2020-21 cmq multicultural event application completing the … · act 2006 (qld). is the...

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2020-21 CMQ Multicultural Event Application Form Preview Application for Multicultural Event in 2021 Before you begin Before starting this application, you must ensure that you have read and understood the Funding Guidelines . We also recommend reading the FAQ Fact Sheet . Visit the Department of Local Government, Racing and Multicultural Affairs website to view the Funding Guidelines and other relevant documentation available. ARE YOU ELIGIBLE TO APPLY? Refer to Funding Guidelines to ensure you are eligible to apply and that your proposal addresses the funding program aim and objectives. COMPLETING THE ONLINE APPLICATION FORM You may begin anywhere in the application form – ensuring you save as you go. Please note: Responses to questions must be entered in the relevant application fields and cannot be submitted as attachments. Only additional supporting materials can be submitted as attachments. Keep your answers clear and concise, noting the maximum word limit for each question. Provide responses in standard sentence formatting. Do not provide responses in UPPERCASE (all capitals). This funding application form is for one event only. A separate application form must be completed for each event for which funding is sought. WHEN TO SUBMIT Online applications can be submitted any time once the funding round opens until midnight of the closing date. NOTE: LATE APPLICATIONS WILL NOT BE ACCEPTED. ASSISTANCE If you need assistance in developing your application, or if you require information about other sources of funding, you can contact the Community Funding Access Advisor at Multicultural Australia Ltd (formerly MDA Ltd) on (07) 3337 5400 or email [email protected] . Multicultural Australia Ltd is a non-government organisation and is independent of the grant assessment process. If you have any queries in relation to the application questions, please contact Multicultural Affairs on (07) 3215 2507 or [email protected] . Please quote your application number when making enquiries about your application. If you need technical assistance with your SmartyGrants account or online application, contact SmartyGrants Technical Support on (03) 9320 6888 or [email protected] . Support Desk Hours: 9.00am – 5.00pm AEDT, Monday – Friday. Privacy Notice Should you wish to submit an application for funding as part of the Celebrating Multicultural Queensland Program (“Program”), the State of Queensland through the Department of Local Government, Racing and Multicultural Affairs (“the Department”) will collect the personal Page 1 of 29

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Page 1: 2020-21 CMQ Multicultural Event Application COMPLETING THE … · Act 2006 (Qld). Is the organisation a legally constituted entity? * Yes No e.g. an incorporated Association, Company

  

2020-21 CMQ Multicultural Event ApplicationForm Preview

  

Application for Multicultural Event in 2021Before you begin

Before starting this application, you must ensure that you have read andunderstood the Funding Guidelines.We also recommend reading the FAQ Fact Sheet.Visit the Department of Local Government, Racing and Multicultural Affairs website to viewthe Funding Guidelines and other relevant documentation available.

ARE YOU ELIGIBLE TO APPLY? Refer to Funding Guidelines to ensure you are eligible toapply and that your proposal addresses the funding program aim and objectives.

COMPLETING THE ONLINE APPLICATION FORM You may begin anywhere in theapplication form – ensuring you save as you go. Please note:

•  Responses to questions must be entered in the relevant application fields and cannotbe submitted as attachments.

• Only additional supporting materials can be submitted as attachments.• Keep your answers clear and concise, noting the maximum word limit for eachquestion.

• Provide responses in standard sentence formatting. Do not provide responses inUPPERCASE (all capitals).

• This funding application form is for one event only. A separate application form mustbe completed for each event for which funding is sought.

WHEN TO SUBMIT Online applications can be submitted any time once the funding roundopens until midnight of the closing date. NOTE: LATE APPLICATIONS WILL NOT BEACCEPTED.

ASSISTANCE If you need assistance in developing your application, or if you requireinformation about other sources of funding, you can contact the Community FundingAccess Advisor at Multicultural Australia Ltd (formerly MDA Ltd) on (07) 3337 5400 oremail [email protected]. Multicultural Australia Ltd is a non-governmentorganisation and is independent of the grant assessment process.If you have any queries in relation to the application questions, please contact MulticulturalAffairs on (07) 3215 2507 or [email protected]. Please quote your applicationnumber when making enquiries about your application.If you need technical assistance with your SmartyGrants account or onlineapplication, contact SmartyGrants Technical Support on (03) 9320 6888 [email protected]. Support Desk Hours: 9.00am – 5.00pm AEDT, Monday –Friday.

Privacy Notice

Should you wish to submit an application for funding as part of the Celebrating MulticulturalQueensland Program (“Program”), the State of Queensland through the Department of LocalGovernment, Racing and Multicultural Affairs (“the Department”) will collect the personal

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information that you provide in your application to process your application in accordancewith the Program Guidelines.The personal information contained in your application will be stored securely and accessedby the Department’s authorised officers and employees for the purpose of administeringand coordinating the Program. The Program is being conducted by the Departmentusing SmartyGrants, a cloud-based grants administration software system, and personalinformation you provide in the course of submitting your application will be collected byOur Community Pty Ltd, the entity that operates SmartyGrants. Information you provideon the application may be stored outside of Australia by Our Community Pty Ltd and itsthird party service providers and by submitting the application, you agree to such transfer.Further information on Our Community Pty Ltd’s Privacy Policy is available at: https://www.ourcommunity.com.au/privacy.Personal information contained in the application may be disclosed to the Program’sassessment panel, comprising of officers and employees from Queensland Governmentdepartments, and may also include members external to the Department, for the purposeof assessing the applications. Personal information contained in your application may alsobe disclosed to other Queensland Government departments or agencies and QueenslandGovernment bodies in connection with the administration of the Program, including to verifywhether other sponsorship or funding has been received by the applicant for the event.In order to verify information contained in your application, personal information providedin the application may be disclosed to the community representatives who have providedletters of support as part of your application.You should be aware that information provided by you may be subject to disclosure underthe Right to Information Act 2009 subject to the exemptions under that Act. The personalinformation contained in your application will not be otherwise used or disclosed withoutyour consent unless authorised or required by law.The email address you provide as part of the application process may be used by theDepartment to notify you of the Program in future years, other multicultural information andinvitations from the Queensland Government to events. If you do not wish to be notified offuture funding opportunities, multicultural information or invitations, please contact us viaemail.If you are a successful applicant, details of the applicant and the event may be used bythe Department to advertise, promote and/or report on the event or the Program, unlessyou inform the Department you do not wish your information to be made public. Personalinformation will be managed in accordance with the Information Privacy Act 2009 (Qld).

