Privacy

Privacy Collection Notice

This personal information in this form is collected by Toowoomba Regional Council for the purpose of assessing the request in this form and performing related functions. Council's privacy policy is available at tr.qld.gov.au/privacy.

Organisation details

Organisation name *

Contact person full name *

Position in organisation

Phone number *

Email address

Australian Business Number (ABN) or Australian Company Number (ACN)

Postal address

Suburb

State

Postcode

Organisation eligibility

Is your organisation non-profit? *

YesNo

Your organisation is not eligible for the Shade trees and shrubs in-kind grant program. You cannot continue with this application.

Is your organisation incorporated? *

YesNo

Your organisation is not eligible for the Shade trees and shrubs in-kind grant program. You cannot continue with this application.

Page 2

Shade Trees and Shrubs in-kind Grant Program Application

Plant details

What will the plants be used for? *

Page 3

Shade Trees and Shrubs in-kind Grant Program Application

Fees

There is no fee associated with this program.

Declaration

I understand and acknowledge that:

The information provided in this application is true and complete to the best of my knowledge.
I approve of the information that has been provided in this application.
Council may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.
I understand that all information supplied on or with this application form may be disclosed publicly in accordance with the Right to Information Act 2009 and the Evidence Act 1977.
Council is committed to protecting the privacy, accuracy and security of your personal information in accordance with the Information Privacy Act 2009.
I acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transactions (Queensland) Act 2001.

Signature

I agree with the declaration *

Full name of applicant *

Date

Form process

After submitting this form a Council officer will contact you (using the details provided in this form) to progress your request and advise if your application has been successful. If your application has been sucessful, the Council officer will discuss your landscaping needs and arrange a time for you to collect your plants from the Toowoomba nursery.

Save and Complete Later