The A.L. Lane Foundation – Application Form

The A.L. Lane Foundation was established by the late Alan Lane, for the benefit of charitable purposes in Warrnambool and its district.

Applications for a grant from The A.L. Lane Foundation are considered quarterly, and should be lodged by 10 March, 10 June, 10 September or 10 December.

Applicants should provide as much information as is considered necessary to support the application. Attachment of large quantities of material should be avoided.

Applicants should be aware that the limited funds of the Foundation do not allow for all proposals of merit to be funded. An unsuccessful application does not necessarily mean that it was not well regarded by the Trustees.

In the case of such applications, where appropriate, the Foundation will lend its assistance and identify other funding sources that may be available.

If you would prefer to apply for a community grant via hard-copy, please download the grant application.

1. Applicant
Organisation Name*
Contact Name*
Email*
Address*
Phone*
2. Background of Applicant

If association or company:
Date of establishment
Constitution or incorporation documents
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Max. file size: 8 MB.
If person:
Resume/C.V.
Max. file size: 8 MB.
3. Government
Is the applicant a Government entity or constituted, funded or controlled by Government?
- Yes
- No
4. Project for which Application is Made
Describe briefly the project for which assistance is required*
Describe the purpose of the assistance emphasising the public benefit*
Grant amount required*
5. Personnel involved
List personnel, qualifications and experience*
6. Timing
Commencement date of project*
Expected completion date*
7. Budget
List of expected income and expenses
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Max. file size: 8 MB.
Expenditure should include details of salaries, wages or fees and to whom payable, promotional costs, insurance, governmental charges
Other matters as the applicant considers relevant*
8. Sources of Finance
List other sources from which support has been requested, and their response*
State financial services to be provided by the applicant*
Local Government, State Government or Commonwealth Government support received or expected*
Detail any government support received by the applicant in the past three years
9. Results and Impact
What results are expected from the project?*
What will be its impact?*
How will the project be managed?*
How will the project be reported?*
If a continuing project, what will be the ongoing source of future funding?
How will the expected results benefit Warrnambool and its District?*
10. Taxation
Is the applicant endorsed or has it applied for endorsement as a tax concessional charity or a deductible gift recipient?*
- Yes
- No
11. Research and Similar Projects
Where the project is a research project, outline the method of research and originality claimed.
12. Travel Grants
Where a project includes travel, applicants should include full itineraries and estimated costings.
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Max. file size: 8 MB.
13. Attachments
Any other attachments
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Max. file size: 8 MB.
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