Application Form

Submitting an Application
Before completing the Application Form please ensure:

Your applications complies with the objectives of The Balnaves Foundation; and

Your organisation is a deductible gift recipient ("DGR") either endorsed by the Australian Taxation office or otherwise listed by name in the income tax law (see under Eligible Beneficiaries).

The Foundation will consider all eligible applications to determine whether the project meets its funding criteria.

Please complete the application form below or post a hard copy to:

The Balnaves Foundation
Suite 4, Level 11
139 Macquarie Street
SYDNEY NSW 2000

Application Form

Organisation/Applicant
ABN
Is the organisation endorsed by the Australian Taxation Office as a deductible gift recipient? Yes No (Evidence of ATP endorsement may be required) Is the organisation named in the income tax law as a deductible gift recipient? Yes No
Postal Address
Contact Name
Phone
Fax
Email Address
Project Name
Commencement Date
Amount Requested
Profile of Organisation
SUMMARY OF PROJECT: - Describe the issue that needs to be addressed and what you want to achieve - Provide the purpose, objectives and expected outcomes of the project - Outline the budget of the project - Provide the expected contribution of the applicant - Outline who the participants will be - Indicate the geographic scope - Describe any risks that may affect the project - Explain how you will measure the success of the project

Change Image
Write the characters in the image above