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Application Form

Section One: Organisation Details

To apply, your organisation must be an incorporated organisation and hold $20 Million Public Liability Insurance. 

Please attach documentation at the end of the application.

Does your organisation have a business plan? Or governing documents? 

Please attach documentation at the end of the application.

Does your organisation have audited financial records? Are they available on ACNC? 

Please attach documentation at the end of the application.

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Section Two: Conflict of Interest

Will any actual, perceived or potential conflict of interest in the performance of your obligations under the Licence Agreement exist if you are awarded the Licence Agreement, or are any such conflicts of interest likely to arise during the Licence Agreement? 

Supply in an attachment at the end of this application details of any actual, perceived or potential conflict of interest and the way in which the conflict will be dealt with. 


What is a conflict of interest?

When you have a personal interest (e.g. financial, business interest, relationship, family relation) that could affect or be affected by a person affiliated with Council (e.g. employee, Councillor, contractor, volunteer).

What is an actual (real) conflict of interest?

An interest that actively exists between yourself and Council and that interest improperly influences a person affiliated with Council in the performance of their duties. For example, your husband is part of the panel who will be responsible for determining the successful licensee.

What is a perceived (apparent) conflict of interest?

Is not a conflict of interest but could be perceived by others as a conflict of interest. For example, you volunteer at a sports club which was just awarded a grant by Council.

What is a potential (possible) conflict of interest?

An interest that could potentially impact or influence a person affiliated with Council in the performance of their duties. For example, you have applied for a job at Council and could be the successful applicant during the Expression of Interest period.

Section Three: Community Impact and Management

Please limit your responses to 500 words each. 

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Section Four: Final Comments

500 word limit

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