NFP Application Form

Organisation

Not for profit?

YesNo

Contact Name

Role within organisation

Postal address

Postcode

Email address

Mobile

Is your organisation registered for GST?

YesNo

Does your organisation have an Australian Business number (ABN)?

YesNo

Can you provide a brief description of your organisation and its mission?

How long has your organisation been operating?

Do you have an office based in Geraldton?

How does your organisation contribute to the Mid West community?

How many people do you estimate your organisation has an impact on?

Indicate the category that relates best to your organisation?

How does your organisation align with Mid West Ports’ corporate values of Accountability, Care, Courage, Collaboration and Integrity? *Provide a detailed response responding to each value

Explain how your organisation would be able to meet the required partnership actions as highlighted in the annual breakdown?

How many staff members/ volunteers does your organisation have?

If successful, what would the funds, maintenance and administrative allocations received as part of the partnership be allocated to? - please provide a brief description of your budget below and attach a detailed breakdown to this application. *Download template on bit.ly/MWPNFP25 to assist.

*Funds will be distributed at the earliest June 2025 and will need to be used by June 2026.

Please provide supporting documents including a detailed budget breakdown

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

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