Further information about the Department’s treatment of, and your right to access,personal information can be viewed on the Department of Local Government, Racing andMulticultural Affairs website.

 Section 1: Applicant Organisation* indicates a required field

Applicant Organisation

Organisation Name *Organisation Name

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 Please use the organisation's full legal entity name. Check your spelling and make sure you providethe same name that is listed in official documentation such as with the Office of Fair Trading (OFT),Australian Business Register (ABR), Australian Charities and Not-for-profits Commission (ACNC) orAustralian Taxation Office (ATO).

Business or trading name (if applicable) If the organisation is known by a different name to the full legal entity name.

Is the organisation a Local Government body or a State School P&C Association? *○  Yes ○  Noe.g. a Local Government body constituted under the Local Government Act 2009 (Qld) or the City ofBrisbane Act 2010 (Qld); or a P&C Association established under the Education (General Provisions)Act 2006 (Qld).

Is the organisation a legally constituted entity? *○  Yes ○  Noe.g. an incorporated Association, Company or Trust; or a charitable institution granted letters patentunder the Religious Educational and Charitable Institutions Act 1861 (Qld). For further informationrefer to the 2020-21 Funding Guidelines for Multicultural Events.

Attach a copy of the organisation’s Certificate of Incorporation or similardocumentation *Attach a file:

 

Does the organisation have an agreement with an eligible organisation to act asan auspice for the activity? *○   Yes○   No - organisations that are not a legally constituted entity will need to seek incorporationor approach an eligible organisation to auspice their proposed application.

• WITHOUT AN AUSPICE ARRANGEMENT, THIS APPLICATION IS INELIGIBLE.

Is the organisation a not-for-profit, and/or charitable organisation? *○  Yes ○  No

Does the organisation have an active Australian Business Number (ABN)? *○  Yes ○  No

What is the ABN? *

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 The ABN provided will be used to look up the following information. Click Lookup above tocheck that you have entered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

 Entity type

 Goods & Services Tax (GST)

 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

Must be an ABN

What is the organisation's registration number? 

e.g. Incorporated Association (e.g. IA12345) or Australian Corporation Number (e.g. ACN 123 456 789).You can search for your organisation's IA number here or ACN number here.

Organisation Details

Postal Address *Address  Can’t find your address or need to use a PO Box? Enter it in manually by clicking 'Can't find youraddress'. Address Line 1, Suburb/Town, State/Province, and Postcode are required. Country must beAustralia

Office Street Address (if applicable)Address  Leave blank if the organisation does not have an office. Can’t find your address or need to use a POBox? Enter it in manually by clicking 'Can't find your address'. Address Line 1, Suburb/Town, State/Province, and Postcode are required. Country must be Australia

Organisation Primary Email * Website

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 Must be a URL

Facebook Page 

Must be a URL.

What are the main programs and services delivered by your organisation?

 Word count:Must be no more than 100 words.

Primary Organisation Contact

This person will be contacted about the application and if approved, the grantadministration.

Name *Title   First Name   Last Name         Position Title * Enter in the full position title e.g. Chief Executive Officer - not CEO

Phone Number 

Insert area code before the number e.g. 07. Must be an Australian phone number and at least 10characters.

Mobile Number 

Must be an Australian phone number and at least 10 characters.

Email Address * Must be an email address

Secondary Organisation Contact

This person will be contacted about the application and grant administration if the PrimaryContact is unavailable.

NameTitle   First Name   Last Name

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         Position Title Enter in the full position title e.g. Chief Executive Officer - not CEO

Phone Number 

Insert area code before the number e.g. 07. Must be an Australian phone number and at least 10characters.

Mobile Number 

Must be an Australian phone number and at least 10 characters.

Email Address Must be an email address

Does the organisation have public liability insurance (minimum $10 million) tocover the proposed event? *○  Yes ○  NoFor further information, refer to the 2020-21 Funding Guidelines for Multicultural Events

Attach a copy of the organisation’s most recent public liability insuranceCertificate of Currency *Attach a file:

 Ensure the attached document shows the start and end dates of the cover, the type of insurance coverand the amount covered.

Provide details on how the organisation plans to obtain public liability insuranceto the value of no less than $10 million to cover the event.A copy of a Certificate of Currency must be provided to the department at least one monthprior to the delivery of the event.

Proposed name of insurer Date proposing to obtain insurance *

 Must be a date.

Proposed amount to be insured *

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$Must be at least $10,000,000

 Section 2: Auspicing Organisation* indicates a required field

Auspicing Organisation

An auspicing organisation has legal and financial responsibility for the event, ifsuccessful. The auspicing organisation is required to:

•  enter into a funding agreement• receive the funding and disburse to the applicant organisation• submit the final Acquittal Report required for the event.

Organisation Name *Organisation Name

 Please use the organisation's full entity name. Check your spelling and make sure you provide thesame name that is listed in official documentation such as with the Office of Fair Trading (OFT),Australian Business Register (ABR), Australian Charities and Not-for-profits Commission (ACNC) orAustralian Taxation Office (ATO).

Business or trading name (if applicable) If the organisation is known by a different name to the full legal entity name.

Is the organisation a Local Government Authority or a P&C Association? *○  Yes ○  Noe.g. a Local Government body constituted under the Local Government Act 2009 (Qld) or the City ofBrisbane Act 2010 (Qld); or a P&C Association established under the Education (General Provisions)Act 2006 (Qld).

Is the auspicing organisation a legally constituted entity? *○  Yes ○  Noe.g. an incorporated Association, Company or Trust; or a charitable institution granted letters patentunder the Religious Educational and Charitable Institutions Act 1861 (Qld). For further informationrefer to the 2020-21 Funding Guidelines for Multicultural Events.

