Report Template to be provided by Us (8 weeks after End Date).

Other requirements (eg. acknowledge Queensland Government funding with logo on marketing material and a Queensland Government banner at the event. Invite Minister to attend event. Survey participants at event.)

Special Conditions (eg. funding not to be provided until the submission and approval of outstanding Acquittal Report)

Signed for and on behalf of [insert name of funded organisation] as its duly authorised officer:

………………………………………..…… …..../……/……

[Insert Name] Date [Insert Position]

………………………………… ………………………..

[Name of Witness] [Signature of Witness]