Subsidy application

Name *

Position *

Email address *

Contact number

State or territory *

Name *

Is your organisation Aboriginal community-controlled? *

YesNo

Is your organisation in a rural, regional, remote or very remote area? *

RuralRegionalRemoteVery remoteNone of the above

Has your organisation received a subsidy to attend a National Community Legal Centres Conference in the past? *

YesNoDon't know

What was the most recent year your centre received a subsidy (if known)?

Please list any people who previously received a subsidy and are included in this year's application (if known).

Up to three individual people from each centre can apply for a subsidy.

If you include more than three applicants’ details in this form, we will only assess the first three for a subsidy.

How many individuals are included in this subsidy application? *

123

Name

Position

Is the person Aboriginal or Torres Strait Islander?

YesNo

How many days will they attend?

1234

Which of the following will they attend?

Network meetingMasterclassWelcome ReceptionConference DinnerWalking tour or basket weaving workshop

Only three applicants from each centre will be considered for subsidies.

Estimated travel costs per person (not including accommodation in Canberra)

Is there anything else you'd like us to consider?

Please do not click on submit until you have completed this application (for up to three people from your centre).

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