Youth Week

NATIONAL YOUTH WEEK 2008

5 - 13 April

Expression of Interest Form

Please provide the following details regarding your organisation and the proposed event/activity:

ORGANISATION NAME: _______________________________________________________

CONTACT PERSON: _______________________________________________________

CONTACT NUMBER: ________________________________

Is your organisation registered for GST ? YES  NO 


ABN:

(Please Note: To qualify for this subsidy your organisation will need to have an ABN.)


1. Please give a brief overview of your proposed event/activity.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

2. Where will your event/activity be held ?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

3. How will young people be involved in the event/activity ?

________________________________________________________________________

________________________________________________________________________

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4. How does your event/activity benefit young people ?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

5. Date of activity: _______________________________________________________


BUDGET PROPOSAL

Please provide cost estimates of your proposed event/activity.

Please note that a maximum amount of $400 per application is available and it is encouraged to be matched either in kind or by cash contribution.


Item
Cost
In Kind and Donated Contributions
(approximate $ value)

Materials


Transport
Advertising
Labour
Other



Total Cost


Total Costing for Project including in kind and donated contributions $

Total $ Value of in kind and donated contributions $

Your Organisation’s $ Contribution $

Total Subsidy Requested $


IMPORTANT NOTE

If successful in gaining a subsidy your organisation will be required to provide evidence of expenditure of the amount provided, along with a short report on the event/activity. A form will be provided to the successful groups for this purpose.

Please return this form to address below by close of business on Friday, 29 February 2008:

Coffs Harbour City Council
ATTENTION: LOUISE MORRIS
Locked Bag 155
COFFS HARBOUR NSW 2450

For further information please contact Louise Morris on 6648 4041