COMMONGROUND GRANT APPLICATION Name of Organisation * ABN * Contact Person * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Website http:// Phone (###) ### #### Is your organisation a registered charity? Yes No How would you describe your organisation? * Not for Profit Community Organisation Social Enterprise Private Enterprise Please describe the field of social change your organisation works in. * Please describe the work that your organisation does. * What would be the purpose of your visit to Commonground? * Which grant are you applying for? One day fee reduction Two day fee reduction Three day fee reduction Is there anything else you would like to share with us about your organisation and why you are applying for this grant? Thank you for submitting your application. We will be in contact.