The Shire

COVID-19 relief expression of interest

  1. For the purpose of this application entity refers to the Business / Not-for-Profit / Community Group / Sporting Group

  2. Please select the description that best suits your organisation. Please note for the purpose of this application a small business is defined as less than 20 employees and turnover less than $2 million per annum.

  3. Type of assistance sought*
  4. Select all that apply. Please note this does not guarantee you will receive any / all assistance options.

  5. If you are interested in applying for a Community / Business support grant, please indicate the monetary value being requested.

  6. This should include how your organisation has been impacted by COVID-19.

  7. List additional support services and funding opportunities the applicant has or intends to pursue.

  8. Have you applied for or received any other form of financial support and / or grants in relation to COVID-19? If yes, please provide detail.

  9. Include statement of losses, P&L financials/trading figures, or other financial statements such as BAS, Advice from Accountant or Tax Agent, Bank Statements that show current and enough history to show evidence of change attributed to COVID-19.

  10. I have read and agree to the Terms and Conditions

* denotes a required field.

Last updated: 23 April 2020