Funding Application Form

Organisation Details

Name of Club / District Association / School / Organisation

Address

Address Address Line 2 Suburb/Town Post Code

Principal Contact

Name

First Last

Position held within organisation

Phone

Email

Funding Category

Refer to Grants Programme Guidelines - tick one box only

Junior Development
Adult Development
Targeted Groups
Innovation
Other

Project Details

Project title

Project location (where will the project take place)

Project objectives

Please list the major objectives/goals of the project. Indicate how the programme will lead to the development of golf in the specified funding area.

Target groups (tick all that apply)

Male
Female
Under 12 years
12-18 years
19-40 years
40 years+
Beginners
High handicapper
Medium handicapper

Major project activities/actions

Please list and briefly describe the actions that will be undertaken to achieve the as listed on the previous page and state the Key Performance Indicators that will be used to measure these actions and thus the overall effectiveness of the project. Please note that upon completion of your programme this table will need to be completed again as part of your evaluation form but will have an additional column ACTUAL KPI ACHIEVED. Format: Objective - Actions to achieve - Intended KPI

Links to other organisations

Please indicate the collaboration that may occur with other organisations/media etc

Program Details

Commencement date of program

Conclusion date of program

Total number and length of sessions

eg. 24 x 1 hourly sessions; 4 days at 6 hours per day

Person(s) conducting the coaching component of the program

Please state if PGA Coach or Community Instructor

Number of participants

Please provide any additional beneficial information

Promotion of WA Golf Foundation

Please indicate how the WA Golf Foundation will be acknowledged and promoted during the project.

Budget

Please attach a detailed budget to this Application Form listing income and expenditure items for the proposed project, including contributions proposed from other organisations apart from the WA Golf Foundation. A summary to be completed below INCLUSIVE OF GST. If the applicant is not registered for GST, then please state so in your application.

Anticipated income

Anticipated expenditure

Surplus/Deficit

Total grant requested

Attach budget here

Max. file size: 6 MB.

List

Please fill out as much information as possible to enable us to accurately assess your application. Only click submit when you have finished your application.