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Apply for Deaf Connect Grant
Grant and Sponsorship application form
Personal Details
Name
(Required)
First
Last
Address
(Required)
State / Province / Region
ZIP / Postal Code
Preferred Communication Style
(Required)
Video call
Video message
Email
Text
Voice call
Email
(Required)
Phone
Mobile Phone (SMS)
Are you (please tick):
(Required)
Deaf
Hard of hearing
A Deaf organisation
An organisation, club or association which caters to the Deaf Community
A Person that supports Deaf
Category Selection
Please tick that category which best suits your project, event or goal:
(Required)
Individuals and Groups
Community Events
Partnership Building
Find out more about each category here: https://deafconnect.org.au/get-involved/grants-sponsorships/deaf-connect-grant-categories
What is the project title?
(Required)
Is this an application for a community grant or sponsorship?
(Required)
Community grant
Sponsorship
Please upload your sponsorship prospectus documents outlining your proposal
(Required)
Drop files here or
Select files
Max. file size: 2 GB.
Please outline who will primarily benefit from your community grant/sponsorship?
(Required)
National
New South Wales
Victoria
Queensland
South Australia
Western Australia
Tasmania
Northern Territory
Australian Capital Territory
What is the goal or project you want to achieve with this grant or sponsorship?
Below you can: Upload your video (5 minutes) link below: [maximum file size: 2GB] OR Link to an Auslan video: Provide a link to your video (5 minutes) below: [e.g. Vimeo, YouTube etc] OR English: Write your English response (500 words)
Upload a video
Max. file size: 2 GB.
Link to a video
English response
What benefits would successful completion of this project provide to the greater Deaf and hard of hearing community?
Below you can: Upload your video (5 minutes) link below: [maximum file size: 2GB] OR Link to an Auslan video: Provide a link to your video (5 minutes) below: [e.g. Vimeo, YouTube etc] OR English: Write your English response (500 words)
Upload a video
Max. file size: 2 GB.
Link to a video
English response
Funding
What is the estimated timeframe in which you will action and complete your project/scholarship?
(Required)
For Example: 1 – 2 months
Allocation of requested funds
(Required)
Item Description / Sponsorship tier
Cost
Add
Remove
• Please enter details of what you will use the funds for and how much each item will cost. • For sponsorships with a sponsorship prospectus please include the values of your tiers and include the prospectus with this form.
Total funds requested
Please provide the total dollar value of your request.
Have you applied for funds from other sources for your project? If yes, please detail
Item Description / Sponsorship tier
Cost
Add
Remove
Applicant Declaration
Applicant Declaration
(Required)
I declare that to the best of my knowledge all the information in this application is true and correct.
(Required)
Applicant Declaration
(Required)
I have included all the necessary documentation and satisfied all criteria required to properly evaluate my suitability for a grant as per the criteria available from Deaf Connect.
(Required)
Applicant Declaration
(Required)
If my application is successful, I agree to signing a Terms of Agreement Document
(Required)
Name
First
Last
Date
MM slash DD slash YYYY
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