Attach a copy of the auspicing organisation’s Certificate of Incorporation orsimilar documentation *Attach a file:

 

If the auspicing organisation is not a legally constituted entity, THIS APPLICATIONIS INELIGIBLE *

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○   I understand

Is the auspicing organisation a not-for-profit, and/or charitable organisation? *○  Yes ○  No

Does the auspicing organisation have an active Australian Business Number(ABN)? *○  Yes ○  No

What is the ABN? * 

The ABN provided will be used to look up the following information. Click Lookup above tocheck that you have entered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

 Entity type

 Goods & Services Tax (GST)

 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

Contact Details

Postal Address *Address  Can’t find your address or need to use a PO Box? Enter it in manually by clicking 'Can't find youraddress'. Address Line 1, Suburb/Town, State/Province, and Postcode are required. Country must beAustralia

Office Street Address (if applicable)Address  

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Leave blank if the organisation does not have an office. Can’t find your address or need to use a POBox? Enter it in manually by clicking 'Can't find your address'. Address Line 1, Suburb/Town, State/Province, and Postcode are required. Country must be Australia

Organisation Primary Email * Must be an email address.

Website Address 

Must be a URL

Attach a letter from the auspicing organisation agreeing to auspice the event *Attach a file:

 

Primary Organisation Contact

This person will be contacted about the application and if approved, the grantadministration.

Name *Title   First Name   Last Name         Position Title *

 Enter in the full position title e.g. Chief Executive Officer - not CEO

Phone Number 

Insert area code before the number e.g. 07. Must be an Australian phone number and at least 10characters.

Mobile Number 

Must be an Australian phone number and at least 10 characters.

Email Address * Must be an email address

Will the auspicing organisation have public liability insurance (minimum $10million) to cover the proposed event? *○  Yes ○  NoFor further information refer to the 2020-21 Funding Guidelines for Multicultural Events

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Attach a copy of the auspicing organisation’s most recent public liabilityinsurance Certificate of Currency *Attach a file:

 Ensure the attached document shows the start and end dates of the cover, the type of insurance coverand the amount covered.

Provide details on how the auspicing organisation plans to obtain public liabilityinsurance to the value of no less than $10 million to cover the event.A copy of a Certificate of Currency must be provided to the department at least one monthprior to the delivery of the event.

Proposed name of insurer Date proposing to obtain insurance *

 Must be a date.

Proposed amount to be insured *$Must be at least $10,000,000

 Section 3: Event Details* indicates a required field

Important

Responses to questions are required in the fields below and cannot be submittedas attachments.Only additional supporting materials can be submitted as attachments.

What level of grant funding are you eligible to request? *○   $10,000 or less○   $10,001 - $20,000Refer to the 2020-21 Funding Guidelines for Multicultural Events for the funding category and grantlevels

Event Title *

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 Must be no more than 120 characters.Ensure the title clearly communicates the purpose of the event and is short but descriptive. We willuse the title on all correspondence.

Event Summary *

 Word count:Must be no more than 100 words.Ensure you provide a clear, brief description of the event, what is celebrating and its culturalsignificance.

What is the expected attendance for this event? * 

Must be in numerical format (e.g. use numbers only, do not use letters or other characters such as: , .+ - / \ # ; :)

Ensure the estimated attendance for this event is as realistic as possible.

Who are the primary audiences for the event? *

 Word count:Must be no more than 50 words.Please specify the primary cultural group(s), including particular religious group(s), that will beengaged if appropriate.

Event DatesDo not include any event planning or organising periods within these dates. For asingle day event, provide the same date for the start and finish date.

Proposed start date the event will be held. * 

Must be a date between 1/1/2021 and 31/12/2021. Do not include any event planning or organisingperiods within this date.

Proposed end date the event will be held. * 

Must be a date between 1/1/2021 and 31/12/2021. Do not include any event planning or organisingperiods within this date.

Event Location/s

What is the primary address of where the event will be held *Address 

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   Address Line 1, Suburb/Town, State/Province, and Postcode are required. Country must be Australia

Indicate the building, park or location name (if applicable) 

If the event has multiple locations, where will the additional activities be held?

 Provide the street address where the proposed additional activities will be held.

What will be the primary website or Facebook page promoting the event? 

Must be a URL.Leave blank if not applicable

How long has the event be running for? *

 Include the year the event was first held

How many people have attended your event over the past five years?If the event was not held in particular years, enter 0 as the number of people attended.If the 2020 event has not taken place yet or was cancelled due to social distancing, changethe event years to 2019-2015.

Year Number of people attended2020  2019  

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2018  2017  2016  

If not applicable, enter as 0.Must be a number.

Average attendance over the past five years 

This number/amount is calculated.

Has this event previously received funding from the Queensland Government(including Multicultural Affairs)? *○  Yes ○  No

If yes, provide details of the funding previously provided by the QueenslandGovernment *

 Event Contact

This person will be contacted about the event and these details will be posted on theDepartment of Local Government, Racing and Multicultural Affairs events calendar, shouldthis application be successful.

Name *Title   First Name   Last Name         Position Title *

 Provide the full position title e.g. Chief Executive Officer - not CEO

Phone number 

Insert area code before the number e.g. 07. Must be an Australian phone number and at least 10characters.

Mobile number 

Must be an Australian phone number and at least 10 characters.

Email address * 

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Must be an email address

 Section 4: Event Delivery* indicates a required field

Important

Responses to questions are required in the fields below and cannot be submittedas attachments.Only additional supporting materials can be submitted as attachments.

Question 1: What activities will be delivered at the event?On separate lines, list the specific activities to be conducted at the event to explain whatthe event includes. Do not include any event planning or organising actions.

ActivitiesInsert one activity per line only. More rows can be added        

Question 2: What communities will be engaged in the event and how willparticipation from the wider community be encouraged? *

 Word count:Must be no more than 250 words.Members of the wider community includes people from diverse ages and from ability groups.

Question 3: Provide evidence of community support and how planning anddelivery of the event will be inclusively undertaken? (Established Events only)Indicate:

•  extent of community support received for the proposed event• roles and responsibilities of partnering organisations

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• how people from diverse cultural backgrounds are involved in the event planning anddelivery

• an indicative timeline for planning and delivering the event• what relevant skills and experience your organisation has to enable effective delivery ofthe event

*

 Word count:Must be no more than 400 words.

If applicable, attach letters indicating current support for the event (EstablishedEvents only) Attach a file:

 Files can be up to 25MB each; however we recommend a maximum file size of 5MB. Hint:Select multiple files of similar content, such as photos or support letters, and upload themtogether.

Letters of support are to be for the proposed upcoming event. Please note: previous lettersdo not indicate current support for the event.

Question 4: What are the expected outcomes that the event aims to achieve, andhow will you know the outcomes have been achieved? (Established Events only)  *

 Word count:Must be no more than 400 words.Describe what you want the event to achieve in terms of benefits for participants and/or others.Expected outcomes should be evidence based and align with the Multicultural Queensland Charter andthe CMQ program objectives.

