CM: Children's Fund Application

FieldMapping
Provide a mapping of fields that are too long to be captured in ExactTarget

The Courier-Mail Children’s Fund exists to change the lives of Queensland children in need. We want to ensure the selection process is above reproach. Your answers will help us decide whether your charity and our Fund will make a good combination, as we work to help as many children as possible.

In order to apply, your organisation must:
• Be working to change the lives of Queensland children in need
• Be a registered charity with the Australian Charity and Not-for-profit Commission (ACNC)
• Have Donor Gift Recipient (DGR) status
• Have met all your current reporting obligations with the ACNC
• Be of good standing

Applications can be made at any time. The Courier-Mail Children’s Fund Board meets periodically to assess applications.

Our form has three parts:

Part 1 - Essential criteria and applicant details. Here you’ll share contact details for the person you’re nominating.
Part 2 - The Project. This is your chance to explain about what your project will address.
Part 3 - Additional Information. This will help in our assessment.

Please take a moment to review the form before you start. We encourage you to write your answers in a Word document first because the form has a time limit (about 10 minutes). Thank you.

Part 1: Essential Criteria and Applicant Information
Fields marked * are mandatory.

Contact Name

Company Details

Address
This is the address we’ll use for correspondence.

Telephone
Contact’s best telephone number (without spaces).

Email

Website

Does your charity have Donor Gift Recipient (DGR) status?

Yes No

Does your charity hold current registration status with the Australian Charities and Not-for-Profit Commission (ACNC)?

Yes No

Is your charity currently up to date with all of its submissions to the ACNC, including the Annual Information Statements and financial statements?

Yes No

Is your charity's governing document (e.g.: constitution) available on the ACNC website, and is it current?

Yes No

Do all responsible persons in your organisation hold a current Blue Card, reflecting their potential contact with beneficiaries of your services?

Yes No

About the Applicant

What ACNC subtype is your charity registered as?

Are all of your responsible persons listed accurately on the ACNC website?

Yes No

Has the ACNC ever suspended or removed a responsible person associated with your organisation (such as a board member, committee member or trustee) from a charity: either your charity or a charity with which they were previously associated.

Yes No

Has the ACNC ever suspended or removed a responsible person associated with your organisation (such as a board member, committee member or trustee) from a charity: either your charity or a charity with which they were previously associated.

Yes No

Has the ACNC ever disqualified a responsible person associated with your organisation (such as a board member, committee member or trustee) from a charity: either your charity or a charity with which they were previously associated.

Yes No

Is any responsible person currently associated with your organisation (such as a board member, committee member or trustee) or have they ever been:

Yes No

Page Break

Part 2: The Project

What is the current issue your project will address, and why does it warrant action ?

Words left: 67/75

Are there any other organisations, nonprofit or commercial, currently performing the service covered in your project, or a service similar to it in the space in which you operate and if so, why is there a need for your project?

Words left: 75/75

What action will your project take to specifically address the issues raised above?

Words left: 75/75

What are your criteria for/how will you measure success?

Words left: 75/75

What help do you need to achieve it?

Words left: 150/150

How many children will directly benefit from the proposed initiative?

How many children will indirectly benefit from the proposed initiative?

Does the proposal for funding represent:

Do you have other sources of funding for any part of the program?

What are the source(s) of the funding?

Words left: 150/150

What amount of strategic grant funding are you requesting?

How will it be used, and over what timeframe?

Words left: 75/75

If your funding application to the Courier Mail Children's Fund is not successful, what is your back up plan for funding?

Words left: 75/75

What plans are in place to achieve media and marketing exposure for your program if funding is secured?

Words left: 75/75

Page Break

Part 3: Additional information to help our assessment

What number of responsible persons in your organisation, as a whole number and as a percentage of the total number, hold a certification from the Australian Institute of Company Directors, if any?

# of persons

% of total in organisation

Does your organisation currently have a plan in place specifically addressing a transition towards advancing financial self-sustainability as part of the overall strategic plan?

Yes No

If yes, please provide details

Is the organisation investing in the strategic growth, enhancement, development and efficiency of its operations to maximise impact?

Yes No

If yes, please provide details

Does your organisation hold any external quality assurance credentials, such as ISO9001?

Yes No

The CMCF program includes support with media. Are the individuals and families whose lives will be positively impacted if this funding is approved willing and available for interviews with CMCF staff and the NewsCorp media?

Yes No

Is a Courier Mail (NewsCorp) staff member endorsing your application?

Yes No

If yes, please provide their name here. We will contact them and ask them to provide a statement of up to 200 words detailing why they are endorsing your charity, and specifically your proposal for CMCF funding.

Supporting Information (Optional)

Please upload one (1) file, in PDF format no larger than 10MB

Uploading, please wait...

Upload

Acknowledgement

I state that all of the information provided in this application is true and correct to the best of my knowledge.‎

PRIVACY STATEMENT

We collect information about you, including for example your name and contact details which you provide when registering or using our services as well as information from data houses, social media services, our affiliates and other entities you deal or interact with for example by using their services. We collect and use that information to provide you with our goods and services, to promote and improve our goods and services, to provide you with targeted advertising based on your online activities, for the purposes described in our Privacy Policy and for any other purposes that we describe at the time of collection. We may disclose your information to our related companies, including those located outside Australia. Any of us may contact you for those purposes (including by email and SMS) at any time. We may also disclose your information to our service and content providers, including those located outside Australia. The policy also explains that if you do not provide us with information we have requested from you, we may not be able to provide you with the goods and services you require. Further information about how we handle personal information, how you can complain about a breach of the Australian Privacy Principles, how we will deal with a complaint of that nature, how you can access or seek correction of your personal information and our contact details can be found in our Privacy Policy at www.newscorpaustraliaprivacy.com

OPT IN

By nominating someone to be considered for a prize in the 2019 Local Sports Star program, you agree that Nationwide News Pty Ltd and its related News Corp Australia businesses may contact you at any time with special offers and announcements.