Application Form - Small Grant (up to $15,000) - Prod Kirby Foundation

Before you complete this on-line application form, please note that we do not have the ability to ‘save as you
go’ should you need to come back and complete it at a later time or date. This means you will have to
complete it in one go. We apologise for this inconvenience.

Name of Organisation*
Name of Parent Organisation and/or Faculty
if applicable
Australian Business Number (ABN)*
Do you have DGR Status under Item 1*
- Yes
- No
You are not eligible to apply for funding.
Name and Title of CEO*
or equivalent
Contact Person*
First Name Surname
for this application
Contact Person Email Address*
Contact Business Number*
Contact Mobile Number*
Business Address*
Street Address Address Line 2 City State / Territory Postcode
- Postal Address the same as Business Address
Postal Address
Street Address Address Line 2 City State / Territory Postcode
Organisation Website
Project Details
Project Title*
(in no more than 6 words)
Funding Category*
Funding Sub Category*
Amount Requested ($)*
Please enter a number less than or equal to 15000.
Total Project Cost ($)*
Project Start Date (From 1 July 2026)*
DD dash MM dash YYYY
Project End Date*
DD dash MM dash YYYY
More in-depth information about your project
1. Project Description (application summary) with specifics of what you are seeking funding for*
(max: 600 characters)
2. Why are you undertaking this work*
(max: 1000 characters)
3. Who will benefit from this project and how will they benefit*
(max: 1000 characters)
4. Expected outcomes and how you will measure them*
(max: 1000 characters)
Cover letter*
Accepted file type: PDF (Max. file size: 25MB)

Please include a list of the Directors’ names and qualifications (no more than 1 x A4 page)
Budget*
Accepted file type: PDF (Max. file size: 25MB)

(no more than 1 x A4 page)

Applications

Application Form – Small Grant (up to $15,000)

Project Details

More in-depth information about your project