<p> SOUTH AUSTRALIAN COMMUNITY GRANTS</p><p>Application Form for Small Grants</p><p>Before completing this application, please read the South Australian Community Grants Guidelines document which outlines the purpose of the South Australian Community Grants and describes what can be funded and the eligibility criteria.</p><p>The National Science Week (SA) Coordinating Committee receives many more grant applications than can be funded. It is rare for the Committee to fund all applications. Even if your application is successful, the Committee may offer your organisation a lesser amount to deliver a reduced program if the demand for funds is high.</p><p>Applications should be sent by email to: ronadel@dodo.com.au</p><p>Organisation Details Organisation Name</p><p>Contact Name</p><p>Contact’s Position in the Organisation</p><p>Address</p><p>Phone Mobile Fax</p><p>Email</p><p>Is this a joint application?</p><p>Partner Organisation</p><p>Contact Name</p><p>Address</p><p>Phone Mobile Fax</p><p>Email Project Details Name of Project </p><p>Date/s of Project </p><p>Description of Project Please include organisations involved, location, target audience, link to STEM Skills Strategy, etc. Include as much information and detail as possible about your planned event or project.</p><p> Aim of your event</p><p>What is the aim of your event or activity and how does it contribute to the aims of National Science Week?</p><p>Target Group What target group is the project designed for? Include location of event, type of audience and expected numbers. Application must contain estimated attendances.</p><p>Cost Will there be a cost to participants? If so, what is the charge per person?</p><p>Funding What is the total amount of funding requested?</p><p>$______</p><p>How will the money be used? Give a break-down of costs, and list order of priority. Please identify any external supplier providing science activities for your event. Many projects require funding for venue hire. You are encouraged to seek free or sponsored venues via schools, local Councils or Community Centres that can be recognised for their in-kind support of your event. Have you received funding / sponsorship from any other sources for this project? Yes/No</p><p>If yes, please list the sources and the funding to be provided.</p><p>How much is your organisation contributing to this project? Please include cash and in-kind support</p><p>Detail the need for additional funding to support your event.</p><p>Applicants from regional areas</p><p>Community Grant applicants from regional areas:</p><p>Please describe any contact you have had with your local Inspiring South Australia regional science hub (if applicable) regarding collaborations with the local science engagement community?</p>