Dying to Know Community Grant Application Form

Please complete this application to the best of your ability. If you need clarification, email grants@dyingtoknowday.com. Paragraph responses must be 500 characters or fewer (about 100 words). You don’t need to finish in one go—use the “Save and Complete Later” link below the Submit button to save progress and receive a return link. Additionally, save your responses elsewhere to prevent data loss due to technical issues.

We strongly encourage you to upload a 1 min video of your idea! (though not mandatory as we understand using tech can be tricky)

First Name *

Last Name *

Email Address *

Post Code *

Phone *

Gender

Age

Which Dying 2 Know grant are you interested in? *

Micro: Up to $500 funding for individuals Mezzo: Up to $5,000 for Groups (min of 3 people in a group)

Tell us briefly about your idea to use the grant *

Tell us a little about yourself (Include one example of action you have already taken that is related to your idea) (500 Character Limit) *

Do you live in an urban/regional or remote community? *

Please upload a 1 min video file of your idea

Browse

Do you do paid work in the end of life space? If yes, please provide a brief description: *

How much grant funding are you requesting? *

What will you spend the money on? (500 Character Limit) *

What is novel or creative about your idea? (500 Character Limit) *

We will provide a feedback form for you to use. How else do you plan to evaluate your project? *

What step do you hope to take after you run/launch your idea? (500 Character Limit) *

Project Start Date *

Project End Date *

Are you willing to share photos and stories with the Campaign? *

YesNo

We want to share examples of how you’ve built partnerships. Would you be happy to share your journey with us and collaborate on stories to publish? *

YesNo

Would you be willing to be connected to other potential collaborators in your area? *

YesNo

What is one thing you will do to make sure your project is inclusive? (500 Character Limit) *

Provide details about who is in your group (contact name, contact email, organisation name (If relevant) (500 Character Limit) *

If you are successful, we will use the following to administer the grant payment

Name of account funds are to be deposited to: *

Account Number (no more than 9 digits) *

BSB Number (6 digits) *

Any questions that you may have?

Save and Complete Later