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FV Club Development Grant Application
Football Victoria (FV) appreciates you taking the time to complete this form. Please note that all your responses will be used by FV for internal purposes only and will remain in confidence.
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1
Please enter your Club name.
*
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2
Please enter your full name.
*
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First Name
Last Name
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3
Please enter your email address.
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example@example.com
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4
Please enter your phone number.
*
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Please enter a valid phone number.
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5
Has your Club registered for the Football Australia Club Changer - Club Development Program?
*
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YES
NO
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6
Has your Club received 1 Star Accreditation in 2024?
*
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1 Star Accreditation is received by completing the Women & Girls Module of the Club Changer program, and submitting an Action Plan via your FV Development Coordinator. Support to achieve your 1 Star Accreditation is available from your FV Development Coordinator.
YES
NO
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7
Has your Club received 2 Star Accreditation in 2024?
*
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2 Star Accreditation is received by completing the Safeguarding Webinar & Module of the Club Changer program, and submitting an Action Plan via your FV Development Coordinator. Support to achieve your 2 Star Accreditation is available from your FV Development Coordinator.
YES
NO
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8
Please provide an outline of your Club's proposed project, program or initiative. How would this project be delivered and how will you measure success?
*
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9
How will this project benefit your Club and community? How does this initiative support Women & Girls in Football, build Club sustainability, or address challenges currently faced by your Club?
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10
How does this project link to your Club Changer 1 Star or 2 Star Action Plan?
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11
What is the estimated start and end date of your program/initiative?
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12
What is the amount of funding you are applying for?
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13
Please provide a copy of the proposed budget for your project.
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Please provide any supporting documents - Eg. Quotes, etc.
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15
Please provide your Club Bank details below.
*
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This is the nominated account that will receive transfer of grant funds if approved.
Account Name
Bank Name
BSB
Account Number
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16
Is your Club registered for GST?
*
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YES
NO
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17
Please provide any additional comments in regards to your grant application.
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