Organisation Name:

Contact Name:

Position:

Address:

Postal Address (if different from above):

Phone:

Fax:

Mobile:

Email:

Please choose which of the following best describes your organisation

Private Sector Non Indigenous and Not for Profit Indigenous Community Organisation Employment Service Provider Other

Provide a brief description of your project idea.

What types of activities will this project include?

Promoting success and peer role models Providing career guidance and mentoring Work exposure opportunities Public recognition. Training Work Experience Placing Indigenous Australians into employment Employer support services Product development that promotes Indigenous businesses and/or employment Developing Indigenous workforce capacity Business capacity building services Indigenous economic development Promotion  

What outcomes do you hope to achieve from this project?

e.g.  Employment placements – how many?, Training placements, Economic Development  - describe briefly

What industry, sector, group or community will be involved or targeted?

e.g construction industry, Youth, women, Community name

How many participants are you anticipating will be involved in this project?

0 - 5

5 - 10

10 - 20

20 +

When would you be aiming to commence this project?

How long do you anticipate the project will take to complete?

Privacy Statement

All personal information collected by the Birrang Enterprise Development Company Ltd on this Inquiry form is protected by the Privacy Act 1988.

Birrang Enterprise is collecting the personal information on this form for the purposes of assisting organisations to apply for funding for projects under the Indigenous Employment Program.

The personal information you provide on this form will be used to consider and evaluate your Proposal, contact you regarding your Proposal and determine your eligibility for funding under the Indigenous Employment Program.

Birrang Enterprise will not disclose any of the personal information provided  on this Inquiry form without written approval.

I have read and understood the privacy statement Yes