Support & DOnate

Expression of Interest

Legal name of organization

Operating/Trading name (if different)

Registered with ACNC?

Website and/or Social Media Handles

Operating budget (current FY)

Have you received funding from the (Priceline) Sisterhood Foundation in the past?

Please list your strategic priority areas

Women’s Health & Wellbeing Girl’s Health & Wellbeing Men’s Health & Wellbeing Boy’s Health & Wellbeing

Others

Who are your Primary beneficiaries?

What Sector do you operate in?

What does your Charity do?

Which geographic area/s in Australia are served by your programs?

New South Wales Victoria Queensland Western Australia South Australia Tasmania Northern Territory Australian Capital Territory

Other

Primary contact name

Position / Title

Email Address

Phone Number

Name of Person submitting this EOI

Position / Title

Date

Declaration:

I confirm that the information provided in this Expression of Interest is accurate and complete to the best of my knowledge. (check to agree)

We acknowledge the Traditional Owners of the land and pay our respects to Elders past and present.