Cairns Community Murals Program Application

Project title *

Coordinator details

Please provide the contact details of the project manager or the one person involved in the project who can answer all questions related to it.

Name *

Address *

Email Address *

Best contact number *

Project location *Please provide exact location

Upload diagrams, photos or maps of location *

Browse

Please combine documents into a single file

Has there been consultation with any other community stakeholders? *

YesNo

Please describe the nature of the communication and who has been involved.

Project aim/ outcomes *Provide details about what you would like to achieve through this piece.

Project timeline

Please provide details of the expected start date and end date and all project milestones.

Date

Milestone

Describe the proposed work and provide dot points about delivery methods *

Ongoing maintenance of work *Provide details on how the work will be maintained into the future to ensure longevity

Partners & stakeholders

Provide details of all those people and groups who are supporting this project. e.g. sponsors, community groups.

Organisation

Contact Person

Contribution

Contact phone number

Contributions

Provide details about how you intend to resource this project including all cash and in-kind contributions.

Who is providing support?

Cash $

In-kind $

TotalsPlease tally the cash contributions and record the total here

Risk Management

Identify any risks associated with the project, including how you will manage them, e.g. chemical handling, participant safety, traffic control, quality control.

Describe the risk

The likelihood of the risk occuring is

LowMediumHigh

I will manage the risk by:

Please verify you are a person *

Cairns Regional Council – Information Privacy Statement

Your personal information has been collected for the purpose of assessing your application. The collection of your information is authorised under the Local Government Act2009. You are providing personal information which will be used for the purpose of delivering services and carrying out Council business. Your personal information is handled in accordance with the Information Privacy Act 2009 and will be accessed by persons who have been authorised to do so. Your information will not be given to any other person or agency unless you have given Council permission to or the disclosure is required by law.