Form

NSW Forced Adoption Small Grants Application - Wattle Place

All questions marked with * must be answered.

Section 1A - Individual Applicant **

**If you are an individual applying for the Small Grants Program, your activity needs to be auspiced.

To ‘auspice’ means to provide support, sponsorship or guidance. This means an individual or community group applying for a Small Grant will need to find an organisation who is willing to auspice your project.

Under an auspice arrangement, the auspicee (the individual) will carry out the project, with some assistance from the auspicor (Organisation), and the auspicor receives the project funding and enters into relevant agreements for the auspicee.

Please contact Wattle Place if you need assistance with auspicing.

First name*

Last name*

Email*

Phone number

What is your connection to Forced Adoption community?*

If you are applying as an Individual, please go to Section 2 - Proposed Activity Details in this application, to continue.
You may need to seek assistance from your auspicing organisation to complete some of the questions.

Section 1B - Group/Organisation Applicant

Name of Organisation*

Name of contact person in the Organisation*

Contact person's phone number*

Contact person's email address*

Organisation's Address*

Primarily, what category best describes your organisation?*

Community Group

Local Government

Non-profit

Other

If other, please describe

What is your connection to the Forced Adoption community?*

What geographical area does your organisation cover?*

Section 2 - Proposed Activity Details

If you are an individual applying for the Small Grants Program, your auspicing Organisation can assist you in completing the relevant questions in this section.

In 200 words or less, please describe your proposed activity, including possible dates and venue*

How did you identify the need for the activity and how will it benefit those affected by past forced adoption practices?*

Will this activity be:*

Only choose 1 option

Nation-wide

State-wide

Regional/Local

Please note: If the activity has a national footprint, the Small Grant must be applied for and assessed through the Forced Adoption Support Service in the State the applicant/organisation is established.

How many participants are expected to be involved in this activity?*

Do you plan to partner with another group/organisation to hold this activity? (Partner can also be Auspicing organisation)*

Yes

If yes, what is the name of the partner group or organisation?*

Please provide details, if applicable, of any other groups/organisations and their members/clients who may also benefit from this activity?

Will you be promoting your activity to members/clients of other groups/organisations? (If yes, please list the names of those groups/organisations)*

Section 2B - Budget Breakdown

Please provide details, as well as quotes or documentation (where possible), supporting each budget item required for your activity (see examples below or use "Other"). *

Venue Hire

Catering

Administration costs (Paper, printing, postage, etc)

Facilitation costs

Activity materials (Books, resources, etc)

Equipment Hire

Other (please specify)

Total Grant Amount requested*

Are you providing any financial or in-kind support to this activity? (If yes, please provide details)*

Are you applying for funding for this activity through any other source in addition to the Small Grants Program? (If yes, please provide details)*

Please list the key people (ie facilitators, organisers, presenters, etc) involved in running the activity and their relevant skills, qualifications or experience.*

Who will be responsible for taking RSVPs and enquiries?*

How will participants' personal details be recorded and their confidentiality maintained?*

Please describe how you plan to evaluate the activity, including collection methods for feedback.*

Risk Management - Please identify potential risks for the proposed activity, and the risk management strategies you plan to put in place?*

For example:

Risk	Responsibility	Strategies
Emotional distress	Facilitator	Provide emotional support Provide information on options for support after the activity
Risk 2
Risk 3

Section 3 - Policies and Insurance

If you are an individual applying for the Small Grants Program, these questions apply to your auspicing Organisation.

Please indicate whether your organisation has the following Insurance:*

Public Liability

Professional Indemnity

Workers Compensation

Does your organisation comply with the following policies?*

Relationships Australia NSW is committed to protecting and respecting your privacy, and we’ll only use your personal information to process your application.

By clicking "Submit" below, you consent to allow Relationships Australia NSW to store and process the personal information entered above to process your application.