FGX Your Expression of Interest

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Unique ID

Name(Required)

First Last

Organisation(Required)

Email(Required)

Phone(Required)

Where did you hear about this EOI?(Required)

Please state your top three sources of professional news(Required)

ie. Specific publications or social media channels.

Have you read all the supplied documentation?(Required)

Please ensure you read all supplied information prior to starting your application

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Organisation Name

Does your organisation hold Deductible Gift Recipient (DGR) Status?(Required)

Future Generation partners with organisations that hold Deductible Gift Recipient (DGR) status. If your organisation does not hold either DGR 1 or 2 status, you are not eligible to apply. Please refer to the funding guidelines for more information.

Australian Business Number (ABN)(Required)

Address(Required)

Street Address Address Line 2 City State Post Code

Website

Link to Board of Directors

Is your organisation an Aboriginal Controlled Organisation?(Required)

Is your organisations work:(Required)

Which States?(Required)

New South Wales

Victoria

Queensland

South Australia

Western Australia

Northern Territory

Australian Capital Territory

Tasmania

Where?(Required)

CEO or Equivalent

Name(Required)

First Last

Email(Required)

Phone(Required)

Is this your organisation's contact for discussion?(Required)

Contact for Discussion

Name(Required)

First Last

Phone(Required)

Email(Required)

Total Revenue FY21(Required)

Total Revenue FY20(Required)

Total Revenue FY19(Required)

Current Retained Earnings FY21(Required)

Current Net Assets(Required)

Main Sources of Income(Required)

Please note your main sources of current income with approximate percentages

Income from Government?(Required)

All jurisdictions combined, average percentage (%) over the last five (5) years.

Please enter a number greater than or equal to 0.

What level of Partnership are you interested in?(Required)

Please refer to the Background information document for further information about available funding tiers.

Stage 2 business case assistance(Required)

If you were to be shortlisted and progress to stage 2, would you require financial or other support to develop a business case to grow your impact?

Please provide details about the kind of assistance or advice you would need(Required)

ie. Funding to develop your business case, business advice, advice from young people, mental health and wellbeing expertise, data or impact measurement advice, communications advice etc. Your answer to this question is not part of the assessment process and will not impact your opportunity to be shortlisted.

Your organisation and young people

Question 1 — What is your purpose as an organisation?(Required)

Question 2 — Provide a brief overview of your strategic priorities(Required)

Question 3 — Who are the young people you work with?(Required)

Question 4 — How do the young people you work with shape your work?(Required)

Your track record in wellbeing and prevention

Question 5 — How does your work foster wellbeing, address distress and/or prevent mental ill-health in young people?(Required)

Question 6 — How do you currently track your impact and what is it?(Required)

What are the outcomes for young people? And/Or What impact are you having on building infrastructure for wellbeing and prevention?

Question 7 — How do you know young people value what you do?(Required)

What evidence have you got?

Question 8 — How does your work align with evidence about 'what works' in wellbeing and prevention of mental ill-health?(Required)

Your strategy to grow your impact

Question 10 — What is your vision for the wellbeing of young Australians and the role of your organisation in reaching it?(Required)

Question 11 — How would you use support from FGG to grow your impact?(Required)

Question 12 — What is the step change that you could achieve with our support?(Required)

What would be different as a result of our partnership?

Question 13 — What capacity do you have to deliver that impact growth?(Required)

Expertise, systems, people, other funding?

Question 14 — Apart from funding, what are your barriers to impact growth?(Required)

What are your organisational capacity needs?

Other

Question 15 — Is there anything you would like to add?

Comments

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