International Day of People with Disability Small Grants Program Application

Certification

By submitting this application I acknowledge that I have read and understood the information made available by Wollondilly Shire Council on the International Day of People with Disability Small Grant program, including the eligibility criteria and to the best of my knowledge the information provided in this application is true and correct.

I also acknowledge that this application is submitted with both the full awareness and authority of either the organisation under which it is being submitted or, where applicable my parent or guardian.

Organisational Details

Auspice Details

What domain from Councils Disability Inclusion Action Plan does your project/activity fall within? (More than one can apply)

Grant Terms and Conditions Checklist

On behalf of the organisations, please tick ‘yes’ to agree to the terms and conditions outlined below.

Privacy Statement

Wollondilly Shire Council is collecting personal information from you on this form for the purpose of assisting the determination process of your application. This information is required by law and failure to provide the information may lead to rejection or delays of your application.

At any time you have the right to access, view or correct the personal information that you have provided. Please also note that information supplied on this document may be the subject of a request to access information under the Government Information (Public Access) Act 2009.