 Section 5: Event Budget* indicates a required field

Before completing this section, ensure you have read and understood the2020-21 Funding Guidelines for Multicultural Events, specifically:

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•  What can funding be used for?• What can’t funding be used for?

All amounts are to be GST exclusive.Please do not add commas to numbers – e.g. enter 1000 not 1,000. This will ensureyour figures for each table add up correctly.

Funding Sought – Small, New and Emerging Events

Funding Amount Requested   

Must be a whole dollar amount (no cents) and nomore than $10,000

Funding Sought – Established Events

Funding Amount Requested   

Must be a whole dollar amount (no cents) and nomore than $20,000

PLEASE NOTE: For applications seeking more than $10,000 for Established Events,ensure you address the financial mandatory criteria of presenting a justifiedbudget with financial contribution (cash and in-kind) from applicant organisationand other sources.

Additional Income

Please provide an itemised list of the additional income amounts and the fundingsource for the event, including the details of other funding that you have appliedfor, and if it has been confirmed or not. If funding is being sought for this event fromother sources, it must be included in the table below.

•  Do not include the funding you are requesting under the CMQ program.• All amounts must exclude GST.• Please do not add commas to numbers – e.g. enter 1000 not 1,000, This willensure your figures for each table add up correctly.

• Insert ‘0’ against items not relevant to your event.• You can include additional rows if required.

Additional Income(Funding Source)

Status of Funds Amount (ex. GST)

Additional Income Sources.Additional rows can be added

Confirmed, Pending or N/A Must be a whole dollar amount(no cents).

Applicant’s cash contribution    

Applicant’s in-kind contribution    

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Local Government grant    

Other Queensland Governmentgrant (please specify):

   

Australian Government grant(please specify):

   

Corporate sponsorship (pleasespecify):

   

Other (please specify):    

EXPENDITURE - ITEMISED BUDGET

Please provide an itemised list of the expense items, the total amount of thatexpense, and the amount of CMQ funding that will contribute to that expense.

•  All amounts must exclude GST.• Please do not add commas to numbers – e.g. enter 1000 not 1,000. This willensure your figures for each table add up correctly.

• You can include additional rows if required.• Refer to the 2020-21 Funding Guidelines for Multicultural Events for expenseitems and amounts that are eligible, and not eligible, with the CMQ program funding.

NOTE:Non-recurrent salaries and on-costs:capped at up to 50% of the funding from the CMQprogramEquipment and venue hire:capped at up to $5,000 of the funding from the CMQ programAdvertising and marketing:capped at up to $3,000 of the funding from the CMQ programCatering:capped at up to $1,000 of the funding from the CMQ program

EXAMPLE BUDGET TABLE:Expense Item DescriptionTotal Expense AmountCMQ Funding AmountNon-recurrent salaries and on-costs1000500Equipment hire1000500Venue hire500500Advertising1000500Performers Fees20001000Travel costs5000

Expense Item Description Total Expense Amount CMQ Funding AmountExpense items. Additional rowscan be added

Must be a whole dollar amount(no cents).

Must be a whole dollar amount(no cents).

    $                    

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Total Amount Requested

 This number/amount is calculated.

Total Event Cost

 This number/amount is calculated.

CMQ Funding Allocation

The below totals will assist you to correctly allocate the requested CMQ funding against theexpenditure. The Funding Allocation Balance must equal $0.

FundingAmountRequested

CMQ FundingAmounts Total

FundingAllocationBalance

$   $   $This number/amount iscalculated.

This number/amount iscalculated.

This number mustbe $0This number/amount iscalculated.

Is the Funding Allocation Balance equal to $0? *○   Yes○   No. The Funding Allocation is more than $0○   No. The Funding Allocation is less than $0

If the Funding Allocation Balance equals $0, you have correctly allocated the CMQFunding Amounts.If the Funding Allocation Balance is more than $0, the Funding Amount Requested ismore than the CMQ Funding Amounts Total. You must revise the CMQ Funding Amounts inthe Expenditure table above to ensure they equal the Funding Amount Requested.If the Funding Allocation Balance is less than $0, the Funding Amount Requested is lessthan the CMQ Funding Amounts Total. You must revise the CMQ Funding Amounts in theExpenditure table above to ensure they equal the Funding Amount Requested.

Budget Totals

Total IncomeAmount

Total ExpensesAmount

Budget Surplusor Deficit

$   $   $This number/amount iscalculated.

This number/amount iscalculated.

This number shouldbe $0This number/amount iscalculated.

Do you have any additional comments in relation to the budget?

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 Does the event depend on funding from other sources? *○  Yes ○  No

If yes, provide further detail of the other funding sources that the event dependson *

 If your organisation is offered funding less than the amount you have requested,would you be able to proceed with the event? *○  Yes ○  No

If yes, what are the implications for the event if less funding is offered? *

 Are there strategies in place to strengthen the event’s funding base to increasesustainability and to expand and develop the event annually? *○  Yes ○  No

If yes, provide details on the strategies in place *

  Section 7: Join the Directory (optional)Queensland Multicultural Resource Directory

The Queensland Multicultural Resource Directory provides a comprehensive listing of morethan 900 key organisations with multicultural community focus in Queensland including:

•  multicultural media outlets and schools• community, non-government and government organisations and agencies• Consuls• migrant and refugee service organisations• bilateral business associations

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• interstate multicultural offices

If you choose to be added to the directory, you are providing your consent to be includedin the publicly available resource directory, our stakeholder database and mailing list forQueensland Government multicultural information. The directory does not include privatebusinesses. Please refer to the eligibility guidelines (PDF, 113 KB) .The Queensland Government is collecting your personal information to send you informationof interest in the areas you have selected. Your personal information is also listed in theQueensland Multicultural Resource Directory which is available online. Your details are onlylisted in the Directory if you specifically request inclusion.The Department may provide your contact details to Protocol Queensland in the Departmentof Premiers and Cabinet (DPC) for the purpose of sending invitations to luncheons for avisiting Ambassador and the Minister’s Office or DPC for the purpose of sending invitationsfor consultations or social events.If you would like to receive Queensland Government multicultural information, pleasesubscribe to Discover DLGRMA.If you just need to update your existing directory details, please send an email orphone (07) 3215 2500.

