Show Societies Resilience
Development Fund 2013-14
Application form
Applications close on 16 August 2013
Applicant details
1. Applicant organisation
2. List of Show Societies represented in application (refer Appendix 1)
3. Principal contact person This person will be contacted about the application
Title:
Position:
Organisation
Given name:
Phone:
Surname:
Email:
Mobile:
Project overview
4. Which best describes the proposed project?
Disaster management and resilience plan
Software/databases
Other show related asset
Professional fees
Other please detail
5. Project title and description
Project Details
6. How will this project support the applicant’s preparedness for a natural disaster event? (Approximately
250 words)
7. How will this project assist in building the community’s capacity to support the conduct of an annual
show in communities impacted by a natural disaster event? (Approximately 250 words)
Show Societies Resilience Development Fund 2013-14
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Project Budget
Total project cost (GST exclusive)
A
$
Total funding requested (GST exclusive)
B
$
C
$
Breakdown of total project costs (e.g. professional fees, capital assets)
$
$
$
$
$
$
$
Applicant’s own source contributions
Certification
I certify that:
·
·
·
·
·
·
·
·
·
I am authorised by the applicant organisation/s to submit this application for funding
all participating show societies support this application (in the case of an application on behalf of a group of show
societies)
I endorse this application for funding
the details in this application are true and correct
participating show societies will deliver the project within the required timeframe
the project will comply with all relevant Acts, Laws, Regulations, Queensland or Commonwealth policies and Industrial
Agreements and Awards
the ongoing operation, maintenance, management and replacement costs for the project will be met by show societies
show societies consent to the release of information in this application (excluding personal details) for non-commercial
public information purposes
should this application be successful, I confirm that the project will not commence until after funding has been approved
and a funding agreement has been executed with the department.
To be signed by either;
1. President of the applicant organisation
2. Director/Delegate of a sub chamber – on behalf of a group of show societies
3. Chief Executive Officer, QCAS – on behalf of group of show societies
Given name
Surname
Position
Organisation
Signature
Date:_______/ _______ / 2013
Scan signed page and email application form to: [email protected] by the 16 August 2013
Show Societies Resilience Development Fund 2013-14
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APPENDIX 1
QCAS Sub-Chambers and Member Show Societies
BURNETT (10)
DARLING DOWNS (19)
SOUTH BURNETT (7)
Biggenden
Bundaberg
Eidsvold
Gayndah
Gin Gin
Isis District (Childers)
Monto
Mt Perry
Mundubbera
Tee Bar
Blackbutt
Goomeri
Kingaroy (South Burnett)
Murgon
Nanango
Proston
Wondai
CENTRAL QUEENSLAND (15)
Baralaba
Callide Valley (Biloela)
Gladstone
Mackay
Marlborough
Mt Larcom
Mt Morgan
Pioneer Valley (Finch Hatton)
Ridgelands
Rockhampton
Sarina
The Caves
Theodore
Wowan
Yeppoon
Allora
Bell
Clifton
Cooyar
Crow’s Nest
Dalby
Goombungee-Haden
Goondiwindi
Inglewood
Jandowae
Killarney
Millmerran
Oakey
Pittsworth
Stanthorpe
Tara
Texas
Toowoomba
Warwick
NEAR NORTH COAST (15)
Caboolture
Dayboro
Eumundi
Fraser Coast (Maryborough)
Gympie
Kenilworth
Kilcoy
Maleny
Mary Valley (Imbil)
Nambour (Sunshine Coast)
Noosa
Pine Rivers
Redcliffe
Samford
Woodford
CENTRAL & NTH WEST (10)
NORTH QUEENSLAND (14)
Barcaldine
Blackall (Barcoo)
Cloncurry
Hughenden
Isisford
Longreach
Mount Isa
Muttaburra (Landsborough)
Tambo
Winton
Atherton
Ayr
Bowen
Cairns
Charters Towers (Towers)
Cooktown
Giru
Ingham (Herbert River)
Innisfail
Malanda
Mareeba
Mossman
Proserpine
Tully
CENTRAL HIGHLANDS (6)
Alpha
Capella
Clermont
Comet River
Emerald
Springsure
Show Societies Resilience Development Fund 2013-14
SOUTH EAST Q’LAND (9)
Beaudesert
Beenleigh
Brookfield
Canungra
Gold Coast
Mt Gravatt
Mudgeeraba
Rocklea
Tambourine Mountain
SOUTH WEST Q’LAND (12)
Charleville
Chinchilla
Cunnamulla
Dirranbandi
Miles
Mitchell
Quilpie
Roma
St George
Taroom
Wallumbilla
Wandoan
WEST MORETON & BNE VLY
(10)
Boonah
Esk
Gatton
Ipswich
Kalbar
Laidley
Lowood
Marburg
Rosewood
Toogoolawah
Other (1)
Royal Queensland Show (Ekka)
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