SunSmart Shade Initiative Application 2018 Part 2 Before completing your application, please review all the Terms and Conditions herePart 1. Organisation DetailsDate of Application* Organisation Name*Type of Organisation*Choose from the drop down list below-Please select one-Primary schoolSecondary schoolCombined primary/secondarySpecial schoolOutside School Hours CareEarly childhood serviceJunior sporting clubCommunity groupsContact Name*This person will be responsible for liaising with CCQ throughout the duration of the Initiative and accountable for project supervision and completion.Contact’s Position*Contact's Email*All correspondence will be sent to this account Contact's Phone Number*This phone number must be manned Monday to Friday. Please add area code if applicableStreet Address*This must be the street address of the organisation applying for shade. PO Boxes and home addresses will not be accepted. This will be the delivery address if applying for marquees. Street Address Suburb/Town State Post Code Postal AddressSame as Street Address?YesNoPlease enter your Postal Address Street Address Suburb/Town State Post Code Cancer Council Queensland does not accept submissions from outside the state. To join the SunSmart program, visit your local Cancer Council website.Upper Management Contact Name* First Name Last Name Upper Management Email Address* Upper Management Phone Number*Please upload the letter of support from upper management*Accepted file types: pdf, doc, docx, .Schools – this needs to be signed by your principal Early childhood service – this needs to signed be your director Sporting clubs – this needs to be signed to by your club president Community group – this needs to be signed by your group president Does your organisation have an ABN?*YesNoPlease enter your organisation's ABN*Please upload a Copy of your Registered/incorporated entity certificate or Australian Business Register search results*Accepted file types: pdf, doc, docx, jpg, png, gif.Please upload proof of your Not for Profit Status*Please upload your Not for Profit status (e.g. copy of tax exemption certificate or failing that a letter confirming not for profit status from an authorised officer of the organisation) Accepted file types: pdf, doc, docx, jpg, png, gif.Part 2. Sun Protection DetailsPlease tick which of the following sun protection activities your organisation currently undertakes*Please select all that apply Wearing a hat when outdoors – legionnaire, broad-brimmed or bucket. Clothing/uniforms that have shirts with collars, sleeves at least elbow length, longer-style shorts/skirts. Sunscreen is available for use and regular application is encouraged. Sunglasses are encouraged to be worn outdoors. Practices are in place to minimise the time spent outdoors during peak UV periods. Shade natural and built is provided outdoors. Teaching and learning activities for sun safety. Role modelling by adults is used. Sun protection information is included in communication Have sun protection information available e.g. factsheets Are you a member of QUEST?*YesNoIf you are a school, ECC or OSHC, is your organisation a member of our National SunSmart Program?YesNoN/ADid your organisation have a sun protection policy before applying for this initiative?*YesNoPlease upload your sun protection policy (This is a key criteria for eligibility)*This must be an original document on an organisation letterhead and directly reflect the actions your organisation currently takesAccepted file types: pdf, doc, docx.Choose 5 strategies from below that your organisation will include from QUEST*Register to QUEST here. If successful for funding your organisation will be required to work through and complete this action plan and report on what has been implemented. Include sun protection information in communication. Display and rotate posters. Have information available e.g. factsheets. Join the National SunSmart program (primary schools, outside school hours care and early childhood only) or renew your membership. Role modelling by adults is used. Make hats, dress requirements and uniforms SunSmart. Make sunscreen available and application encouraged. Include sun safety learning activities. Create and maintain shade. Schedule outdoor activities during low UV times. Review your organisation’s sun protection policy. Part 3. Grant DetailsWhat type of SunSmart Shade are you applying for?*Portable shade (marquee)Permanent shade sailPermanent hard roofed structurePortable shade will be provided by a preferred supplier. All marquees will be in the colour blue with CCQ and Qld Government logos. Please note prices will vary depending on the number of orders received. Successful applicants will be notified of the exact cost. Please complete the below details. Size*---------------------------3x6 m- $1318.9 inc GST3x3 m - $852.5 inc GSTQuantity*---------------------------1 marquee2 marquees3 marquees4 marquees5 marquees6 marqueesTotal project cost Total amount you are applying for from the SunSmart grant scheme (50% of the total cost up to $2,000 maximum) If successful, CCQ will cover 50% of the project, up to $2,000*You will be obliged to contribute the remaining funds. Do you accept this? Yes How much is your total project cost?*Total amount you are applying for from the SunSmart grant scheme (50% of the total cost up to $5,000 maximum)If successful, CCQ will cover 50% of the project, up to $5,000*You will be obliged to contribute the remaining funds. Do you accept this? Yes Please upload 2 written quotes that clearly outline the following. These must be included in your quotes to be eligible: Total cost* Yes Ultraviolet Protection Factor UPF) of 50+ or a UV protection rating close to 100%* Yes Colour – this must be navy/black otherwise your application will be void* Yes Confirmation that the shade is made from a closely woven material* Yes Minimum 3 year warranty.* Yes *Please name your files as ‘Preferred’ and ‘Second’. If your application is successful, grant funds will be forwarded to your organisation to pay your preferred supplier who provided the quote Drop files here or Accepted file types: pdf, doc, docx. Please upload a photo or diagram to clearly show where your shade will be located*Accepted file types: pdf, doc, docx, jpg, png, gif.How much is your total project cost?*Total amount you are applying for from the SunSmart grant scheme (50% of the total cost up to $5,000 maximum)If successful, CCQ will cover 50% of the project, up to $5,000*You will be obliged to contribute the remaining funds. Do you accept this? Yes Please upload 2 written quotes that clearly outline the following. These must be in your quote to be eligible: Total Cost* Yes UPF rating of 50+* Yes Minimum 3 year warranty* Yes *Please name your files as ‘Preferred’ and ‘Second’ If your application is successful, grant funds will be forwarded to your organisation to pay your preferred supplier who provided the quote Drop files here or Accepted file types: pdf, doc, docx. Please upload a photo or diagram to clearly show where your shade will be located*Accepted file types: pdf, doc, docx, jpg, png, gif.Part 4. Rationale For Shade ProjectPlease outline why your organisation is requesting this type of shade.*Please outline where the shade will be specifically used or built.*Please outline why your organisation is applying for funding support.*Why external funds are required?Please outline how your shade structure will be maintained and looked after.*How many children aged 0-18 years does your organisation service?*-Please select one-0-2021-5051-100101-200201-500500+When in use, how many children will directly benefit from your proposed shade per day?*-Please select one-0-2021-5051-100101-200201-500500+Please outline how you will pay for the remaining cost of the project.*I confirm that my organisation can pay for the remaining cost of the project*YesNoThe Terms & Conditions of this grant require your organisation to contribute the remaining (50%) funds.Part 5. Terms and ConditionsEligibility and organisational responsibilitiesTerms and Conditions*Please select "yes" to confirm that your organisation understands and agrees to the Terms and Conditions Yes Privacy collection statement*Please select "Yes" to confirm you understand and agree to our privacy collection statement Yes Part 6. Payment details If your application is successful, funds will be transferred to your organisation’s nominated bank account so that you can pay the preferred supplier for your project It may take up to four weeks for funds to be transferred to your nominated bank account. Once you have been notified of your successful application, your project can be started immediately (you don’t need to wait until the funds arrive to begin) Project MUST BE COMPLETED by 1 June 2019 and acquittal returned by 1 July 2019. (if you are successful, an acquittal form will be emailed with your letter of offer). Organisation Name:*ABN (if applicable)Address*Phone:*Please add area code if applicableEmail:* Bank:*Account Name:*BSB*Account number:*EmailThis field is for validation purposes and should be left unchanged.