Do you consent for the Organisation, Primary Contact and Secondary Contactto be included in the publicly available Queensland Multicultural ResourceDirectory, our stakeholder database and mailing list for Queensland Governmentmulticultural information.○   Yes○   No

Does your organisation identify with a specific ethnicity/ies?○  Acehnese ○  Ecuadorian ○  Malay ○  Shona○  Acholi ○  Egyptian ○  Malayali ○  Sierra Leonean○  Afghan ○  Emirati ○  Maldivian ○  Sikh○  African American ○  English ○  Maltese ○  Sindhi○  Afrikaner ○  Eritrean ○  Mandaean ○  Singaporean○  Akan ○  Estonian ○  Mandinka ○  Sinhalese○  Albanian ○  Ethiopian ○  Manx ○  Slovak○  Algerian ○  Fijian Indian ○  Maori ○  Slovene○  American ○  Fijian ○  Maritime South-East

Asian○  Solomon Islander

○  Amhara ○  Filipino ○  Masai ○  Somali○  Anglo-Burmese ○  Finnish ○  Mauritian ○  Sorb/Wend○  Anglo-Indian ○  Flemish ○  Mayan ○  South African○  Angolan ○  French Canadian ○  Melanesian and

Papuan○  South American

○  Arab ○  French ○  Mexican ○  South EasternEuropean

○  Argentinian ○  Frisian ○  Micronesian ○  South Sudanese○  Armenian ○  Fulani ○  Moldovan ○  South-East Asian○  Assyrian ○  Georgian ○  Mon ○  Southern and

Central Asian○  Australian ○  German ○  Mongolian ○  Southern and East

African

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○  AustralianAboriginal

○  Ghanaian ○  Montenegrin ○  Southern andEastern European

○  Australian SouthSea Islander

○  Gibraltarian ○  Moroccan ○  Southern Asian

○  Austrian ○  Gio ○  Mozambican ○  Southern European○  Azeri ○  Greek ○  Namibian ○  Spanish○  Bahraini ○  Guatemalan ○  Native North

American Indian○  Sri Lankan Tamil

○  Balinese ○  Gujarati ○  Nauruan ○  Sri Lankan○  Bangladeshi ○  Guyanese ○  Nepalese ○  Sub-Saharan

African○  Barbadian ○  Hawaiian ○  New Caledonian ○  Sudanese○  Bari ○  Hazara ○  New Zealander ○  Sundanese○  Basque ○  Hispanic (North

American)○  Nicaraguan ○  Swahili

○  Batswana ○  Hmong ○  Nigerian ○  Swazilander○  Belarusan ○  Hungarian ○  Niuean ○  Swedish○  Belgian ○  Hutu ○  Ni-Vanuatu ○  Swiss○  Bengali ○  Icelandic ○  North African and

Middle Eastern○  Syrian

○  Berber ○  Igbo ○  North American ○  Tahitian○  Bermudan ○  I-Kiribati ○  North-East Asian ○  Taiwanese○  Bhutanese ○  Indian Tamil ○  Northern European ○  Tajik○  Bolivian ○  Indian ○  North-West

European○  Tamil

○  Bosnian ○  Indonesian ○  Norwegian ○  Tanzanian○  Brazilian ○  Iranian ○  Nubian ○  Tatar○  British ○  Iraqi ○  Nuer ○  Telugu○  Bruneian ○  Irish ○  Ogaden ○  Temoq○  Bulgarian ○  Italian ○  Omani ○  Thai○  Burgher ○  Ivorean ○  Oromo ○  Themne○  Burmese ○  Jamaican ○  Other North African

and Middle Eastern○  Tibetan

○  Burundian ○  Japanese ○  Other North-EastAsian

○  Tigrayan

○  Cameroonian ○  Javanese ○  Pakistani ○  Tigre○  Canadian ○  Jewish ○  Palestinian ○  Timorese○  Caribbean Islander ○  Jordanian ○  Papua New Guinean○  Togolese○  Catalan ○  Kadazan ○  Paraguayan ○  Tokelauan○  Central American ○  Karen ○  Parsi ○  Tongan○  Central and WestAfrican

○  Kashmiri ○  Pathan ○  Torres StraitIslander

○  Central Asian ○  Kazakh ○  Peoples of theAmericas

○  Trinidadian(Tobagonian)

○  Chaldean ○  Kenyan ○  Peoples of theSudan

○  Tunisian

○  Channel Islander ○  Khmer (Cambodian)○  Peruvian ○  Turkish○  Chilean ○  Korean ○  Polish ○  Turkmen○  Chin ○  Krahn ○  Polynesian ○  Tuvaluan○  Chinese Asian ○  Kunama ○  Portuguese ○  Ugandan○  Chinese ○  Kurdish ○  Puerto Rican ○  Uighur○  Colombian ○  Kuwaiti ○  Punjabi ○  Ukrainian○  Congolese ○  Kyrgyz ○  Qatari ○  Uruguayan○  Cook Islander ○  Lao ○  Rohingya ○  Uzbek

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○  Coptic ○  Latvian ○  Roma/Gypsy ○  Venezuelan○  Costa Rican ○  Lebanese ○  Romanian ○  Vietnamese○  Croatian ○  Liberian ○  Russian ○  Vlach○  Cuban ○  Libyan ○  Rwandan ○  Welsh○  Cypriot ○  Lithuanian ○  Salvadoran ○  Western European○  Czech ○  Luxembourg ○  Samoan ○  Yemeni○  Danish ○  Macedonian ○  Saudi Arabian ○  Yoruba○  Darfu/Darfurian ○  Madi (Ma'di) ○  Scottish ○  Zambian○  Dinka ○  Madurese ○  Senegalese ○  Zimbabwean○  Dutch ○  Mainland South-

East Asian○  Serbian ○  Zulu

○  Eastern European ○  Malawian ○  Seychellois ○  Other: 

Does your organisation identify with a specific ethnicity?

