Important – No Application will progress without a YES to at this stage.

Section 1: Please Provide Consent

To consider your application private and confidential information will need to be reviewed by the specific charity considering your request as well as the Freemasons Charity Management Pty Ltd in it's capacity as a trustee of those entities and Masonic Services Pty Ltd as the contracted administration service provider. These companies may also employ consultants or agents to complete background checks and research. Your information will remain confidential and any information deemed sensitive may be removed from any permanent record once the assessment is completed. You may withdraw your application at any time and request that information provided is deleted. Our companies comply with the privacy principles set out in the Privacy Act as well as obligations prescribed by the Australian Charity and Not-for-Profit Commission (ACNC). *

Section 3

Select your status below

Your Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email Address *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Organisation Name *

The name of the Organisation/Charity or Trust

Date of Commencement *

Organisation Title or Role? *

Provide your position

ACN/ABN (This must match the business name) *

To check your ACN/ABN and Business Name - Check Your ABN Here

Website Link *

Name of key contact *

First

Middle

Last

Key Person Phone *

Key Contact Email *

File Upload for DGR or Charities

Click or drag files to this area to upload. You can upload up to 5 files.

If you are a DGR or Charity provide a copy of your DGS Status by uploading it here

What year was your Charity/Company/Trust established? *

What was the total income earned in the last financial year? *

What percentage of income was generated from business and investment activities (excluding pure donations or grants) last year? *

What percentage of income was paid from Government grants last year? *

What is the current value of your Charity/Company/Trust investible assets (funds, cash, shares)? *

Who are your Charity/Company/Trust major partners (Corporate, Government or Individuals)? *

Please provide a brief summary of your mission and values *

Where does the entity operate (within SA/NT, eg suburbs or towns) *

Please attach a summary or overview document for your Charity/Trust/Company *

Click or drag files to this area to upload. You can upload up to 3 files.

Files no more than 10mb in size please. .png, .gif, .jpg, .doc, .xls, .ppt, .pdf

Provide a brief summary of your request and attach your detailed proposal here *

Click or drag files to this area to upload. You can upload up to 3 files.

Files no more than 10mb in size please. .png, .gif, .jpg, .doc, .xls, .ppt, .pdf

Funding amount requested *

What type of support are you seeking? *

Specific project funding for a project ready to start immediately
Specific project for a project in planning phase
General funding for existing activites

Will your project be deliverable if we elect to only partially contribute to your request *

Where in South Australia and or Northern Territory will our funding be utilised? *

Please provide commentary or links to research that supports the community need met by your funding request. *

Who is the primary beneficiary of your activities? (age, gender, culture etc) *

Who are your competitors? *

Who else provides these services? (include government if social services are provided by local, state or federal departments)

What are your Organisations Key Performance Indicators and how have you performed against these over the past two years? *

Section 1: Please Provide Consent

Section 2

Section 3

Section 3