2015 Industry Partnerships Program Application Form Please submit your Industry Partnerships Program funding application using the form below. Before submitting, please ensure you have read the Industry Partnership Program funding guidelines and complete all the fields below. Applications can be submitted via email, mail or delivered to Port of Newcastle’s office. Email: [email protected] Postal address: PO Box 790, Newcastle NSW 2300 Office address: 6 Newcomen Street, Newcastle Applications for Industry Partnerships will be considered throughout the year. Name of the organisation applying for funding Click here to enter text. What is your and your organisation’s association with the Port of Newcastle? Click here to enter text. Contact person Click here to enter text. Address Click here to enter text. Contact number during business hours Click here to enter text. Email address 1 2015 Industry Partnerships Program Application Form Click here to enter text. Please outline how the project will make a measurable difference to business and industry within the Port of Newcastle or the supply chain, and which of the following priorities it addresses: contribute to a safe and healthy work environment within the port; contribute to the growth and prosperity of local port business or industry; support growth in trade; deliver innovation to position the port for future opportunities; and increase the efficiency and commercial competitiveness of the Port of Newcastle. N.B. Applicants need to demonstrate that projects have a port-wide benefit. Click here to enter text. Please provide a brief description of the project and its aims, including: how the need was identified; timeline and key milestones; sustainability; other funding partners; proposed budget. 2 2015 Industry Partnerships Program Application Form Click here to enter text. Please outline how the project will strengthen relationships between Port of Newcastle, the port community and the supply chain. Click here to enter text. Please outline the project goals and objectives, and how success will be measured. Click here to enter text. 3 2015 Industry Partnerships Program Application Form How would the project be funded after Port of Newcastle’s grant expired? Click here to enter text. What governance is in place around the project? (E.g. How will it be implemented and managed?) Click here to enter text. How is it aligned with Port of Newcastle’s values? Port of Newcastle’s values are: Safety Teamwork Initiative Performance Customer service Delivering on promises. 4 2015 Industry Partnerships Program Application Form Click here to enter text. Proposed start and finish date of the project Click here to enter text. 5
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