Does your organisation identify with any particular faith/religion?○  AboriginalEvangelical Missions

○  ChristianCommunity Churchesof Australia

○  Liberal CatholicChurch

○  Russian Orthodox

○  Acts 2 Alliance ○  Christian Science ○  Lutheran ○  Salvation Army○  Agnosticism ○  Church of Christ

(Non-Denominational)○  MacedonianOrthodox

○  Satanism

○  Albanian Orthodox ○  Church ofScientology

○  Mandaean ○  Secular Beliefs

○  AncestorVeneration

○  Church of theNazarene

○  Maronite Catholic ○  Serbian Orthodox

○  Ancient Church ofthe East

○  Churches of Christ(Conference)

○  Melkite Catholic ○  Seventh-DayAdventist

○  Anglican CatholicChurch

○  Community ofChrist

○  Methodist ○  Shinto

○  Anglican Church ofAustralia

○  Confucianism ○  Multi Faith ○  Sikhism

○  Anglican ○  Congregational ○  Nature Religions ○  Spiritualism○  Animism ○  Coptic Orthodox

Church○  New Age ○  Sukyo Mahikari

○  AntiochianOrthodox

○  CRC International(Christian RevivalCrusade)

○  New ApostolicChurch

○  Syrian OrthodoxChurch

○  Apostolic Church(Australia)

○  Druidism ○  New Churches(Swedenborgian)

○  Syro MalabarCatholic

○  Apostolic Church ofQueensland

○  Druse ○  No Religion ○  Taoism

○  Armenian Apostolic ○  Eastern Orthodox ○  Oriental Orthodox ○  Temple Society○  Assyrian Apostolic ○  Eckankar ○  Other Christian ○  Tenrikyo○  Assyrian Church ofthe East

○  Ethiopian OrthodoxChurch

○  Other Protestant ○  The Church of JesusChrist of Latter-DaySaints

○  Atheism ○  Ethnic EvangelicalChurches

○  Other SpiritualBeliefs

○  Theism

○  AustralianAboriginal TraditionalReligions

○  Foursquare GospelChurch

○  Own SpiritualBeliefs

○  Theosophy

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○  Australian ChristianChurches (Assembliesof God)

○  Free Reformed ○  Paganism ○  Ukrainian Catholic

○  Baha'i ○  Full Gospel Churchof Australia (FullGospel Church)

○  Pentecostal CityLife Church

○  Ukrainian Orthodox

○  Baptist ○  Gnostic Christians ○  Pentecostal ○  UnitarianUniversalism

○  Bethesda MinistriesInternational(Bethesda Churches)

○  Grace CommunionInternational(Worldwide Church ofGod)

○  Presbyterian ○  United MethodistChurch

○  Born AgainChristian

○  Greek Orthodox ○  Rastafari ○  United Pentecostal

○  Brethren ○  Hinduism ○  Ratana (Maori) ○  Uniting Church○  Buddhism ○  Humanism ○  Rationalism ○  Victory Life Centre○  C3 Church Global(Christian City Church)

○  IndependentEvangelical Churches

○  Reformed ○  Victory WorshipCentre

○  Caodaism ○  InternationalChurch of Christ

○  Religious Groups ○  Wesleyan MethodistChurch

○  Catholic ○  InternationalNetwork of Churches(Christian OutreachCentres)

○  Religious Science ○  Western Catholic

○  Chaldean Catholic ○  Islam ○  Religious Society ofFriends (Quakers)

○  Wiccan (Witchcraft)

○  Chinese Religions ○  Jainism ○  Revival Centres ○  Worship CentreNetwork

○  Christadelphians ○  Japanese Religions ○  Revival Fellowship ○  Yezidi○  Christian andMissionary Alliance

○  Jehovah'sWitnesses

○  Rhema FamilyChurch

○  Zoroastrianism

○  Christian Church InAustralia

○  Judaism ○  Romanian Orthodox○  Other: 

Does your organisation identify with any particular faith/religion?

Languages spoken in your organisation☐  Aboriginal English ☐  Fulfulde ☐  Light Warlpiri ☐  Rembarrnga☐  Acehnese ☐  Ga ☐  Lingala ☐  Rirratjingu☐  Acholi ☐  Gaelic (Scotland) ☐  Lithuanian ☐  Ritharrngu☐  Adnymathanha ☐  Galpu ☐  Liyagalawumirr ☐  Rohingya☐  African Languages ☐  Gambera ☐  Liyagawumirr ☐  Romanian☐  Afrikaans ☐  Gamilaraay ☐  Loma (Lorma) ☐  Romany☐  Akan ☐  Ganalbingu ☐  Luganda ☐  Rotuman☐  Alawa ☐  Garrwa ☐  Lumun (Kuku

Lumun)☐  Russian

☐  Albanian ☐  Garuwali ☐  Luo ☐  Samoan☐  Alngith ☐  Georgian ☐  Luritja ☐  Scandinavian☐  Alyawarr ☐  German ☐  Macedonian ☐  Serbian☐  AmericanLanguages

☐  Gilbertese ☐  Madarrpa ☐  Serbo-Croatian/Yugoslavian

☐  Amharic ☐  Girramay ☐  Madi ☐  Seychelles Creole☐  Amurdak ☐  Githabul ☐  Malak Malak ☐  Shilluk☐  Anindilyakwa ☐  Golumala ☐  Malay ☐  Shona

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☐  Anmatyerr ☐  Gooniyandi ☐  Malayalam ☐  Sign Languages☐  Antekerrepenh ☐  Greek ☐  Malngin ☐  Sindhi☐  Antikarinya ☐  Gudanji ☐  Maltese ☐  Sinhalese☐  Anuak ☐  Gudjal ☐  Mandaean

(Mandaic)☐  Slovak

☐  Arabana ☐  Gujarati ☐  Mandarin ☐  Slovene☐  Arabic ☐  Gumatj ☐  Mandinka ☐  Solomon Islands

Pijin☐  Arandic ☐  Gumbaynggir ☐  Mangala ☐  Somali☐  Armenian ☐  Gundjeihmi ☐  Mangarrayi ☐  Southeast

Asian AustronesianLanguages

☐  Arnhem Land andDaly River RegionLanguages

☐  Gun-Nartpa ☐  Manggalili ☐  Spanish

☐  Aromunian(Macedo-Romanian)

☐  Gupapuyngu ☐  Mann ☐  Swahili

☐  Arrernte ☐  Gurindji Kriol ☐  Manyjalpingu ☐  Swedish☐  Assamese ☐  Gurindji ☐  Manyjilyjarra ☐  Tagalog☐  Assyrian Neo-Aramaic

☐  Gurr-Goni ☐  Maori (Cook Island) ☐  Tai

☐  Auslan ☐  Guugu Yimidhirr ☐  Maori (NewZealand)

