Grant Application

Please fill out and submit your application using the form below. In addition, a representative from your organisation will be required to attend an interview with our independent allocations panel to further discuss the aims and objectives of your project.

This interview will take place virtually on Wednesday 6 October 2021, using the Zoom platform and will take approximately 15 minutes. You will be notified of the time and venue closer to the date.

Step 1 of 5

Grant Details
Title of Project*
Which fund are you applying for?*
- United Way Glenelg Community Fund
- United Way Glenelg Lewis Court Fund
Please refer to the guidelines carefully to ensure you select the most appropriate fund.
Amount requested from United Way Glenelg for this project
Proposed start date
Proposed end date
During the time of the project a representative from United Way Glenelg will contact you to organise a suitable time to view the program. Photographs will be taken to communicate to our donors the impact their donation is having on improving lives.
Primary impact area*
- Health
- Education
- Financial
United Way Glenelg has identified three building blocks for a good life; Health, Education & Income. Please select one of the building blocks that best relates to your application.
Secondary impact area
- Health
- Education
- Financial
In cases where the application relates to more than one impact area please nominate a secondary block.

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Organisation Information
Organisation Name*
Physical Address*
Street Address Address Line 2 City State Postcode Country
Mailing Address*
Street Address Address Line 2 City State Postcode Country
Phone*
ABN Number*
Email*
Website Address
Program Coordinator Name*
First Last
Phone*
Email*
CEO or Senior Manager Name*
First Last
Phone*
Email*
Number of paid workers*
Number of volunteers*
Number of people who benefited from your services in the past year*
List the specific geographic areas covered by your organisation*
Are you registered as a United Way Glenelg Community Partner?
- Yes
- No
If unsure please contact Nicole Carr on 0410 513 305
Provide a brief description of your organisation*
This will be used by United Way Glenelg to promote your organisation in the media.

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Project details
Recipients of United Way Glenelg funding must acknowledge United Way Glenelg in all promotional materials, media releases, and communication regarding funded projects. The United Way Glenelg logo will be provided to successful applicants for this purpose. The Evaluation Report requires evidence that you have promoted United Way Glenelg’s support.
What is the aim of your project?
Maximum 150 words.
Describe the issues your project will address.
Maximum 150 words.
How many people (directly and indirectly) will this project impact?
Who are they and what difference could this project make in their lives?
Maximum 150 words.
What are the expected outcomes and how will you measure them?
Maximum 150 words.
Will volunteers be used to assist in the implementation of the project?
- Yes
- No
How many hours in total do you anticipate the volunteers will do
Provide a brief description of their role in the project
Please identify your partners in the project. State the organisation(s) and their role
Are you aware of any duplication or similar projects in the Glenelg Shire?
- Yes
- No
Please list the similar projects
Have you applied for any other funding for this project?
- Yes
- No
Please indicate from whom and when you expect be notified of the outcome
Will you be charging the participants a fee for this project?
- Yes
- No
How much and how will it determined?

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Nominated Bank Account
The bank account nominated will be directly credited should this application be successful.
The funding will only be paid into a bank account in the name of the organisation at United Way Glenelg will not make payments to third parties, individuals or personal bank accounts.
Details should include a 6-digit BSB, an account number between 2 and 9 digits and the correct account name
BSB*
Account Number*
Account Name*
Project Budget
The budget is the backbone of your United Way Glenelg application.
The application should match the budget perfectly. There should be no surprises in the budget.
United Way Glenelg requires a project budget not an organisational or operating budget.
- This budget outlines the resources required to carry out the project which is being proposed for funding.
- If there are some unusually large expenses in the budget or if something requires an explanation, include a budget narrative that explains the details and shows the calculations used to arrive at the numbers.
- The total income amount MUST equal the total expenditure.
Please upload your project budget*
Max. file size: 64 MB.
An example format can be downloaded here.
Please attach quotes for capital expenses
Drop files here or
Max. file size: 64 MB.
Please attached quotes if purchasing equipment
Drop files here or
Max. file size: 64 MB.

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Accountability and Evaluation
Any surplus funds must be returned to United Way Glenelg. Where applicable, organisations can request to roll over the funds to the following year. This however requires consultation with the Executive Officer, followed by a formal letter of request. All successful applicants must complete the United Way Glenelg Evaluation Report at the completion of the project. The Evaluation Report requires evidence of expenditure of all funds through the provision of receipts, ledger reports, etc. The evaluation must be received within 30 days of the completion date as specified in the project application.
The CEO or Senior Manager must be fully aware, and provide acknowledgement, of the application in order that duplication and competitiveness within the same organisation is avoided.
The CEO or Senior Manager must be able to complete the Evaluation Form at the conclusion of the program being funded if the person applying for the grant in your organisation is no longer employed.
Agreement
The CEO or Senior Manager accepts the terms
Privacy
In some circumstances different agencies can have similar requests for funds. In this situation are you happy for the sharing of information between agencies*
- Yes
- No