Bursary Application Form Step 1 of 4 25% Application for a Children's Week BursaryThe Queensland Children’s Week Association Inc. is offering bursaries to assist with organising an activity or event during Children’s Week 2018 (Friday 19 – Sunday 28 October 2018)Select the type of bursary you would like to apply for:* $500 $1000 Contact InformationName of applicant organisation*Contact person name*Address* Street Address Address Line 2 City State Post Code Phone*Email* Website* Activity/Event informationEvent name:*Describe the activity or event you are planning to deliver (if running more than one event, please specify)*How much money will you be contributing to your event?*Is any other organisation contributing towards your event?* Yes No If yes, how much money are they contributing?Date* Time* : HH MM AM PM Event/Activity Venue Address* Street Address Address Line 2 City State / Province / Region Post Code Expected number of attendees*Tick all that apply to your event:* Public Local Community Private Payment detailsIf you are successful in receiving a bursary, funds will be transferred to your organisation’s bank account as follows:Name of account*Account Number*BSB*InsurancePublic Liability InsuranceDoes your organisation have public liability insurance?* Yes No Agreement:Successful applicants will be notified by 5 October 2018.Name* First Last I agree to the terms below:* If successful, our organisation agrees to deliver an activity or event that promotes community involvement and cooperation, assists in increasing awareness of the needs, interests, rights and achievements of children and families and is held during Children's Week - 19 October to 28 October 2018. We agree to provide the number of attendees, 3 photos, an event report, Children’s Week Logo placed on the event flyer (provide to QCWA), and a survey of attendees ($1000 bursaries only). I have read and understood and agree to abide by the Children’s Week trademark and logo terms and conditions* I confirm that the Queensland Children’s Week Committee is not responsible or liable for any loss or damage caused at the aforementioned event by my organisation or invitees/attendees. I confirm my event is family friendly and alcohol and drug free.