☐  Tamil

☐  Azeri ☐  Guyamirrilili ☐  Marathi ☐  Tatar☐  Baanbay ☐  Hakka ☐  Maringarr ☐  Telugu☐  Badimaya ☐  Harari ☐  Marra ☐  Tetum☐  Balinese ☐  Hausa ☐  Marramaninyshi ☐  Thai☐  Balochi ☐  Hawaiian English ☐  Marrangu ☐  Thaynakwith☐  Bandjalang ☐  Hazaraghi ☐  Marridan (Maridan) ☐  Themne☐  Banyjima ☐  Hebrew ☐  Marrithiyel ☐  Tibetan☐  Barababaraba ☐  Hindi ☐  Martu Wangka ☐  Tigre☐  Bardi ☐  Hmong ☐  Matngala ☐  Tigrinya☐  Bari ☐  Hmong-Mien ☐  Maung ☐  Timorese☐  Basque ☐  Hungarian ☐  Mauritian Creole ☐  Tiwi☐  Bassa ☐  Iban ☐  Mayali ☐  Tjungundji☐  Batjala ☐  Iberian Romance ☐  Meriam Mir ☐  Tjupany☐  Belorussian ☐  Icelandic ☐  Middle Eastern

Semitic Languages☐  Tok Pisin(Neomelanesian)

☐  Bemba ☐  Igbo ☐  Min Nan ☐  Tokelauan☐  Bengali ☐  Iiokano ☐  Miriwoong ☐  Tongan☐  Bidjara ☐  Ilonggo (Hiligaynon)☐  Mirning ☐  Tswana☐  Bikol ☐  Indo-Aryan ☐  Mon ☐  Tulu☐  Bilinarra ☐  Indonesian ☐  Mongolian ☐  Turkic☐  Bisaya ☐  Invented

Languages☐  Mon-Khmer ☐  Turkish

☐  Bislama ☐  Iranic ☐  Moro (Nuba Moro) ☐  Turkmen☐  Bosnian ☐  Irish ☐  Morrobalama ☐  Tuvaluan☐  Bulgarian ☐  Italian ☐  Motu (Hirimotu) ☐  Ukrainian☐  Bunuba ☐  Iwaidja ☐  Mudburra ☐  Urdu☐  Burarra ☐  Jaminjung ☐  Murrinh Patha ☐  Uygur☐  Burarran ☐  Japanese ☐  Muruwari ☐  Uzbek☐  Burmese andRelated Languages

☐  Jaru ☐  Na-Kara ☐  Vietnamese

☐  Burmese ☐  Javanese ☐  Narungga ☐  Waanyi

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☐  Cantonese ☐  Jawi ☐  Nauruan ☐  Wagilak☐  Cape YorkPeninsula Languages

☐  Jawoyn ☐  Ndebele ☐  Wagiman

☐  Catalan ☐  Jingulu ☐  Ndjebbana(Gunavidji)

☐  Wajarri

☐  Cebuano ☐  Kalaw Kawaw Ya/Kalaw Lagaw Ya

☐  Nepali ☐  Walmajarri

☐  Celtic ☐  Kanai ☐  Ngaanyatjarra ☐  Waluwarra☐  Central Anmatyerr ☐  Kannada ☐  Ngalakgan ☐  Wambaya☐  Chaldean Neo-Aramaic

☐  Karajarri ☐  Ngaliwurru ☐  Wangkajunga

☐  Chin Haka ☐  Karen ☐  Ngandi ☐  Wangkangurru☐  Chinese ☐  Kariyarra ☐  Ngan'gikurunggurr ☐  Wangkatha☐  Croatian ☐  Kartujarra ☐  Ngardi ☐  Wangurri☐  Czech ☐  Kashmiri ☐  Ngarinyin ☐  Wanyjirra☐  Czechoslovakian ☐  Kaurna ☐  Ngarinyman ☐  Wardaman☐  Daatiwuy ☐  Kayardild ☐  Ngarluma ☐  Wargamay☐  Dadi Dadi ☐  Kaytetye ☐  Ngarrindjeri ☐  Warlmanpa☐  Dalabon ☐  Keerray-Woorroong ☐  Ngatjumaya ☐  Warlpiri☐  Dan (Gio-Dan) ☐  Key Word Sign

Australia☐  Nhangu ☐  Warnman

☐  Danish ☐  Khmer ☐  Niue ☐  Warramiri☐  Dari ☐  Kija ☐  Norf'k-Pitcairn ☐  Warumungu☐  Dhalwangu ☐  Kikuyu ☐  Northern Desert

Fringe Area Languages☐  Welsh

☐  Dhanggatti ☐  Kimberley AreaLanguages

☐  Norwegian ☐  Wergaia

☐  Dhangu ☐  Kinyarwanda(Rwanda)

☐  Nuer ☐  Western Arrarnta

☐  Dharawal ☐  Kirundi (Rundi) ☐  Nungali ☐  Western DesertLanguages

☐  Dhay'yi ☐  Kiwai ☐  Nunggubuyu ☐  Wik Mungkan☐  Dhivehi ☐  Koko-Bera ☐  Nyamal ☐  Wik Ngathan☐  Dhuwal ☐  Konkani ☐  Nyangumarta ☐  Wiradjuri☐  Dhuwala ☐  Korean ☐  Nyanja (Chichewa) ☐  Worla☐  Dhuwaya ☐  Kpelle ☐  Nyikina ☐  Worrorra☐  Dinka ☐  Krahn ☐  Nyungar ☐  Wu☐  Diyari ☐  Krio ☐  Oceanian Pidgins

and Creoles☐  Wubulkarra

☐  Djabugay ☐  Kriol ☐  Oriya ☐  Wunambal☐  Djabwurrung ☐  Kugu Muminh ☐  Oromo ☐  Wurlaki☐  Djambarrpuyngu ☐  Kukatha ☐  Other Australian

Indigenous Languages☐  Xhosa

☐  Djangu ☐  Kukatja ☐  Other Eastern AsianLanguages

☐  Yakuy

☐  Djapu ☐  Kuku Yalanji ☐  Other EasternEuropean Languages

☐  Yankunytjatjara

☐  Djarrwark ☐  Kunbarlang ☐  Other SoutheastAsian Languages

☐  Yan-Nhangu

☐  Djinang ☐  Kune ☐  Other SouthernAsian Languages

☐  Yanyuwa

☐  Djinba ☐  Kuninjku ☐  Other SouthernEuropean Languages

☐  Yapese

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☐  Dravidian ☐  Kunwinjku ☐  Other Southwestand Central AsianLanguages

