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Online Grant Application – The Leonie Jackson Memorial Fund

Personal Details

Name(Required)
Are you applying as... (please tick)(Required)
Location(Required)
Preferred Communication Style(Required)
Are you (please tick):(Required)

Project Details

You can choose how to respond to questions. You can upload a video here [maximum file size: 2GB] or on a platform [i.e. YouTube, Vimeo] and provide the link below. You can also choose to write your response in text form.

What is your project?

5 minutes Auslan video or 500 max characters
This field is hidden when viewing the form
Max. file size: 100 MB.
0 of 500 max characters
YouTube, Vimeo, Dropbox or Google Drive URLs recommended

How will your project support bilingual education for deaf children?

3 minutes Auslan video or 400 max characters
This field is hidden when viewing the form
Max. file size: 100 MB.
YouTube, Vimeo, Dropbox or Google Drive URLs recommended
0 of 400 max characters

How does your project incorporate Leonie’s favourite mantra - "It takes a village to raise a child"?

3 minutes Auslan video or 400 max characters
This field is hidden when viewing the form
Max. file size: 100 MB.
YouTube, Vimeo, Dropbox or Google Drive URLs recommended
0 of 400 max characters

How can your project be scaled up and/or replicated?

3 minutes Auslan video or 400 max characters
This field is hidden when viewing the form
Max. file size: 100 MB.
YouTube, Vimeo, Dropbox or Google Drive URLs recommended
0 of 400 max characters

What is the timeline for your project?

3 minutes Auslan video or 400 characters max
This field is hidden when viewing the form
Max. file size: 100 MB.
YouTube, Vimeo, Dropbox or Google Drive URLs recommended
0 of 400 max characters

Funding

Allocation of requested funds (Required)
Item Description
Cost
 
Please enter details of what you will use for and how much each item will cost
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
Cost
 

Applicant Declaration

Applicant Declaration(Required)
Applicant Declaration(Required)
Applicant Declaration(Required)
Name(Required)
DD slash MM slash YYYY

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