☐  Yawuru

☐  Dutch ☐  Kunwinjkuan ☐  Other Yolngu Matha☐  Yiddish☐  Dyirbal ☐  Kurdish ☐  Paakantyi ☐  Yidiny☐  Eastern Anmatyerr ☐  Kuuk Thayorre ☐  Pacific Austronesian

Languages☐  Yindjibarndi

☐  Eastern Arrernte ☐  Kuuku-Ya'u ☐  Palyku/Nyiyaparli ☐  Yinhawangka☐  English ☐  Kuwema ☐  Pampangan ☐  Yorta Yorta☐  Estonian ☐  Ladji Ladji ☐  Papua New Guinea

Languages☐  Yoruba

☐  Ewe ☐  Lamalama ☐  Pashto ☐  Yugambeh☐  Fijian Hindustani ☐  Lao ☐  Persian (Excluding

Dari)☐  Yulparija

☐  Fijian ☐  Lardil ☐  Pintupi ☐  Yumplatok (TorresStrait Creole)

☐  Filipino ☐  Larrakiya ☐  Pitjantjatjara ☐  Yupangathi☐  Finnish and RelatedLanguages

☐  Latin ☐  Polish ☐  Zomi

☐  Finnish ☐  Latvian ☐  Portuguese ☐  Zulu☐  French ☐  Letzeburgish ☐  Punjabi ☐ Other:  ☐  Frisian ☐  Liberian (Liberian

English)   

Languages spoken in your organisation

Are you a non-Government organisation?○  Yes ○  No

Does your organisation publish a newsletter?○  Yes ○  No

Newsletter Email Newsletter Email

Newsletter language 

Newsletter language

Newsletter Frequency 

Newsletter Frequency

Newsletter Circulation 

Circulation

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2020-21 CMQ Multicultural Event ApplicationForm Preview

  

What services does your organisation provide?☐  Anti-discrimination andhuman rights

☐  Domestic violence assaultagencies/services

☐  Housing agencies/services

☐  Children's organisations/services

☐  Education and studentservices

☐  Interpreting and translationservices

☐  Community Action for aMulticultural Society

☐  Employment and training ☐  Legal services

☐  Community facility andvenue availability

☐  English language classes ☐  Media

☐  Community organisationsand associations

☐  Festivals, events andartistic organisations

☐  Migrant and refugeeservice organisations

☐  Counselling organisations/services

☐  Government agencies/services

☐  Religious organisations

☐  Cultural business services ☐  Health and communityservices

☐  Research (historical andarchives)

☐  Cultural capability training    Choose all that apply

Areas of Interest - Please choose the topics you would like to hear about from usin future☐   Government funding☐   Newsletters☐   Multicultural Queensland Month and Awards☐   Queensland Government informationPlease choose the topics you would like to hear about from us in future

If there are any changes to your organisation or contacts, please ensure that youlet us know so our information remains accurate and up-to-date.

 Section 8: Declaration and Feedback* indicates a required field

Organisation

This section must be completed by an appropriately authorised person on behalfof the applicant organisation (may be different to the contact person listed earlierin this application form).

Privacy Notice

Declaration by the organisation’s representative *☐   I am duly authorised to submit this application.☐   I have read, understood and agree to abide by the requirements of the FundingGuidelines for Multicultural Events.☐   I declare the information given in this Application is true and correct to the best of myknowledge, and the organisation will contact the Department of Local Government, Racingand Multicultural Affairs immediately if any information in this application changes or isfound incorrect.

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☐   I declare the applicant organisation has no overdue financial accountability, servicedelivery or performance issues for previous funding received from the QueenslandGovernment, including the CMQ program. e.g. overdue Acquittal Reports.☐   I understand that this is an application only and may not necessarily result in fundingapproval, and that the funding amount approved may be less than the requested amount.☐   I understand that should this application be successful, the organisation will be requiredto comply with the Industry Framework for COVID Safe Events.At least 6 choices must be selected.Click here for information on the Industry Framework for COVID Safe Events.

I consent to the disclosure of the details for the organisation and the EventContact to be posted on the Department’s website, should this application besuccessful. *○   Yes○   No

Declaration by the organisation’s representative if being auspiced *☐   I certify that the auspicing organisation has agreed to auspice this application.☐   I certify that I have received agreement from the auspicing organisation to acceptall legal and financial responsibility for the proposed event as outlined in the Terms andConditions.Both choices must be selected

Authorised Person

Name of person submitting this application *Title   First Name   Last Name         Position Title *

 Phone Number

 Insert area code before the number e.g. 07. Must be an Australian phone number and at least 10characters.

Mobile Number 

Must be an Australian phone number and at least 10 characters.

Email Address * 

Must be an email address.

Applicant Feedback

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2020-21 CMQ Multicultural Event ApplicationForm Preview

  

You are nearing the end of the application process. Before you review your application andclick the SUBMIT button please take a few moments to provide some feedback.

How did you hear about the opening of the grants round? *☐   Email notification from the Department of Local Government, Racing and MulticulturalAffairs☐   Departmental Website - https://www.dlgrma.qld.gov.au/☐   Multicultural Affairs' Facebook - https://www.facebook.com/multiculturalqld/☐   Multicultural Affairs' Twitter - https://twitter.com/MulticulturalQ☐   Queensland Government Media Statement☐   Community Funding Access Advisor at Multicultural Australia Ltd☐   Word of Mouth☐ Other:

 Please select all that apply

Please indicate how you found the online application process: *○   Very easy○   Easy○   Neutral○   Difficult○   Very difficult

How many minutes in total did it take you to complete this application? * 

Estimate in minutes i.e. 1 hour = 60 minutes

Please provide us with your suggestions about any improvements and/oradditions to the application process/form that you think we need to consider.

 IMPORTANT

After you review your application and click the SUBMIT button, you will receive aconfirmation message on screen acknowledging that the application has been received.You will also receive a confirmation email with a PDF copy of your application attached.

I understand that if I do not receive these confirmations, the application has notbeen successfully submitted and I will review the application for any highlightedissues and try again. *○  Yes

 

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